HomeMy WebLinkAbout1994-005718 - temp xmas sign �
• � PERMIT
" CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �_ ;.`-��; _
Permit Number: :�;,.;�.=: ; :_;
Crystal Bay, Minnesota 55323 - - - --_
(612)473-7357 Date Issued:
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR �-��
� CITY OF ORONO - BIIILDING PERMIT APPLICATION
Date Received:
Tatal Fee: $
Date Approved:
Entered By: permit n: � �J/�'
ALL INFORMATION MIIST B$ SUBMITTED IN FULL BEFORE PI�AN RE�7IEW WILL BE STARTED
(See Check-aff List Enclosed)
----------------_---------------
THE APPLICANT IS- (circle one) O�dNER or CONTR.ACTOR
/N � � ZIP: �'����
JOB SITE ADDRSSS: ���� `����L� � � �y,�
(work) ����T�-�
� / / //7� ��
N� �
F OWNER. /L° /�� L"� ��C�� i1 � PHONE: (home) `�/ ,-------��
MATLING ADDRESS: ��i1 r (� CITY: ZIP:
i
CONTR.ACTOR: / ��'� PH��
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CITY: ZIP:
N��: REGISTRATION tt
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
�`
PROPOSED WORR (describe in d tail) : " � `�-5 —
� �,�-� ���?�il� ,�''�%-�� /�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: G�GE STALLS: ATT. DET.
ESTIMATF..D CONSTRQCTION VALIIATION (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 wi�ha�hl
ordinances and codes of the City and with the State Building Co erfiit; and
understand this is not a p mit and work is not to start without a p
that the work will be in c r ce-wi the approved plan.
' � _----____._ / J
APPLICANT'S SIGNATIIRE� DATE:/�( ( �
H����
��rt�� F�
�`��� CITY of OI�011T0
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.ry, a S} �' ; ;
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•� � "� �E, ' � Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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� � � �� r'�` 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
Iicense from the City of Oro e�or conf dent a Ie nf rmationmay require
you to furnish certain privat
You are notified that:
l. The infor fo 1they�ermit or li ensebrequested, determine your
qualification P
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 with oth=ocesscthe permit or
federal agencies to the extent necessary to p
I.icense.
4. If your reque ri od nP tlontmay be ome pub q�1res Counci i ac��or.
to approve, some
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
pe?�mit.
'� i,J �1�am �rS �
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First
Middle Last
�" �3�3 �o v� (1 �c � � �-
Address
V ( �� �,,� � j� yL� ���� �z-
�`� State Zip
City
�� � a- -- � '� r ���� ��
Phone
Z u�d stan my rights s stated above.
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' gnature
BUILDING&ZONING—473•7357
• ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS —473-7359
ASSESSING
D gTE TIME
CITY OF ORONO CALLED IN -���%.�'L1�£�
INSPECTION N TICE p SCHEDULED % � �_
PERMIT N0. �D COMPLETED
ADDRESS 3
OWNER� CONTR.
TELEPHONE NO.
� DESCRIPTION .��� �,`� �,�e
� 01 FOOTINO 11 MECHANICAL RI 18 EXCAV/GRADIN�/F�LLING
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMO L
- -
Z p4 Wq(1 gp. 12 WATER HOOK-UP 17 SITE INSPECTION "
Q
Z OS FINAL 14 SEWER HOOK-UO p6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER FiEMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: �L-`��� O.DG�
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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� � CORRECT WORK&PFOCEED i-; ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑COFiRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne ns tion 24 hours in advance.473-7357
OwnerlContractor o
Inspector.
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