HomeMy WebLinkAbout1990-003502 - sign ., I'ERMIT �
t�CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: -`-����`'�
Crystal Bay, Minnesota 55323 Date Issued: "'7��1"��
(612) 473-7357 $�;:;�/'�t:)
SITE ADDRESS:
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CONTRACTOR: OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
-� CITY OF ORONO - BIIII,DING PERl�IIT APPLICATION
4
, Total Fee: $ Date Received:
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, , � Date Approved:
Entered :By: -; �. -, ,�. �`�:� ��1� Z 4. :
Permit#: ,�Sdo�
ALL INFORMATION MDST B$ SIIBMITTED IN FOI,L BRFORB PLAN REVIEW WILL BE STARTSD
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
Jos si� �►nnx�ss: �� �-��� S�n� � �, I l � �. �-7�� zip: .
(work)
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NAME OF OWNER: � � L�� �,'C `�,� 2 �% PHONE: (home)
1KAILING ADDRESS: � L-��, ���6 CITY: U.;�t�N2-rtUwr' ZIP: j S 3 � �
CONTRACTOR: PHONE: ����-� U���
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : ���.�c�;(��-� 5��� `�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BBDROOI�IS: GARAGE STALLS: ATT. DET.
$STIMATED CONSTRIICTION VALIIATION (eaclnding land) : $
I hereby apply for a building permit and I acknowledge that the informati:
above is complete and accurate; that the work will be in conformance with tr
ordinances and codes of the City and with the State Building Code; that
understand this is not a germit and work is not to start without a permit; ar�
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATDRE: � � I�'� Y �.-r DATE: 1"�� - `1 v
(Please fill out the reverse side of this form)
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! CITY of ORONO
� Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal OPfioa
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� . � o On the North Shore of Lake Min.netonka
� D�l�L �R�YA�.�S5,9RY
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
f rom the City of Orono or any of its departments may require you to
furnish certain private or confidentia� 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 local , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license 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 full name, and date of birth are required to process
this application or permit.
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City State Zip
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Phone
I understand my rights as stated above.
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Signature ��
BU[LIIING&ZONING—473-7357 • ADMIIVISTRATION&F[NANCE—473-7358 • PUBLIC WORKS—473-7359
A3SESSING
DATE TIME
CITY OF ORONO CALIED IN
INSPECTION NOTICE SCHEDULED �'y "�`�
PERMIT NO. cOMPLETED �"��_ 7'�Z-�� _
ADDRESS 3Zt'?� � Si��:>�'�[_;r���- tl1�
OWNER �':��+Nc�=� CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ,.��ITE INSPECTION
❑ FRAMING O PLUMBING FINAL ❑ EXCAV./GRADING/FIL�ING
� ❑ INSULAT�ON ❑ MECHANICA� ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. � WATER HOOKUP O IICENSING
lU ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP
y ❑ DEMOL. ❑ SEPTIC INSTALL. O SEPTIC FINAL
Q ❑ FIRE PREV. O SEPTIC MAINT. � FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑
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� CORRECT UNSAFE CONDITION WITHIN HOURS INSPECTOR WILL RETURN.
�STOP ORDER POSTED.CALI INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on si�e
Inspector �� � ���-�'"� 473'7357
White/Inspector's File Canary/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED 'I �Z-3 -�'tV JU-�—
ADDRESS ��-i 7� Si-{-U�L 1N c
OWNER ��ly.N�� CONTR.
TELEPHONE NO.
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� ❑ FRAMING G PLUMBING FINAL ❑ FIRE SUPRESSION SYS.
� C INSULATION [� MECHANICALRI ❑ EXCAVIGRADINGIFILLING
� C!WALL BD. C; MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
� J FINAL CI FIREPLACEIWOOD BURNER ❑TREE REMOVAL
Q C DEMO—SITE C WATER HOOK-UP ❑ KENNEL LICENSE
� ❑ DEMO—FINAL ❑ METER SETITURN ON ❑SITE INSPECTION
� ❑ SEWER HOOK-UP ❑ PROGRESS
_ ❑ SEPTIC MAINT. ❑ COMPLAINT
v C SEPTIC INSTALL. �FOLLOW-UP
� ❑ SEPTIC FINAL
O r SITE WELL
� �I WELLTESTPUMP
� COMMENTS:
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V BEFORECOVERING TEMPORARY
L-:CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
C� STOP ORDER POSTED.CALL INSPECTOR
C' INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector. `.Tc.�v��L�.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED � "Z� - `�'n �.'332`�
ADDRESS 3t-� z� ��I-�l1.�"Z-V�rC �',�Z
OWNER D�V��.,c.�t CONTR.
TELEPHONE NO.
C FOOTING ❑ PLUMBING RI i� FIRE PREV.
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{� C FRAMING � PLUMBING FINAL ❑ FIRE SUPRESSION SYS.
� ❑ INSULATION ❑ MECHANICALRI ❑ EXCAVIGRADINGIFILLING
� ❑WALLBD. C MECHANICALFINAL ❑ LAKESHORFJWETLANDS
� ❑ FINAL u FIREPLACEIWOOD BURNER ❑TREE REMOVAL
Q ❑ DEMO—SITE C WATER HOOK-UP ❑ KENNEL LICENSE
� C DEMO—FINAL ❑ METER SET/TURN ON ❑SITE WSPECTION
� ❑ SEWER HOOK-UP ❑ PROGRESS
_ ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ SEPTIC FINAL
O ❑ SITE WELL
� ❑WELLTEST PUMP
� COMMENTS:
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V BEFORECOVERING TEMPORARY
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
C!STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract sit •
Inspector. �--�—
White Copyllnspector's File Canary Copy/Site Notice