HomeMy WebLinkAbout1993-005736 - repair deck PERMIT
CITY OF ORONO r PERMIT TYPE: B IJ IL.lrD I N G
2750 Kelley Parkway - P.O. Box 815 Permit Number: V/ 7:7
Orono. Minnesota 55356-0815 1
Date Issued: 11/*11 2.119 3
(612) 473-7357
SITE ADDRESS:
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TONKAWA RD
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DESCRIPTION:
REPAIR DECK
Buildivig Permit. Type SF—ADD/REMODEL
WC-11-11--. TyF.,e-, REPILAC:F EXISTING
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FEE SUMMARY:
VALUAT I ON 450
Base Fee $15 , C)c)
Surcharge ----------i_-EQ
Tc-tal Fee $15 ,
CONTRACTOR: Applicarit. — OWNER:
NEW ROOMS & SPACE'S15442 811 7 COL-L_I NS GEORGE
636 ME NOE LS!:3,CHN 847 T0*--1'AWA RD
GOLDEN VALLEY M N _55 4f 7 C)RONO MN
612 54 4—x,_,17
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ILICANT/PERMITEEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORQtdn - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-----------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: Y 7 FZIP:
(work)
NAME OF OWNER: �� �` , Lc<�� PHONE: (home)
MAILING ADDRESS: i fi4 t< CITY: ZIP:
�/}� E S
CONTRACTOR:— /-' ��-� �'-'��5 0� �/ PHONE:``
MAILING ADDRESS: �' /`lc`ki4e s%�� CITY:_(=_�[�L L t-/7_ ZIP: 5rf Z
STATE LICENSE: # C
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move
Demo Remodel/Alteration _ Renovate Land Alteration
PROPOSED WORK (describe in detail)
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding 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 will be in accordance with the approved plan.
DATE: `
APPLICANT'S SIGNATURE:
- CITY of
ORONO
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 like 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:
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 , sate 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. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
First Middle Last
Address
City State Zip
,5 7
Phone
I understand my rights as stated above.
S ' natu e
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN /9
INSPECTION NOTICE SCHEDULED / 111V19-3 M :00
PERMIT NO. —:5-7-3 COMPLET 1/1145S
1 O DQJ
ADDRESS ,11 7
OWNER CONTR.
TELEPHONE NO. Y/ 7
MCRI�PTION /f'a�e•n_ G2�
i� 01 FOOTIN 11 MECHANICAL RI 16 WELL TEST PUMP
W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
2 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c0„ COMMENTS.
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W K SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
ccElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
C) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
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.473-7357
Owner/Contra"o - 'e:
Inspector.
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