HomeMy WebLinkAbout1999-011721 - interior PERMIT
CATY OF ORONO PERMIT TYPE: till DING
2750 Kelley Parkway- P.O. Box 66
Permit Number: 011721
Crystal Bay, Minnesota 55323 Date Issued: 08/04/q9
(612) 473-7357
SITE ADDRESS:
450 ORONO ORCHARD Rfl S
Mj
PI . N. : 02-117-23-al-oo47
DESCRIPTION:
INTERIOR
Building Permit Type DEMO/PRINCIPAL
Building Work TYpe DEMO-PRINCIPAL
Census Code 645 DEMO 1-FAM .
REMARKS.:_
INIRIOR DFM0 ONLY
E
FEE SUMMARY:
Base Fee $50 . 00
Surcharge
Total Fee $50 . 50
COWLIAVE9R: Appi i cant - ST . i Ir
OWNEBI
JYLANu 14040600 20037424 kjAHHEiT KEVIN
1.50 SOUTH BROADWAY ORONO ORCHARD RD S
WAYZATA MN 55391 oRoNo MN 55391
(612) 404-0600
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE; REAL IMPROVEMENTS
SPECIFI_ D AND AGREES TO DO ALL WORK INSTRICT COMPLIANCE- WITH ALL CITY OF :
ORONO ORIINANCES AND STATE OF MINNESOTA BuILDING CnCE RE4uIREMENT-'
al-n(441)
Ai
APPLICANT/PERMITEE SIGNATURE cij ISSUED BY:SIGNATURE
t Total Fee: $ -5-6 Date Received: (71—
Entered
—
Entered By: /777- Permit#: // 7a/
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER 9 ' CONTRACTOR )'
JOB SITE ADDRESS: 4 SD 0Q-ono afc\'\Z L- ZIP: C�c
NAME OF OWNER: 62_r1etb PHONE: (home)
(work)
MAILING ADDRESS: SJ'"''6 3A601)6 CITY: ZIP:
CONTRACTOR: b bb 1C)V C,PHONE: lib 4-O(p
CONTACT PERSON: CI>eLSC`-)'1 MOBILE/PAGER: g SO 2¢.001
MAILING ADDRESS: o `SO r ISiYW)\- CITY: WW1 40. ZIP: -3`) 7
STATE LICENSE: # old c7 H) 1/ Lf a+
ARCHITECT/ENGINEER: )1R,214 7/t.' ? PHONE: 447 a
MAILING ADDRESS: CITY: e12.- j 1� Z : 55
NAME: V.,1 F Sw�(r+2R REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): (,r k,c ,
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
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 and codes of the City and with
the State Building Code; that I unders ; ,d this is not a permit and work is not to start without a
permit; and that the work will be in acc.rdance with th, y.proved plan.
APPLICANT'S SIGNATURE: 1, 1 , DATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
4. . .
• . ►
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. 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 of: (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 may place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead 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 of that 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 of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he 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 of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
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 believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
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 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.
First Middle Last
Address
City State Zip Phone
I
I understand my rights as s ted abov .
itta
Signature
6
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED i_( ` CLQ ' �
PERMIT NO. 2 —7 I) / t- I COMPLETED l` : ` 3 6
ADDRESS 'L\ SO 0YOY10 OvchaNrc\p
OWNER CONTR. -. --%`-.)' (C'P\p f
TELEPHONE NO. 21s,,Ci.— I U7,.. 7
DESCRIPTION
t"01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q —271HAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J• 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
to COMMENTS:
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W Li WORK SATISFACTORY:PROCEED r PROJECT COMPLETE
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❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O `IORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contractor on site: 6237-
Inspector. //7 .c_ f2 . 417
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICEI SCHEDULED /—5-co - ?--,c)PERMIT NO. 0/11�1 COMPLETED /—C—t�0 / ' 3 '
ADDRESS 15 Cc�Ch6 O '1av6ci Pc) 5 •
OWNER CONTR. -AL1 IQ n J
TELEPHONE NO. 0-.LCA0e-t1'
a DESCRIPTION
Ot FOOTINr > 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 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
• 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
ct
LIA 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J• 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:—YES_NO (j
9, CO MENT :/) L/)Ck AVVY-62v c. Set
a , ll� anS ci -5i « f . // - - khes,
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✓✓) /l�',e11/ 61-yc.- e l -1 Cilie- c3
W ❑WORK SATISFACTORY:PROCEED �__ PROJECT COMPLETE
CCW
CI CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
�ICORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V• )kBEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advan e. 249-4600
Owner/Contractor on site:
,r�
Inspector. / !CcA-G 1/ aVI S
White Copyllnspector's File Canary Copy/Site Notice