HomeMy WebLinkAbout1994-006289 - add/remodel PERMIT �
, ��TY OF ORONO PERMIT TYPE:
` 2750 Kelley Parkway • P.O. Box 815 Permit Number: '�'``;-'=�-'';�''"=�
Orono, Minnesota 55356-0815 f-'i}'=''�-'=''�'
(612) 473-7357 Date Issued: _„�, ,;`;;;, ;,���
SITE ADDRESS:
��;�;_ ==;�-1;�'�i�ir��:r�;�L �:�r
r�;
= . _ . . . . . ._ . - - ._ . —.:._. :f—�_��i i ::.
DESCRIPTION:
�.�.,i t t�i��t� c':�t�r�ra.t. '�'y�-� '�:�--taC�Cy�F��:h';��;C?�.L_
����€i I��i��� �:��3���:: 'TYi=�� �'�—'=�IUl�
���;� �` ���u.��
C:'r.enAr`C stC?"Fi•t'
i it�nt��y+.i.. ui i itii
i�i��iii�vi�Vv s�►
'ii i Ca1 ''� ='t:t
V1 ITLIT iJ+��.1:V i
T:'"'�13tili}t�� �
1iiLtVVVV�
�1T !LAF i 7C
V1 VLfT 1��lai
. :'�.trt'�� !� i:i r
� L�!!L4! !L L•7s�J
� ��L�!'�Ti.lT�•�IJjflSl� Yl1It
%\LLq•Ll.t 7j ll¢ffllTl 1(}V
T�I+JiV'lt L� 4i�1>L !�{.�1 �11•r�T
� �tiJ?{k 1!i!:i
. . 1J1d!ViI 1'7
REMARKS:
FEE SUMMARY:
,'*-`3L...�_�}': � ?.�.�I�3 . �� �si}i3
��c��ti+ (-ia�, �'�',t_t:i , t1F_�
.'�.�{�L�i`i f'_-�,� .�._._.��__. �iaai:si .
�Vi�i I.{i� I-tl_� l�.�.�. I�i .
CONTRACTOR: OWNER: - �?�:���1 i� ar�t. -
��=:����.t�� ��;�I'�1�`_�
�:'�;=-.;:. `_�F-r�C�'�t��1t_:1"� Fi�
I�l,=i3�E{\jI_i t��':.� �,�;:�:`a 1
� _
� �'<�- � , �.-,:--..- � � - � � �-
3�'�;:� : !,�:s ���-t�:— C: ! � . �?� . _._� .`3� .. _=1=_�:`d ,��_` .°Ix�i�'�.� �?�..._ �t_�Z,_. ��iF��'1 :�,���a .�'�����
._ .._ .
# ; ,. . : � i �� (`!,i :..... '..`_� . ....__ :- . �".s., � F? �E- ��. S I_i 1�'{ . .. ._. __ -i:.. #!-% r�i_..�_ t 1 i�' :,„1�
.°' ,; .: �� F�.�.i�,...:� . � .i_.;...�?. ,. .-�._ �•� _ . . . .._ �'�_.. r`�_�s3.I�;_2_ 9 !�i ._ .j.�.._.,_ _. .� �_ _F:iti `n:_t i t..63='�"���"ia��_ .
L � � � �
� �
PUCANT/PERMITEE GNATURE ISSUEDBY:SIGNATURE
« �" CITY OF ORONO - BQIZDING PERtLIT APPLIC�TION
/_�j �� . Dat� Fteceived: _
Total Fee: S V� `C -
Date A�proved: �
Entered Bv: Permit�: � - _-_- .-
gt77,I, BEFORE PI,AN REVIEW WILL BB S�`�T�
�L IgppgMATION MIIST BS SII�I`'SI�D � List Enclosed)
(ge� Check-aff -------------------------
������ ��������a-s�w+ie�����������������
T� APPLICAt1 `
T IS: (circle one) ��`R`I�or CONT.�ACTOR
p,s�o S� w �d , ZIP: ..S-S�� �
JOB SITE A�DRSSS: Z . (work)
' _ PHONE: (home) `l� �1-d4 Z__�
�rle � r1
NAME OF OWNF:R: \ ZIP: SS�`t �
OS'io S��, oO��� CI?'Y: �/�O r,..c�
1�tATI,ING ADDRESS: Z `
PHONE:
CONTR�C'S�R= ZIP:
CITY:
MAZT SIIG ADDRESS:
STATE LICENSE: �
PHONE=
ARCHITECT/ENGINEF.R: ZIP:
CITY:
MATI�ING ADDRESS:
REGISTF�TION a
N�:
Move �
New Additian _ Accessory Structure _ —
TYPE OF WORR: Renovate�C Land Alteration
D�o gemodel/Alteration
_ ` �`
' y� r �
PROPOSED WORR (describe ia detail) =
STORIES s �/ S4• �T aF F.�+CS FLOOR s
G�iR.AGg gTAT•T•S: ATT. DET. _
NO. OF BIDR�OMS: 3 °"-�
g,�TT1�tATED CDNSTRIICTZON VALIIATSON (eaclndin�J
i�a� : s �� .-�dU
ermit and I ackaowledge that the information
I hereby apply for a buil.dinq pthat the work will be in conformance w h thi
lete and accurate; and with the State Buil.dinq Cade;
above is cemp without a pe��-t' and
ordinances and codes of e�itzand work is not to start
understand this is not a p
that the work will be i accordance wi the p oved pla.a. _ . .
` � . � ��+
DATE:
APPI.ICANT'S SIGN�TURE= � ,
�
u
� � ���'� o� O��I�TO
« . . post Office Box 66•Crystal Bay.Minnesota 5�323•Municzpal Offices
f
On the North Shore oj Lake Minneto a _
• - • �
DAT�1 PRIVI�CY ADVISORY
. that our request for a permit or
In accordance with M.S. 13.O�u. Sub� 2, "Rights of subjects �e
data", we would like to inform y o f its departments may requi
licease from the City of Orono or any
�ou to furnish certain private or confidential information.
You are notified that:
l, 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 snared withto processcthe permit or
federal. agencies to the extent necessary
?icense.
q, If your requested pe*�it or license requ�res Councii ac�ion
to aporove, some information may
become public.
�. You have certain rights under M.S. 13.04 to review private
data on yourself.
6, your full name is required to proc�ss this appl.ication or
pe*-mit.
� ����
��,�.�s �'`� �-
Middle Last
First �
2oS�0
Address � ,�� �
i-�. - � 5
City
State Zip
�(�1 l — ��c=z� . .
Phone
ri hts as ed ove.
I understand my 9 ,
Si atu
� • PUBLIC WORKS—473-7359
BUILDING&ZONING—473•7357 • ADMINISTRATION&FINANCE—473-7358
pSSESSING
CITY OF ORONO DATE IME
CALLED W �9 / � ,�J �J
INSPECTION N TICE SCHEDULED - .'SL a n,
PERMIT N0. a a COMPLETED ' i t t,(
ADDRESS c�l'7 SG� � �iir
OWNER���L-�y CONTR.
TELEPHONE NO. � ��" a `���
� DESCRIPTION
llr 01 F 11 MECHANICALRI 16WELLTESTPUMP
� 2 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
ATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 W 12 WATER HOOK-UP 34 TREE REMOVAL
Z
05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z �
� COMMENTS:
�
`" „ � 1 U,sc�
a
.
J yl S U, e
o �
� � �.-D ws � _� �
0
�
W
�
Q
�
z
w
�
W
�
j
� WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W
� ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR C' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next'nspection 24 hours in advance.473-7357
Owner/Contr on 't :
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
�;
'�'�;
DATE TIME
�Y OF ORONO CALLED IN
iNSPECTION NOTI E . SCHEDULED r- `—
PERMIT NO. •COMPL TED
ADDRESS
OWNER C NTR.
TELEPHONE N0.
..
� DESCRIPTION � i• �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WA L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q FIN 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
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d ORKSATISFACTORY:PROCEED R JECTCOMPLETE
W
� ❑ CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �,, PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
C' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Con ct on site:
Inspecto .
White Copyllnspector's File Canary CopylSite Notice