HomeMy WebLinkAbout1991-004042 - remove portion bank . - , ., .
� . PERMIT
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��T� OF ORONO PERMIT TYPE: �};`;�� �3����,���
':�35 Brown Rd. South • P.O. Box 66 Permit Number: �}t_����y�•�
� rystal Bay, Minnesota 55323 Date Issued: 1 Cf i'�:�.�'�1
12) 473-7357
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CONTRACTOR: OWNER: —� aF'�'7 ����"�t. �—
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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" CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ �� � � Date Received:
/ Date Approved:
Entered By: ���v�`.-�►-�- �(�yo2..
Pern�it#:
]�iLL INFORMATION MDST B8 SIIBMITTED IN FIILL BSFORE PLAN REVIEW WILL -BE STARTED
--------------------------------- - --------------------
T� APPLICANT IS: (circZe one) OWNER�or CONTRACTOR
JOB SITE ADDRESS: � `r'1 �yL � � � ZIP: !?7'3 9 l
(work) 43��5 lZ�
N1�ME OF OWNER: ���d.� �� G 6.�o v��'_ _ PHONE: (home) � �7i�/�3 I
MAILING ADDRESS:L�YJ�9' a�tt,�i.,�:�,�.. �-r_�..i CITY ZIP:,�,,5_�J'/
CONTRACTOR: �s�- � PHONE: � J� - �r 2/ �
MAII,ING ADDR S: ' O 'D CITY: * ZIP: ����j,r�1
TYPB OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration_�_
PROPOSED WORR (describe in detail) :
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BBDROOMS: GARAGB STALLS: ATT. DET.
ESTIMAT$D CONSTRDCTION VALDATION (exclnding land) : $ /6��x��
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 �ermit and work is not to start without a permit; and
that the work will be in accordance with the ap�roved plan.
T'S SIGNATORE: �� ��' DATE: �d' Z�
APPLICAN �
(Please fill out the reverse side of this form)
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� CITY of U�i01�'O
. Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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� _ � � � On the Narth Shore of Lake Minn.etonka
DATA__�RIVACY ADV�SQRY
In accordance with M.S. 15.165, "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.
Ybu are notified that:
l. The information you furnish will be used to determine your
� qual.ification 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
�icense.
4. If your requested permit or I.icense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
6, Your fu11 name, and date of birth are required to process
this application or permit.
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Address
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City State Z1p
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Phone
I understand my rights as stated above.
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Si ature
BUILI3ING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSIKG
DATE TIME
CITY OF ORONO CALLED IN '
INSPECTION NOTICE//�,�` SCHEDULED /D
PERMIT NO. `7�� COMP ETED '1��. �
ADDRESS � 1�P (�.j°i t'L
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI i6 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 XCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� '❑CpRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ja�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN � j ��� �•�
INSPECTION N IC SCHEDULED ' ��G � ud?�
PERMIT NO. C � COMPLET ' � '�
ADDRESS �=�-1� �
OWNER C�'/ ' J�'� CONTR. �L������� �'�
TELEPHONE NO. 7�.'�^����
� DESCRIPTION LZ� •
lL Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 5 FIN 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 P�UMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FIN
Z OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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d �WORKSATISFACTORY:PROCEED i:; PROJECTCOMPLETE
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� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR L CITATION ISSUED
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlCon t r n site:
Inspector.
White Copyllnspe tor's File Canary Copy/Site Notice