HomeMy WebLinkAbout1991 - 003899 - re-side/re-place win PERMIT
i CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: BUILDING
Crystal Bay, Minnesota 55323 Date Issued: 003899
(612) 473-7357 08/22/91
SITE ADDRESS:
2785 WHITE OA':: CIR
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DESCRIPTION:
FSE-SIDE/RE-PLACE WIN
Building Permit Type SF-ADD/REMOIDEL
Building Work '`Type CE-SIDE
CITY Y L!L L11V1}V
FINANCE }QFr£VE �1
1313100000 AA297.50 +�
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REMARKS:
FEE SUMMARY:
V tt1ATIIt $31 , 400
Base Fee $297 .50
Sur c harfie 11L.ZQ
Total Fee ~$313. 20
CONTRACTOR: OWNER:
-- Applicant _-
L c.T ROM CULT 14768272 L:1{UGAN JOHN
18845 AZ lRE RD 2785 WHITE OAK. t_I R
Fir EPHAVEN i MF 55391 LI_II'c LAKE MN 55356
(612) 4.76-827"2 47=-CY::Sc
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
! w CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved: - -
Entered
pproved:-
Entered By: q
Permit#: .-3 -1 [
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
a7 c' � n 0 ci KcL.E
JOB SITE ADDRESS: ZIP:
(work) l LII-2Ss3 Sr
N4ME OF OWNER:
c)044-) 00U G-11-10 PHONE: (home) 1.05--0 5--5--
MAILING ADDRESS: Z`7 W < J CLF CITY: ZIP:
CONTRACTOR: (!--',0. Oc s, SO4...,SO4..., mje-' PHONE: per,
—g-2/2-2_
AiAILING ADDRESS:
CITY: Of/reffifukrA) ZIP: C-573"
.I'YPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate A Land Alteration
PROPOSED WORK (describe in detail) : R R 1" U0104701-,- (.1.) Z t 1 4
6,61"47116- SrVi keStdE ( Ti,ic_6194-4 5th-'SCS
,
STORIES: 2- SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
yon, ,
ESTIMATED CONSTRIICTION VALUATION (excluding land) : $ 5# 25 )i
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 inrdance with the approved plan.
/p.C-C.T
TURB4-----1/46
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APPLICANT'S SIGMA
V. DATE: Z i� I
(Please fill out the reverse side of this form)
• � ° CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
x On the North Shore of Lake Minnetonka
DATA_PRIVACY ADVISORY
In accordance with M.S. 15.165 , "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. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
First Middle Last
( s`l 5— d
Address
City State Zip
Phone
I understand my rights as stated above.
y
Signature
BUILDING&ZONING—473-7357 • ADMLNISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 9'- 1(0- Cil A.vM
PERMIT NO. ..55).= COMPLETED G{ If
ADDRESS Z78S WH ITe- OAK,
OWNER _ _ CONTR.
TELEPHONE NO.
DESCRIPTION
Lij Lt.
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02FRAMING w(ru00w 11 MECHANICAL FINAL 18EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
• 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
10 PLUMBING FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
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W
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cc
WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
W
CC ❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN
INSPECTOR WILL RETURN
CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerIContractor e ite. ,
Inspector. L.N. �/OtiMet
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 1_ - 91 /1.00
PERMIT NO. 3/5C/C7 COMPLETED b- 9( /I -ZO
ADDRESS Z7 i- w t-k-I TE: OA>4.
OWNER CONTR.Cti2T oSZ'2o N-�
TELEPHONE NO.
DESCRIPTION
01tti OOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 AMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
t") 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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
✓ 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
ct
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:cc
Q. (,( 0 IC (---( ft)-e
CC •c
4
W
CC
Q
tnW
Z
W
cC
dWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
CC CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractorl ite•
Inspector. `1// � .
White Copyllnspector's File Canary Copy/Site Notice