HomeMy WebLinkAbout1992 - 004832 - fierplace repair j ' PERMIT
CITY OF ORONO PERMIT TYPE: E;:iILDING
1335 Brown Rd. South • P.O. Box 66 Permit Number: 00a'•8:
Crystal Bay, Minnesota 55323Date Issued: 1�' `-�1 '92
(612) 473-7357
SITE ADDRESS:
08.5 WEBBER HILLS RD
CH
P I . .f. : 03-117-23-34-0024
DESCRIPTION:
FIREPLACE REPAIR
Building Permit Type SF-ADD/REMODEL
Building Work Type RENOVATE/REMODEL
REMARKS:
CITY OF ORONO
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FEE SUMMARY:
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Base Fee $43 . 00 CHECK Ti 43.i=
surcharge yiC_ RECEIPT-THANK YOU
Fee :�r 74 P(I,'si &fi Ti7•i7
Total r ee $43. 96 14-2:V 1.i1! L.V V 1 11V1 f 13.1 3
12/01/92
CONTRACTOR: - Applicant• - ST . LIC .OWNER•
::E #t:+_} CONSTR INS REPAIR 14 _ 99E i 1 00 i51 2 E,t_iTTERF I ELD LOREN
16200 JA'E E'ER ST NW 20135 WFBBFR HILLS RD
RAMSE ' MN 55303 ORONO MN 56391
(512:) 422-990 1 454-4100
THE UNDERS I GNED HEREBY .REQUESTS PERMI SS I ON TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES To DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF 1
ORONO ORD I NANCEv AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI •I� 'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ .93 Date Received:
Date Approved:
Entered By: 411
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: ZIP:
(work) `
NAME OF OWNER: Lcçci1y ?iJi 1?fTct�
i t) PHONE: (home) '7Jy- wcy0
MAILING ADDRESS: ana Ll ii FS S'_My).f ITY: tay ZIP:
CONTRACTOR: 4000 C: l S e t N S \c L �14;•� PHONE: (49` 970 1
MAILING ADDRESS: t Lpgv0 0 D5ji'2 S+ �L) CITY: )"?�J;90'► Si ZIP: yi4 k)
STATE LICENSE: # n O d 511 '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) : k'epAlkie-lk‘, 4.)(--• CLI 1 1.t,AJ►'vs f� S � v
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
Off_
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /990O
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 t•e approved plan.
APPLICANT'S SIGNATURE: ��� : i _ DATE: / /i /
CITY of ORONO
GLT _ 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 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
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
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 / -/ - <T Z
INSPECTION NOTIC, SCHEDULED % -2 // ct-c
PERMIT NO. `/ ) COMPLETED 1/1,
ADDRESS .A0
OWNER er 1,2_14.- CONTR. / 4-i-e-z
TELEPHONE NO. r 4./ ;2. - " 9D /
•
DESCRIPTION ' / / 2 /2l
LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
(13 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q FI AL J 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
LU 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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• ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING 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.473-7357
Owner/ContractoE it��
Inspector. U
White Copy/Inspector's File Canary Copy/Site Notice