HomeMy WebLinkAbout1993-005508 - move principal res P�,fWIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: B1'j I LD I NG
Orono, Minnesota 55356-0815 Date Issued: 0(')!-;50181
(612) 473-7357 09i 14
SITE ADDRESS:
970 TONKAWA RD
LSV
N. 11112-000y 1
DESCRIPTION:
MOVE PR I NC*I FAL RES
Bu 1 1.=1i3i-4 Perrr,it- T y pe SGL EAIMILY-NEW
Building W---j-ok lype MOVE
REMARKS:
FEE SUMMARY:
Buse Fe=w 1!:C) 00
Tc-tai Fee, r1so. C=,t)
CONTRACTOR: _ Applicant — OWNER:
t_J ; ;:-; ,LDG MOVER 1 1 r:; :427 H3_1L�1 ��;NF
1; 4 !-lLO CRYSTAL BA RD 970 T!i*`Al,,}A RD
LONG LAKE MN SS3SE-.. ORONO MN S53St6
t.612) 473-842,7
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APPL T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
rA
CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: - Permit#: -�O
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: 9 7 d f�Q'Lyd� ZIP:
(work)
NAME OF OWNER: 4-,Ale- 14Zo/t-d� PHONE: (home)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE: x{73a
MAILING ADDRESS: � _ a O Loeer C ZIP:
STATE LICENSE:
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 ly for a building permit and I acknowledge that the informations
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 II
understand this is not a permit and work is not to start without a permit; andl
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE:
DATE: � `
1
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
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 oeyofurnish icensebe used requested. determine your
qualification f permit
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
other
3. The inf ormatto the extentmay be hared necessaryhlocal,
to proc ssthe permit or
federal agencies
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
Phone
I understand my rights as stated above.
Signature '
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
DATE_ TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 5 COMPLETED t1 U
ADDRESS I cLJ
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
QO�RAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 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
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
W
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CC
O
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W
CC
Q
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W
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WU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHINHOURS. rPHOTOTAKEN
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
OwnerlContrac �Ifs
ite:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
ATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE 1,b SCHEDULED
PERMIT NO. COMPLETED Y-1 t .1 go
ADDRESS 7
OWNE CONTR
TELEPHONE NO. - '!�7/ -,PC,3 S�
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
ACS 13 METER SET/TURN ON 17 SITE INSPECTION
EWIO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
wil 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cam., COMMENTS: E L
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uORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN E,CITATION ISSUED
11 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContractWOFIAW
Inspector.
White Copylinspector's File Canary Copy/Site Notice