HomeMy WebLinkAbout1995-007145 - temp sign PE�R iIT
CITY OF ORONO 1 �
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: _
Crystal Bay, Minnesota 55323 Permit Number: ^ `
(612)473-7357 Date Issued: - _ _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: -- E'����� :. �- .=:�;�; --
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APPLICANT/PERMITEE StGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - P.��II,.�T.NG PERMIT APPI,ICATION
Total Fee: $ �d'
c� Date Received:
' Date Approved:
Entered By: �-�...�-�v • ���5
Permit n:
AT•T• INFORMATION MIIST B$ S� Che�c�kD-offFListBEn�Close� �I� �� B$ STARTED
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
r ZIPt �.��--�� �S�
JOB SITE ADDR$SS: c�OjC� � T� ��`� ���
(work) �
-�! . � � PHONE: (home)
NAI� OF OWNER:
MATI�ING ADDRESS: _`�� � _ CITY: ZIP:
�b►��� �t-�� � �l c r r�� �, �— �����--- — PHox�:�-`7��__ �'7� �.
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MAILING ADDRESS: CITY' ZIp.
STATE LICENSE: ,�
ARCHITECT/ENGINEER: Pg���
MAILING ADDRESS: CITY: ZIP:
N�E� R.EGISTRATION n
TYPE OF WORR: New Addition Accessory Structure Niove
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED WORR (describe in detail) :
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STORIES: SQ. FEET OF EACH FLOOR: �' I� 0 —�O ,�.(�,�' � ��•�-�`-�'7 L���'�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding 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 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.
/-.1
APPLICANT'S SIGNATQRE: � �� 1 DATE: U
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C ITY of URON
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 Iike 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:
l. The information you furnish wi3.3. 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 Iicense.
3. The information may be shared with other local, s�ate or
federal agencies to the extent necessary to process the permit or
I.icense.
4. If your requested permit or license requires Councii aczior.
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&ZONING-473•7357 • ADM[NISTRAT70N 8c FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
�
DATE TIME
CITY OF ORONO CALLED W ` �' ��S
INSPECTION NOTICE SCHEDULED `�" � %`- �i�� �`
PERMIT NO. '�/`7' S COMPLETED f— ! �
ADDRESS •���� � � ��� � � �'
OWNER _. .� t , <<z/t: ��---`-CONTR.
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TELEPHONE NO._ `�` � � ��� ,l
� DESCRIPTION �������-f"�z fz �_ �_ �; , � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 W�; 12 WATER HOOK-UP 17 SITE INSPECTION
� 05 FINAL ,� 14 SEWER HOOK-UP 06 PROGRESS
� -D7-6EM0-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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COMMENTS: �- -= � -
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d �ORK SATISFACTORY:PROCEED �S PROJECT COMPLETE
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� [7 CORRECT WORK 8 PROCEED i: ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. rr pH0T0 TAKEN
INSPECTOR WILL RETURN -
❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next insptection 24 hours in advance.473-7357
Owner/Contrac or ite
Inspector. � �-'�
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