HomeMy WebLinkAbout1993-005144 - grading _ � PEI�MIT
CITY OF ORONO PERMIT TYPE:
2750 F�elley Parkway • P.O. Box 815 Permit Number: k�� ��F ���� �����}
Orono, Minnesota 55356-0815 `3`;,�`�'��
(612) 473-7357 Date Issued: i�:�r i-E�:�
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,Gt7.�./J
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CITY OF ORONO - BUILDING PER�iIT A.PPLICATION
Total Fee• $ Date Received: _S�/7f�3
Date Approved:
Entered By: �'�i� permit tt: '�j' /'��
ALL INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN RE�71EW WILI� B$ STARTED
(See Check-off List Enclosed)
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THE APPI�ICANT IS: (circle one) �Oti�1NER or CONTR.ACTOR
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� JOB SITE ADDRSSS: � %� i� �� � �" ��� �'" ' --- �
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(work) _5�� � '� 1� ��`
� ����j �:�- L/' � � PHONE: (home) ��_�f �`�`�G�
N� OF OWNER: � L'f�- � , -
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MATzzx� Annx.Ess: ��'•�'S ���� �l�Si/"�,� cz�: �_�.Ew < zzP: �5" � S;�-
CONTRACTOR: � � � PHONE:
MATLING ADDRESS: CITY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: ���-% L�' PHONE:
MAIZING ADDRESS: CITY: ZIP:
N�: REGISTR.ATION T
TYPE OF WORR: New Addition Accessory Structure Move �
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED WORR (describe in detail) : � � � � � � Zx
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STORIES: SQ. FELT OF EACH FLOO�t:
NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �
I hereby apply for a building permit and I acknowledge that the informaticn
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 I be in accordance with the app roved plan. � �
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APPLICANT'S SIGNATDRE: �-��J ; ��/ �=� % ` '�� � ��
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t Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal OfSces
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� _ � o On the North Shore of Lake Minnetonka
DATA PRNACY 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 f rom 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
license.
4. If your requested permit or Iicense requires Councii ac�io%
to approve, some information may become public.
�. 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.
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I understand my rights as stated above.
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Signature � �
BUILD[NG&ZONING—473-7357
• ADMINISTRATION&FINANCE—�173-7358 • PUBLIC WORKS—473-7359
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE L SCHEDULED
PERMIT NO. � / COMP ED
ADDRESS ��� � � �dS/ �i /' "ZS'
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION I�. f
� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL INAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q�FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W� O WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerfCon or on ite:
Inspector.
opyllnspector Canary CopylSite Notice