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HomeMy WebLinkAbout1993-005086 - add/remodel - PEI�MIT # � ITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: �'����`-�j��`�`' Orono, Minnesota 55356-0815 i yr���;,,�, (612) 473-7357 Date Issued: i^;��._�j,;�:Y; SITE ADDRESS: }_:-�5 �_:�{���i�.L I t�k� C�� .i�; ��. � .r-a . r {,�-i �a-i:=-:�:�.-t_�rf�:r DESCRIPTION: �:�..�; ���;��� �'�rr,Ei t. 1"Y��� :=�F"—�lCfC�,R�t�i���GEI._ E_�i l.��i�-r�3 �,��}���:: Tv��� F��.—f,f�t��il= i•r t r i rt' i e��TiJ�ir: 1+1 e + vi ui ue v C.11rf7 t{L+L u����iL 1 ) !rJl!%!f It� } 1 1 1VYVVV i �r�j v�i'� ��ii.vir �:•+•'}jt�r�i�it� �� LiL.L V V �V 1 VL/•� �s�V 1.r! ylt IL 4'�J REMARKS: ;'�������=;—�;'�.;�' y;�l ffi�lf.�6t'i'V LYi�1 �V� 71J•� fl1�%:f�{�. V f� I !a FEE SUMMARY: v��4�����_�r-a ��:E ,�_��y�� �,��� ��� �_;_,�:�.�;t� =��.a��c�-;������ ______ ��_�tt 3iv�t•�1 ��� '��.:�,�=;. �;t�7 CONTRACTOR: — A�,c=1 i=�ct�+. — OWNER: ������j;-! ��:j�i i�;� �€_�t�zF I��G s� E��.:E f�7���#,-��. [3E li�fl��•�; T I ly! j'�=�!� �ia 1��F{ •_�}—�1 i�� L#� �.•�.�� '-__�-��_a�'.���}�G �1�'t ����3tJ�[�:i #��; ��:=:�,�. l��;Y�.�T�'� r�1i�# ��:_;�=:1 }:r�,l�°:� .:�t --.a, •y4 .��,—�;�°;;i�, y T!.��: t._j�',;��?�i��,�I�.i�*���.��f : �:�.;=r�:`{' fi'�r;,:._'F�°-�T'_; �`��t-i}.'_:°=:{t:;t4 "i'�_� t1;=f�,::�� 'i-;�� ,F:'��� I�'�?�'�;i��:��1`��f�l i�: �� _.__,_,r__r _.� , , < '•_�''�!�i;' =�sJ i�{��J � +� v =f..;M ..��_' �.f;_` . .�'-- E����}�'� �i�� - • .`••i?_�i �_`_`;'�i'�'_..�e��l;�f_�:: f:�z��� i-�'_�_ �..;��("Y I�!}= , .. r --=c;� •-'• '�— :. - - - �i;- ,t g�"• " _ty-.,__ . s: �,ir.... . ...._ -.r. ' ., . r. . ._ _ !_.�.�'�__'_ _ . . . ���._�.. 1 f'. _ ... _. .. F�:�'•_.,_�:. . . .f��..;� f_i:+.f ;s"v, : ?...f�1�?�.�ti�`'d{. - �i:j�•: � f i?- �'�� v� �-�s I. �,c ) �t: :t . ;i-,� �! � s;�•, ,r � , � � .. ._ .. ..__. . .. _ . ` - �. � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � CITY OF ORONO - BIIIZDING PERMIT APPLICATION Total Fee: $ Date Received: Date Approved: � Entered By: permit�: AT•T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI�N �v=� �Z`I' $$ STARTED (See Check-off List Enclosed) -------------------------------------- THE APpZICANT IS: (circle one) OWNER o CONTRACTOR JOB SITE ADDRSSS: 15 �5 ��ore �N� ,�r�`r�- ZIP: SS 3 9 / (work) NAl� OF OWNER: / i M //�mo S ^ PHONE: (home) �j73�S��lo MATI,ING ADDRESS: ��� � �/-,�� ,.•� �c���CITY: Q � ZIP: .�;�35� CONTRACTOR: S. cr�'e � r�- PHONE: �7/- �1'/�-� MAII,ING ADDRESS: ��i �S� �� �<o��e !/r r�e CITY: � J ZIP: �S-_C_3�v� STATE LICENSE: # �y3 a ARCHITECT/ENG PHONE: MAII,ING ADDR$SS: CITY: ZIP: N�: REGISTRATION � TYPE OF WORR: New Addition Accessory Structure Move � Demo Remodel/Alteration_� Renovate Land Alteration �' / -..J PROPOSED WORK (describe in detail) : � e o v� (� o� ��,c� �� 1�C � STORIES: SQ. FEL�T OF EACS FLOOR: NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. NSTRIICTION VALIIATION (eacluding landl : $ �I mOC�� �STIMAT�1 C� 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 understand this is not a permit and work is not to start without a permit; and that the work wil 1 be in accordance with the approved plan. • APPLI CANT'S SIGNATURE: � _ DATE: '���'� - � � � ���� �I''1'Y Of O _ Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices • � _ � � On the North Shore of Lake Minnetonka 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 wil.l 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 inf ormation may be � neces aryhto pr cesscthe permit or federal agencies to the exten license. 4. If your requested permit or Iicense requires Councii action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6. Your full name is required to procass this application or permit. (� /�,_.) �e f'�.'o� J� c � First Middle � Last 3�� �U �'�� � ./��, v .e Address � ��o � � �ti S'�3� y _ City � State Zip � 7�– 5��� Phane I understand my rights as stated a ove. � — Signature • ' BUILDING&ZONING-473-7357 • ADMINISTRATIO[Y&FINANCE-�173-7358 • PUBLIC WORKS-473•7359 ASSESSING 1 i DATE TIME CITY OF ORONO CALLED IN -. ��� INSPECTION NOTICE scHE�u�Eo h� .3 �'�'1 PERMIT NO. �� ��' COMPLETED �I ��v ADDRESS ���-� s��-`u�2-,�w `4�"/� • OWNER �,Lt-�'-� CONTR. /v�����-*�-.-�r TELEPHONE NO. ����'� �� � DESCRIPTION C�����y-- % 7� ��`z7 � 01 FOOTING 11 MECHANICA�RI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d �WORKSATISFACTORY:PROCEED i=; pROJECTCOMPLETE W � I 7 CORRECT WORK 8 PROCEED L! ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContra r s�te: inspector. - White Copy/lnspector's File Canary CopylSite Notice