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Home My WebLink AboutRe: bldg permit application . � ' ' ��w ��' Evelyn M. Turner � From: Evelyn M. Turner Sent: Tuesday, December 15, 2009 1:46 PM To: 'Tracey Weathers' Subject: Olson Residence -43'15 North Shore Drive ., We have had your building permit application and plans for almost 18 months. We cannot continue to store them after January. We will recycle them unless you pick them up. You can do this anytime between 8 and 4:30 Monday- Friday. If you decide to go forward with the project in the future you would need to submit a new application and pay the plan review fee. Evelyn Turner City Planner City of Orono 952-249-4623 952-249-4616 (fax) � �� C�,' ��. �� `''�.. � � �° � �� ` `�:..� p � `� �, 't"tiS'�., ��. �� 1 • s o ' • Total Fee: $ Date Received: � � � Entered By: Permit#: / / CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all ir�formation) THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �,l 3 l S aJ oR1'� ��oQ F �2�V� ZIP: s 5"�6 y Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates � sufficient on-site parking is avaidable. Non permitted events will not be allowed NAME OF OWNER: �I�Q�� C��So�IJ PHONE: (home) ' work) %5�- 42 J- 2j$Z' 1VI�II.,INGADDRES5: �� PGc� LaR.e CITY: � �Pac� ZIP: SS CONTRACTOR: �,,�Ty��S C�o�sT2,�'t��U �N� PHONE: �5Z'�/76 -26 8'] CONTACT PERSON: �'"'RACEY Gv1.��r-H�s MOBILE/PAGER: GlZ -2 S'I -25�0 MAILING ADDRESS: y!v Lp-k�-v►� l4�+e CITY: �,�rw c �.� ZIP: 5,�3.�1 STATE LICENSE: # 2�/ �'2�/S 6 EXPIItATION DATE: �J�J/2�e � ':Y►�i,�� tw��i e�sb�;lc�P2 @�ioL.c��wl . ARCHTTECT/ENGINEER: `Z '(�S ��Ch;�C-�c�'S PHONE: 61 Z - R[O -�i GZg MAILING ADDRESS: /C�/ 3 S �!7� 6�� V CITY: ��y wt�,Nn ZIP: S S y�/2 NAME: ��c� �?oQ�.1� REGISTRATION: # 212 S� TYPE OF WORK: New Home )C Addition Accessory Structure ,, Move Home Remodel/Alteration(ie: Siding,Windows) • Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detail�:�ew� L>x�srr�� 1�vh�e . Qud/r_' A��cc�7 �utie o�u 5'��Fe STORIES: ( �Z SQ.FEET OF EACIi FLOOR: �ST� 26 y y 2N�. Q6 8 L3oti os S2� NO. OF BEDROOMS:� GARAGE STALLS: ATTACHED� DETACHED_ ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ �, oc�o� o�� a 6 I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances a.nd codes of the City and with the State Building Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �V DATE: �- �4'-o g 31 . ` Sec.13.04 RIGH7'S OF SUBJECTS OF DATA Subd. l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual An individual asked to supply private or confidential data concerning himself shall be informed o£ (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice reouired under this subdivision in the individual income tax or property tax refund instructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning ofthat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpublic or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he bel ieves the data to be correct. Data in dispute shall be disclosed only if the individuaPs statement of disagreement is induded with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACP ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. , 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. ` r �f'.�1��r�� ,�N h�7H-Er2s First Middle Last y/o L/�k� � ;r-U� �-�e. Address n i��ti'k��, ��ty ��i,(,' �� 3 ( L'i��- ��1 `��Y�� City State Zip Phone I understand m ights as st ed above. /� —_.._._ � — — � Signature Resct Form 32 � � ; �', � � - � � �� 4 � � s� .: ,� � r�.�; ; �- ��.�� ° �� a.i��n�� , � �t�� _ , ., 0" , U . Total Fee: $ Date Received: �� ,� Q Entered By: Permit#: / / CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be�ubmitted in full before plan review will he started. ;-`� (p�use print all infor`rzation) f' ----------------------------------------------- -------------------------- ` --------------------------------- ' �----------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � JOB SITE ADDRESS: /S /�oRT � ��02 V- ZIP: fS S�6 �� Will this be a Parade of Homes, Remodelers owcase Home or other Display Home? ❑ Yes � �10 If yes, a special event permit is req ired with Police Department pnd Ciry Council approval 60 days p��ior to the event. Shuttle bz�service wil/be required arr�'tess applicant demonstrates sufficient on-site parking rs available.�'on permitted events tivill not be allotived. NAME OF OWNER: ��;�; ��5�,�; , PHOrNE: (home) `'4, �'� (work) 95� - �2 J- Zj$;2 MAILINGADDRESS: (�Il I ��'%�c� La�� CITY: Il�'tf'� �a-�c�� ZIP: SS s' �t � CONTRACTOR: C'�r�-r�c25' C�cti��a,t.�1'I�ti' :�tiG `. ` PHONE: �SZ- y7E ?G S7 CONTACT PERSON: -�"'Rs}cE� C��- 2s MOBIL�/PAGER: �iz -� �'i -z5<<o MAILING ADDRESS: ta/b L,C}k1�-v�=cv 14��' CI'I`Y:�`��.;�,��c� ��a;, ZIP: �S 3�J STATE LICENSE: # �r�j �2�'r S 6 EXPIRATION`DATE: �3 J �3 i /7 c.�o 9 . ,}.i�./.;� 'r,,:,'��t�,��r��.S�.)..!.lC�Pc �vQO( �r`�Vl � ,.y ARCHITECT/ENGINEER: �Z I`�S I�ti�C''r�;-��?c-�_� � PH�NE: 6�17_ - `�1�j ->G,�� MAILING ADDRESS: /�/ �S v 7�� `-��'� �� CITY: ��,��ti��-�, ZIP: 5�2 NAME: 1��cI� S�i�� -`��« I2EGISTRATTO�i: # 2_1 2 �SS , TYPE OF WORK: New Home X Additio� Accesso��`�' Structure Move Home Remo �1/Alteration (ie: Siding, Windows) Any earth movement ma reguire MCWD review� and permits! PROPOSED WORK(describe in detai�: (��,.� �� s � � �,,�, , t� No�. f-u STORIES: I �Z. SQ.FEET OF E�CH FLOOR: � ST, Z�y�/ 2��. Q6� i3�,�. �%s 51� NO. OF BEDROOMS: _� GARAGE �TALLS: ATTACHED_� DETAC�ED_ r� `� ESTIMATED CONSTRUCTION VALU�lI'ION(excluding land): � �, c��o� ��C�; �> C� � I hereby apply for a building permit and I acknowledge that the information above is complete and accura ; that the work will be in conformance with the ordinances and codes of the City and with the State Buildin Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: -� `�/ DATE: � - �`� �� g ��%�� 31