HomeMy WebLinkAbout1992 - 004609 - re-side PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: 8RING
Crystal Bay, Minnesota 55323 Date Issued: 09/04/'
•
(612) 473-7357
SITE ADDRESS:
373 WESTLAKE ST
LSV
P. I . N. : 05-117-23-23-0028
DESCRIPTION:
RE-SIDE
Building Permit Type SF-ADD/REMODEL
Building Work Type RE-SIDE
CITY of ORONO
FINANCE OFFICE
1313 100000 �1
01 OEN 99.00
1222200000
j{�J
01 &Elf 3.57
TOTAL 102.59
CHECK 93.50
CASH�� ij_ 10.00
CHANGE .91
1
RE EI T-TPAWy-' YOU
#251260 1001 RO1 T05•11
09/04/92
REMARKS:
FEE SUMMARY:
VALUATION $7, 175
Base Fee $99.00
Surcharge ta_a2
Total Fee $102. 59
CR1"7RI IIC:OR: - Applicant - OWNER:
15530020 LANGERT P
3700 ANNAPOL I C LANE 373 WESTLAKE ST
PLYMOUTH MN 55447 ORONO MN 5535.6
( .61*,) 553-0020 (6J:70473-8264
f e; ��y �;z #,-+ wes�v K ii w is e Mtnk�kww +a,,v°+oma �"�, q�. 7xu. �
THE- 1._INDEF. I GN ED HE RE E Y .^1RE1:;�f tE I __ ;,E Eh W"" f ���
EE::I F I ED ANE? AGREES TO DO ALL x^ f, V
9 1 #
ORONO ORDINANCESAND LATE. OF
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ISSUED BY:SIGNATURE
APPLICANT/PERMITEE SIGNATURE
•
CITY OF ORCNO -BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Act roved:
BY: .
Entered e Permit!t- '6
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
'HE APPLICANT IS: (circle one) OWNER o —7)
OB SITE ADDRESS:c 5/ 3 20 . kZ`te 6 ZIP: c,'_5:6:36----6)
(work) �/
_;AME OF OWNER:
/. SLG &A. r PHONE: (home) I`"/7 3 J 76,V
MAILING ADDRESS: 6' CITY: ZIP:
?� C'hLCCLA- /1464./44c, PHONE J:5 6C) ,- U
�DNTRACTCR: // / I' ` �� ,�L/�
.AA.ILING ADDRESS ///0C /- Y'= Z �tllt ZIP:
;TATE LICENSE: # 066 c Z MN CONTRACTORS
UC. 12406
' RCHITECT/ENGINEER: PHONE:
AILING ADDRESS: CITY: ZIP:
AME_ REGISTRATION #
VPE OF WORK: New Addition .„..--- Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
WORK (describe in detail) : K (Li
�x.cii) 0o-v-6..,c_
rROPOSED 1
1011.10 I Oil Cit---OC
TORIES: SQ. FEET OF EACH FLOOR:
'±O. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATE') CONSTRUCTION VALUATION (excluding land) : $ 71 ` ' CJ O
hereby apply for a building permit and I acknowledge that the information
:ove is complete and accurate; that the work will be in conformance with the
rdinances and codes of the City and with the State Building Code; that I
derstand this is not a permit and work is not to start without a permit; and
:iat the work will be in accordance with the approved plan.
9.
•
---- eit_. 4 DATE: c' "
�?PLIC�NT S SIGNATURE_
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CITY a ORONO
....„: ___,....,"..._
r,Irzwe *i Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
' MU:MeV 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.
-Tr:
TAYLOR MADE . . .
CARPENTRY INVOICE
DATE4Z1 >
lames Taylor NI
6155 Hillsdale Drive, Mound, MN 55364 • 472-5547
CUSTOMER -2, •
2 �f/•
td../ . C�j�„ �+- r
3
73 ` 2-41e-e"
ORDERED BY: PHONE /3-YZ�9'
PROJECT !
DATE DESCRIPTION MATERIAL_ PRICE
821j — Zi e-l- /.)/it./ r.)- 7 5 12--c..
S LC 57�L -'�
D j? m ,
)E7 . cies
dao , -=
'1C-7 721r4 i
Thank you. . . SUBTOTAL
for the opportunity TAX •
to be of service
TOTAL
TERMS:NET ON INVOICE
A FINANCE CHARGE OF 1112%PER MONTH SHIPPING-HANDLING
(18%ANNUAL RATE)WILL BE CHARGED ON --
THE UNPAID BALANCE. TOTAL DUE
Please Pay From Flus Invoice No Other Bilhny Will Be Sent
REC'D BY DATE
White-Customer Copy Yellow• Accounting
LOCATION
INSPECTION RECORD PUMPOUT RECORD SKETCH
DATE COMPLIANCE DATE GALLONS
n,Ks -i'f,
7- rI t • "u/'F✓-K'i IC; o8SCRv6 t Z
q-22-Vo
Wc [. Ftoocarz(3
ez > s e
/I0 .S'or elncj 3 9� TOO inlE1 L ?ucK
Npex
I ✓ I
Include: 1) Well location
2) Distance from house to
septic tanks,dist.box,
and drainfield
C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) North arrow and road
LOCATION
INSPECTION RECORD PUMPOUT RECORD SKETCH
DATE COMPLIANCE DATE GALLONS
47/£3-79 db.sa ?kirJ6 n4s02 ' 2
7 l -1.5,4 4v0 -suZr4CrNC; O(3cCRYE Q Z
No s wa2 F*cN C, - cr$3 6k,-22,Y(v WELL Loc.'?-7 2(3) .q s// /� st
3 -qo Too L L T ucK
6-7-47/ h '' J ,y
`I
I )
/� i�r3 shiZit ='d'
Include: 1) Well location
2) Distance from house to
septic tanks,dist.box,
and drainfield
C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) North arrow and road
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED G 2� --5 z ,3 -. 0-
ADDRESS T7 3 LCL 57 c A-l-c�--
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
LL 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENHETLANDS
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
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
J
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
(:) COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED Li ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C 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/Contra r n s
Inspector! t!
White Copy/Inspector's File Canary Copy/Site Notice