HomeMy WebLinkAbout1999-011158 - replace deck , PERMIT
`CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �.°�-�?�-��'�.+���
Crystal Bay, Minnesota 55323 Permit Number: ;:;� � ; ;:rF,;
(612) 473-7357 Date Issued: {�� i ; _:;:-��=
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - �:����,�� �.;_.�:�r. �-� �=.�- . __�;� OWNER: -
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APPL MITEE SIGNATURE ISSUED BY:SIGNATURE �•
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* Total Fee: $ Date Received: ��L�7:3'
Entered By: �-,,d:' Permit#: �/�S �a'
CITY OF ORONO - BITII�DING PERNIIT APPLICATION
All information must be svbmitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR
JOB SITE ADDRESS: `f y��� /`�C�/L�tf Stl�/�,,c �}/�sJ� ZIP:
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NAME OF OWNER: vR `1 L� �� IT/ � PHO�: (home)
(work)
MAILING ADDRESS: ��`�S /�� 5,��,�'` �2 CITY: ZIP:
COiv'I'RACTOR: �T> /3�N5�� ��.�5'T�uc��i�� PHONE: �-� - U7� J
C0�ITACTPERSON: 2�r e �' ti'� MOBILE/PAGER: .3/9-3� �
MAILPi1GADDRESS: 7P�.o �C/f.��.,k�2 Sj CITY: Si. L.oK�s �/� ZIP: 5�,�
STAT'E LICENSE: # �/7��
ARCHIT`ECT/ENGINEER: PHO\TE:
MAII�ING A.DDRESS: CIT`Y: ZIP:
rtAME; REGISTRA.TION#
TYPE OF ti�ORIi: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: S%r'��� ��r��GZ= �F'r9�,� - /�i=�°��
��L/�
STORIES: SQ. F'EET OF EACH FLOOR: �
NO. OF BEDROOiVIS: GARAGE STALLS: ATT. DET.
ESTI�VIATED CONSTRUCTION VALUATION (excluding land): $ /a, 4G'�
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 State BuildinJ Code; that I understand this is not a permit and work is not to start without a
pemut; and that the work will be in acco ance with the approved plan.
,
APPLICANT'S SIGNATURE: '�"� `/ ��'��'' DATE: �s'���' ��
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NOTE! Parade of Homes events require separate permit approval by Police Depariment and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF D�T�
Subd. 1. Type of daca. Tha righcs of individual on whom[h�data is srored or to be scored shall be as se�forth in this secdon.
Subd.2. Information reqirired to be�ven indiridual. An iadividual asked to supply privace or confidzorial dara concerning himseif shall
bz informed of: (a)che purpose and inrended use of the requcsced dara wichin che collecting"sta�agency, poliacal subdivisioa,or scacewide rysum;
(b)whether he may refuse or is legally requir.d co supply the r.quested data:(c)any Imown coasequence arising from his supplying or refusing to supply
private or conndendal daca;and(d)che idendry of orher parsoas or enanes aurhocized by s�ate or federal law to r�ceive th=data. This requirement shall
not apply when an individual is asked to supply invesdgadve daca, pursuanc to secaon 13.82, subdivision 5, co a law enforcemenc ofricec -
Tht commissioner of revenue mav olace ch� noace r_ouired und�r this subdivision in the individual incone tax or orooem tax refund
insrructians inscz�d oF on�hose forms.
Subd. 3. Access to data by indi�idual. lipon request[o a responsible au�horiry,an individual shall be inforred whether he is the subject
of s�or.d data on individuals,and whether it is classified as pubiic, priva�e or confedenoal. Upon his furcher request, aa individual who is the subjecc
of scored privace or public dan on individuais shali be shown the dara wichouc any charge to him and,'if he desires, shall be informed of che contenc
and meaning of�hat data. After an individual has bzen shown the priva�:data and informed of ics meaning,che data need not be disclosed to him for
six mon�hs chereatter uriless a dispute or acdon pursuanc to this secrion is pending or addidonal data on the individual has been collzcced or created.
Tha responsible auchoriry shall providz copies of the privace or public data upon requesc by the individual subjecc of[he dara. The responsible authoriry
may require che requesring per5on to pay the actual costs of making, cerrifying,and compiling the copies.
The responsible authoriry shall comply immedia�ely,if possible, wich any request mada pursuant to this subdivision, or wi�hin five days of
the dace of the requcst,ezcluding Sacurdays,Sundays and legal holidays,if immediace compliance is noc possible. If he caanot comply with the requesc
wichin[hat time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the requesc,exctuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compieceness of public or pri�•ate
data conceming himselF. To exercise chis riehc,an individua!shali noa"ry in wriang che responsible auchoriry describing che nacure of the disagreemeac.
The responsible auchoriry shall within 30 days either: (a)correcc che data found to be inaccurate or incomp(ece and attempt to nodfy pasc recipients of
inaccurace or incomple�e data, inciuding recipien�s named by che individual;or(b)nocify the individual thac he believes �he data to be coaect. Data
in dispuce shalt be disclosed only if che individual's staczmenc of disagreemenc is included with che disclosed data.
The de�erminarion of the rzsponsibte auchoriry may be appealzd pursuant to the provisions of the adminiscrarive procedure act reladng to
contested cases.
DATA PRIVACY 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 pernuc or license from the Ciry of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are no[ified 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 tha[ the City deny the perm.it or license.
3. The information may be shared wich ocher local, state or federal ageacies to the extent necessary to process
the permit or license.
4. If your requested permit or license requ'tres Council action to approve, some information may become
public.
5. You have cenain ri�hts 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 perm.it.
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RATE TIME
CITY OF ORONO CALLED IN 9 / 1r1�
INSPECTION NOTICE SCHEDULED S'//7/y� ��3��
PERMIT NO. ,l�lL���� COMPLETED
ADDRESS S �/. Z.0 �
OWN ER CONTR.
TELEPHONE NO. �l"�G - C� ^7/7
� DESC TION ���
� OOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMM NT :
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� CJ WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
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� C C RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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OCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR f i CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra n i
Inspector. �� �L
White Copyllnspector's File Canary CopylSite Notice