HomeMy WebLinkAbout1993-005809 - temp sign � ,� ERMIT
` CITY OF ORONO PE�MIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ��'��;�•��
Orono, Minnesota 55356-0815 "�•���'=`-'=�
(612) 473-7357 Date Issued: ; ��f�4_;�,a_:
SITE ADDRESS:
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APPLICANT/PE SI U ISSUED BY:SIGNATURE ,(�t �
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� CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $3� dZ Date Received:
Date Approved:
Entered By: .�",f Permit n:_ ���(?i
AT•T. INgpRMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN RES7IEG"7 WILI. BB STARTED
(See Check-off List Enclosed)
------------------------------------
THE APPLICANT IS: (circle o�) O�VNER or CONTR.ACTOR
JOB SITE ADDRBSS:�1C`' �'> �--'Z'��'<.- ��� �;- ZIP: �=;�5 \:3 (� �
(work) 7 ���"��75
N� OF OWNER:
t (t !- C�m ,(�� � PHONE: (home) ���'ZZ.S--�
MATZING ADDRESS: � � � � -�✓{'iC'�' � 'J �'f `F CITY: /`'%�i�;?��ll� - ZIP: ��.�%� � -
CONTRACTOR: PH��
MATLING ADDR.ESS: CITY: ZIP:
STATE LICENSE: ,�
ARCHITECT/ENGINEER: Pg��
MAILING ADDR.ESS: CITY: ZIP:
N�ME: R.EGISTFtATZON n
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
/C�.s 1 �� 'l�'/'f� x�/ '/�J �����!'i�i'����I� .
PROPOSED WORR (describe in detail) : ? _
�<'�c`� � �"�7 l''�� �� C'� i��%� . �.�
/�, � � �? � �
<=C. _l�_ ,��.; �
STORIES: SQ. FEET OF EACH FLOOR=
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (excluding Iandl : S
I hereby apply for a building permit and I acknowiedge that the information
above is complete and accurate; that the work will be in conformance with the
o=dinances and codes of th City and with the State Building Code; that I
understand this is not a pe;� � nd work ' ot to start without a permit; and
that the work will be in a�c da ce with roved an. �
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APPI,ICANT'S SIGNA �
,.;<'G!� �� , . ,�,.0 DATE: "_
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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 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 Iocal, s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or I.icense requires Councii ac�ion
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 proc�ss this application or
permit.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature •
BUILDING&ZON[NG—473-7357 • ADMINISTRAT[ON&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
D TF_ TIME
CITY OF ORONO CALLED IN Q S�
INSPECTIpN NOTICE SCHEDULED �' ��.3 G
PERMIT NO.� �� 9 COMPLETED �Z–LFS'�'� ����
ADDRESS ��3� arz 1_L�..z�� ��'� .
OWN ER,,,���,.�.����.�.� CONTR.
TELEPHONE NO. �
� DESCRIPTION ,� - o�� � �,�, �—,,��� .
� Ot FOOTING 11 MECHANI L RI 16 WEIL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVICRADING/FILLING
� 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 1L�L
Q 05 FINAL 13 METER SETITURN QN 17 SITE INSPECTI�
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 UEMO—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: �����2�'�'e�1�.L�a--, xG�-�Y�
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GW WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
❑CORRECT WORK&PROCEED I i ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ;- pHOTOTAKEN
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.47�73�J7
OwnerlContract
Inspector.
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