HomeMy WebLinkAbout1994-006031 - reside garage � PERMIT
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CIT�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: `'`-�`-=`' '-�'��'
Orono, Minnesota 55356-0815 i�it��t_,i�:y;�.
Date Issued:
(612) 473-7357 t_�d i;�°:?;':=��.
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY: ' ` "
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE�.�,
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!► -
C2TY OF ORONO - BIIIZ.DING PER�SIT APPI,IC�TION
Q• ����� Dat= Received:
Total Fe_• $
Date A�nroved: `
Entered By: Per.^.tit� �,�3/ _ -
AT.T• INgORMATION MIIST BS SiTBMITTED IN FULL BEFORE PLAN REVIEW WII,L BE SggRTED
(See Check-off List Enclosed)
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T� �pLIC�T Ig: (circle one) OWi1ER or CO TttACTOR _
-- � ,� ZIP: .�.� '� S�
J�S SITE ADDRSSS: 5
(work) 7� "��1 �
�,J�� PHONE: (home)�� ``��'��-L�
NAME OF OWNER: !'C�'6 / _
� CITY: �_ Cl� ZIP: �-� �S
MA.IZ,ING ADDRESS:
�'YS� �OY.S PHO �� � ����
CONTR.ACTOR: � ,� CS�
��� tE' _i CITY:� ZIP: e7
P'SAII,ING ADDRESS: , `r�/ ��y
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sT�� zzc�r�r -Es � Irll�'� � � '��`�' `� ` - ,�� �
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PHONE: J
ARCHITECT/�GINEERs L/
CITY: ZIP:
MATI,ZNG ADDRESS:
R.EGISTRATION u
NAMEs
Accessory Structure Move �
TYPE OF WORR: New Addition Land Alteration
Demo Re.*nodel/Alteration Renovate
,_.i
9 ' G�.l'�'�l'L.,C �P_i
PROPOSED WORR (describe in detail) : �
� S4- T OF EBCH FLOOR: ��
STORIES: /
NO_ OF BEDROOMS: /�/ �'��� ST�LS: ATT. DET. i/
- � �
ESTIMA�L'D CDNSTRQCTION VALIIATION (eacluding
i�a� : s � �a. o
I hereby aoply for a buil.ding permit and I acknowledge that the information
above is complete and accurate; that the work wi11 be in confo� Code;�ith th=
ordinances and codes of the City and with the State Building e�it; and
understand this is not a permit and work is not tv start without a p
that the work will be in c rdance wi h the approved pl.an- .
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� L�'`�� DATE: �.,
APPLICANT'S SIGNATDREs
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«� Post Office Box 6&•Crystal Bay, Minnesota 5a323•Municipai Qffices
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• - • •
On the North Shore of Lake Minnetonka _
DATA PRIVACY ADVISORY
In accordance with M.S. 13•ou`that your request for a perm t or
data", we would like to inform y o f its departments may require
license from the City of Orono or any
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 Iicense 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 snared with ot rOCe scthe permit or
federal agencies to the extent necessary to p
Zicense.
a. If your requested permit or Iicense requires Councii ac��o%
to approve, some information may become public.
�. You have certain rights under M.S. 13.04 to review griva�e
data on yourself.
6. Your full name is reguired to proc�ss this application or
pe=-mit.
J J�Y��'l�
First
Middle Last
���1� �S�C lc-n� ���-�
Address � ^
� �G ��� � ��� �
City State ZiP
���- a��
Phone
I under ta d my rights as stated above.
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Signature � •
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-�73-7358
• PUBLIC WORKS -4�3-�359
ASSE55ING
JDATE TIME
CITY OF ORONO CALLED IN ' •'O D ,o�
INSPECTION NOTICE SCHEDULED
PERMIT NO. U � COMPLETED �� •
ADDRESS
OWNER CONTR.
TELEPHONE NO. 7 7�0' l0/a�
f •
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� DESCRIPTION �
� 01 FOOTING 11 MECHANI RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04— �• 12 WATER HOOK-UP 34 TREE REMOVAL
= FINAL 13 METER SETITURN ON 17 SITE INSPECTION
{� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGFiESS
� 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� RKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. +
Call for the next inspection 24 hours in advance.473-7357
OwneNContr r o ite:
Inspector.
White CopyAnspector's ile Canary Copy/Site Notke