HomeMy WebLinkAbout1992-004473 . PERMIT
� ~CIT� �F ORONO PERMIT TYPE: E�I�ILL�It�i�
1335 Brown Rd. South • P.O. Box 66 PermitNumber: {���'���=�
Crystal Bay, Minnesota 55323 Date Issued: t'}���'�r'f�_
(612) 473-7357
� �ITE ADDRESS: ;;�q L���+wN RD N
C:H
�' . � . �. � .t7—�. �.::—t'_:—:iL(.-474)(}!�.
�
I DESCRIPTION:
�;��;:vu:i�f TE��i G�F
�u i 1 f�i ng �c�'(fi S�• T;%��e '=�F-A[�Ql�EPtf iGEL
E:��i l��t i-��� ��a���:: Ty��e �;E-�i��f���
r� I
w.R': �W y ��r' �
� . "� � M .>� ° +�"�':,.f� +`A p wx^�f5 �� . . .
4
, .� � . v R �' . , .
� p �
' � � .ti�y ��b� �� & � • � .
. �.s� '��4 v�;*# f `�'l "�S. �a �„���fbA�,� � �W �+��*�tuv
' y : r�� � x ��p«c� �
�� � �,'� ' �".�s�''�'��. .
�� °` ��� ��` �'�i� m.q�� � ��� '�.�`,
a:x.w�r�A r "? rt �� �� ,�. � � � !' . -
� ��,* i
�� �� � � � �
� u ui� ati"i,, a � � '� �'� ; .
�a � � '���., ,� ,. -� ,
. .. � _ _ � �' (t
REMARKS: J�,;_�;�� ..r�!;�r
,'`�s::�r�r,t�L �-r, .���
1Jlt'S VL"JVl !7
1.'.l 4L i� t:+J+VV
'ii'!'1} i!
FEE SUMMARY: (, E ' J�ry'T k� i 44LL ,.}g —r�1f zi
V�L.'�#"1 ! 1��IY �d t �t��� L�1 tLl� a lLt
t-. _i•A� !t ' _ ^r
: L4tl 7L ii..'z %r'
E+c�t�C FCC �.��i, tJt7 �����='Tf�?_.+u:'r.it�� 4':tii
75L4L1f ! 171l7lTll !VL
` � ; . ..�� .� . .��.
sii.ni:i+-.il !'(3i!? ;Ji!P �ij_s�L
i'�.���� �Lj1�3� ����_____��.r_�ia. lfi_TV'fi.JV 4VV2 11V1 !'1L'�ti'J
T��t•�l Fee �:�:�. 7� - • :,
=�k:'�+4: t
1'!: VL'J If...
CONTRACTOR: �'�' �'_``}' ' -
���� +;��i i�;GE
:�:7�� E�RE�i�h# R� #yl
i a�i�lVi i t�iN 55:�;5�,
�.7=:-_ =:F,�
-__
__ __ __.__ ---- __ _.._ ____. _
____ __.__ _.--------- ____
_ _�.___ _
TH� !!i�;���Ft'��I;:��lL G N�f�'���` F.E{:�!+E_T=� 1='E�tfi�!I _':����i'�I 7+� h1�f.L TN� REAL I hl�i�t�V�1�Et�iT'=; ,�
'=�F'E:�:I�I�C.) ;::h,1C� �'t��F E:':� TC} C�F�.i �; � WF:}�f:: I��i =:TF�,I��i ����it�F`L 1�hdC:E W I TH �L� ��I T�' i��
f�hM=�h�t�! ��i�` r�hJ�'��'=i A -7r� �: !;I ��f I t�ItaE'=�+=?TF� ��!J:��D I NC� �:�i;�11 E REi���i nE��Etd�T'�� .
;�� �
� �'
�
�
� �
APP ANT/P MIT E SIGNATURE ISSUED BY:SIGNATURE,C�-C�/
' r CITY OF ORONO - BUILDING PER�IT APPLICATION
w
Total Fee: $ Date Received:
Date Approved:
Entered By: u, �� �,� ,_
Permit,r. � _
AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII.L B$ STARTED
(See Check-off List Enclosed)
----------------------------------------------------
THE APPLICANT IS: (circl.e one) OWNER or CONTRACTOR
�-Jh� ,f' � ZIP: � ���� S �
JOB SITE ADDRSSS: ?5 /� /V t ` �i9'�� , t� `
(work)
�
NAML� OF OWNER: �. � " PHONE: (home) � -� � ,-
'! � zzP: �S^
MAIZ�ING ADDRESS: � � . � � �� CITY:
CONTRACTOR: � � PHONE:
MAILING ADDR.ESS: /�.�3� CITY: ZIP:
STATE LICENSE: � �uJT-
ARCHITECT/ENGINEER: �� PHONE:
MAILING ADDRESS: ��.�_ CITY: ZIP:
NAME: �'(,�/� REGISTRATION �
TYPE OF WORR: New Addition Accessary tructure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : � , ' � 'S' , �
�J � �� �
STORIES: N� SQ. FE$T OF EACH FLOORs
NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET.
� /;
ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ ����v_,
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 t e State Building Code; that I
understand this is not a permit work i o s art without a permit; and
t h a t t h e w o r k w i l l b e i n a c c o r e w i h� e roved plan. �
; /� ) . ,
� C DATE: ^ _�
APPLICANT'S SIGNATURE: � �
/
�' . . . .
.
.
,z3z.c - w
�RE�'�� 4
��� �,i�
J��� � _ �i��� O� �����
-�-� _
.:�-�
'''.��. ��' ' Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
: . �
� _
`, � _ � g,. 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 3ike 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 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 Iicense.
3. The information may be snared 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��o%
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 process this application or
p e?-mi t. �
r ,
n ^
�� , � / ��.S� � A
irst � iddle !� Last
/ /���:�-
_ J , , , �
Address � /� _ _
�� � Y / ��� `�-��v��:
ity State Zip
� ��'��
�� _- �
Phone
I understan rights �ta�e� ab e.
� ,,�� �
� � c� � ��� _ �
< <---� c` li C.�E--�'`
Sig ure .
i • Dbf1NISTRATION&FINANCE—473-73�3 • PUBLIC WORKS —473-7359
BI,ILU[NG&ZONING—473-7357
ASSESS[N G
e-'
ATE TIME
CITY OF ORONO CALLED IN '7 �L
INSPECTION NOTIC SCHEDU�ED �'� /l� ��l
P�RMIT NO. � COMPLETED ��
ADDRESS � �- � � '� ��
OWNER � r�-h,- CONTR.
TELEPH � E NO. f?�7 3 - -��' �, 7
� DESCRIPTION ''° ' �-� � �
� 01 FOOTING 1 MECHANICAL RI / 16 WELLTEST PUMP
Q 02 RAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 31NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q O5 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W �WORKSATISFACTORY:PROCEED f- PROJECTCOMPLETE
� (❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
: CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac on s+tQ:
inspector. U
White Copyllnspector's File Canary CopylSite Notice
v�
�^D�4�E ^ f TIME ^
CITY OF ORONO CALLED IN � ��- ���:� r ( ' �.J
INSPECTION NOTICE SCHEDULED - �1 '�3c';
PERMIT NO. `�+-�a �� � connP�ETEo k
ADDRESS � �� ���'�-%
OWNER �-=LZ � � S ONTR.
TELEPHONE NO. `�'7 � ?s��� �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� ALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 F AL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
J
0
a
�
0
�
W
�
Q
�
Z
W
�
W
�
�
d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� ❑CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTO TAKEN
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.473-73�J7
OwnerlCon r o��site:
Inspector. -
White Copyllnspectar's F e Canary CopylSite Notice