HomeMy WebLinkAbout1995-006810 - interior remodel F �'ERMIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: �'���.'��.`"'��'
Crystal Bay, Minnesota 55323 `-`�'°=° =�``�'
(612)473-7357 Date Issued: - _ -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: �-� `�"'�� `�
FEE SUMMARY:
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CONTRACTOR: ._ :�:._.:.�::. ��_.-:-::. — `=_ - ;_ -:- OWNER:
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APPLICANT/PERMITEE SIGNATURE �- ISSUED BY:SIGNATURE �C'�i �
� � CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ �/ ;�' �� C� Date Received:
Date Approved:
Entered By: � ,i�
Permit�: (,-�'/�'
ALI� INFORMATION MIIST BE SDBMITTSD IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
Z'HE APPLICANT IS: (circle one O ER o CONTRACTOR
JOB SITE ADDRSSS: ! � 3 � V ZIP: s��p
(work) ,3��J b/0
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N� OF OWNER: ��j `� ���. �Il�:r PHONE: (home)�' J
I�iAILING ADDRESS: CITY: ZIP:
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CONTRACTOR: �' H��� v �'�
MATLING ADDRESS: � ' CITY: � ZIP:
STATE LICENSE: � b���
ARCHITECT/ENGSNEE�22: PHONE:
MAILING ADDRBSS: CITY: ZIP:
N�: RBGISTRATION �
TYPE OF WORK: New Addition Accessory Struczure Move
Demo Remodel/Alteration� Renovate Land Alteration
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PR POSED WORR (describe in detail) : �. � t il I 1
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STORIES: SQ. FE$T OF EACH FLOOR:
NO. OF B�DROOMS: GARAGE STALLS: ATT. DET.
ESTIHATED CONSTRUCTION VALIIAZ'�ZON (eacluding land) : $ �V'�✓,W
I hereby apply for a buildin� permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City and with the �S ate Building Code; that I
understand this is not a perm ' t and work is notf�to t rt without a permit; and
that the work will be in accor c with e a prov d pla . �
.,/ '
APPLICANT'S SIGNATDRE: , DATE: �.
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CITY of ORONO
Post Office Bog 66•Cryatal Bay,Minneaota Sb323•Mnnicipal Officea
• '
� • � � On the North Shore of Lake Minnetonka
DATA PRNACY 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 wiZl 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 infarmation may be shared with other 3.ocal, state or
federal agencies to the extent necessary to grocess the permit or
license.
4. If your requested permit or license requires Counci3. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
, �
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First i d e Last
7 r �
Ad ress
� O
City State Zip
� 3-I�
Phone
I unders my rights as s te bov .
Sign t e
BUILDING&ZOIYING—473-7357 • ADMINISTRATION 8c FINANCE—473-7358 PUBLIC WORKS—473-7359
ASSESSING
. 573.0.4 RIGSTS OF SIIBSECT� OF DATA �
gubdivision L T3�
of date- The rights of individuels on whom the data is
stored or to be stored shall be es set forth in this section. An ���du� �ked to
gubd, Z. Information re�i�
to be given indivi�sl.
1 rivate or confidentiel data concerning himSelf Shall be informes a�e 8ae�,
' � �PP Y P
purpose and intended use of the req t med �t whether he �►aY r � °r � em hisy
political subdivision, or statewide sys . , �o� co��quence arising fro
required to supply the requested dat8, (�) �Y �d (d) the identity of
supplying or refusing to supply private or confidentiel �8t� 1 �vestigative data,
ther ersons or entities authorized by state or federal law to receive the data. This.
° p 1 when an individual is asked to supp y
requirement shall not app Y to a law enforcement officer.
pursuant to section I3.82, subdivision 5,
The commissioner of revenue ma lace the notice re uired under , this
subdivLsi�n
in the individual income tax or ro ert tax re und u�structions inste�d o
on those orms. • - � --- � � - � .
Subd. 3. �
Access to data bY in���' IIpon request to a responsible
authorit , an individusl shall be informed wheutbh�ec h r�ateeorlconfidential.e Pon hi�
y fied as p � P ublic data on
individuels, and v�►hether it is elessi
further request, an inaividusl v�►he is the subject of stotr�e�mri���he �r�� Shall
individuals shall be shown the date witho of�hat dat�s. After an individual hes been
�e informed of the content and meaning t� �� need not be discle�ed to
shown the private data and informed of its meaniTiS� ��t to this sect�on is
him for six months thereafter unless a disPute or action p .
� rivate or publie data upon request by
e
ending or additienal data on the indi oduh hes been collected or create ' the
r Tesponsible authority shall provide copies p �ible authoritq may require
the individuel subject of the data. The respo � the
requesting person to pay the actual costs of making, certifying, and comp g
copies. �f pos.sible, with anY request
The responsible authority shell comply immed'iatelY,
made ursuant to this subdivision, or within five days of the date of the request,
p and le holidays, if �immediate compliance is not
excluding Saturdays, SundaYs �
ossible. If he cannot comply with the request within that time, he shall so i��� the
�d mgy have an additional five days within which to comply
n��d�' Saturdays, SundaYs and legal holidays-
request, exeluding
te or complete. � ��m�. To
Subd. 4. Procedure when data is not accura
contest the accuracy or completeness�of public or private data conce�ble authority
exercise this right, an individual shall notify in writing the resP
describing
the nature of the disagreemen� The responsible authcritY shall w'ithin 30
days either. (a) correct the data found to be inae a9taeinclu�ngpee�Pl�� n�medtby
notify past recipients of ine.ccurate or incomPl �
the individuel3 or (b� notify the indi�duel �t duel�s statementof disagre�ement is
Data in dispute shall be disclosed only if the indi �u�t to the
• included with the disclosed data. ealed p �
" The determination of the responsible authoritq to contested cases.
provisions of the administrative procedure act relating .
DAT�S� TIME
CITY OF ORONO CALLED IN .� �5ry
INSPECTION NOTI E_ SCHEDULED -���� • 3�?
PERMIT N0. �b'�� COMPLETED IA, '
ADDRESS �`��� ��lzc--� �'�
OWNER�/���'lii����p%i CONTR. /�i�Y�.�c-�,��'�r�,,,��l��c,'L�
TELEPHONE N0. L�� `r3 - %3 y`f
� DESCRIPTION
� 01 FOOTIN� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED I7 PROJECTCOMPLETE
W ❑ CORRECT WORK 8 PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY
� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETUFN
❑ STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t ins ection 24 hours in advance.473-7357
OwnerlContract r site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice