HomeMy WebLinkAbout1992-004702 - tear-off PERMIT
CITY OF ORONO PERMIT TYPE: BUILDING
1335 Brown Rd. South • P.O. Box 66 Permit Number: 004702
Crystal Bay, Minnesota 55323 Date Issued: 10/IS/'-;2
(612) 473-7357
SITE ADDRESS:
232 5, WATEFtTOWN PD
.TB
P. I . N. : 03-117-23-22-0016
DESCRIPTION:
TEAR-OFF
Building Permit Type SF-ADD/REM=ODEL
Building Work Typet, RE-ROOF
41 TY OF {i7Stl O
F ►14MCE D, CE
13131�tt44# �
Al GEN 7;:'.4V
01 GEN 2.50
CHECK TL 74.50
,RECEIPT-MAW YOU
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REMARKS:
FEE SUMMARY:
VALUATION $5,000
Base Fee $72. 00
Surcharge ---------12 -aQ
Total Fee $74. 50
Cqff f OR• _ - Applicant - OWNER:
H I F�' H �L �-i_�N'��7 19722716 KELLEY STEVE
BOX 6..33 2325 WATERTOWN RD
DELANOMN 55328 LONG LAKE MN 55355
(612) 972-2716
n
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
:
SPECIFIED AND AGREES TO D13 ALL. W:iE`K IN STR i CT COMPLIANCE WITH ALL CITY 13F
OF°t:iNO ORDINANC:E S* AND STATE ATS: ()F MINNESOTA E:L31 L D T N(=, CODE REQUIREMENTS .
L_
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
r CITY OF ORONO - 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 C�ONTRACTOR
JOB SITE ADDRESS: 35 x'o. �� �',�/aiv n ZIP:
(work)
NAME OF OWNER: S •�' v e PHONE: (home)
MAILING ADDRESS: CITY: �� L d,4 ZIP:
CONTRACTOR: �7` / I►'S - r, . PHONE: 7,V 7/
MAILING ADDRESS Q c•�c /,, S_`i CITY: /4� ZIP: c
STATE LICENSE: # 6
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) : E' m ° Y 6'�a S /� 1��!�`> 4-
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.
APPLICANT'S SIGNATORE:���- �Y' �i�iJ � c zt DATE: Y -
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, state or
the permit or
federal agencies to the extent necessary to process
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.
/7/stsc. �
First Middle L
a X 1733
Address
'D Tr/ll�
City State ZIP
1 - e7,9 - a 7/
Phone
I understand my rights as stated above.
- G
Signature
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
CITY OF ORONO CALLED IN
Q D/ D Z_ TIME
INSPECTION NOTI E SCHEDULED �fL_L - a
PERMIT NO.� I� 10 ;21 COMPLETED
ADDRESS/�-Z 4
OWNER CONTR. .�
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING MECHANICAL RI 16 WELL TEST PUMP
hFRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
OTTNSUL-ATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 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
Q
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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dW WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
cc ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN CITATION ISSUED
El STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Cont to,��Dn site:
Inspector. u
White Copylinspector's File Canary Copy/Site Notice