HomeMy WebLinkAbout1992-004568 - reside w/vinyl PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66BUILDING
Permit Number: 004568
Crystal Bay, Minnesota 55323 Date Issued: ty :/1 :/9'
(612) 473-7357
SITE ADDRESS:
2697 ETHEL AVE
CH
P. I .N. ; 20-117-23-24-0045
DESCRIPTION:
RESIDE W/VINYL
Building Permit Type SF-ADD/REMODEL
Building Work Type RE-;:IDE
REMARKS: CITY OF URUN
FINANCE OFFICE
1313100000
01 CR }
144.0
FEE SUMMARY: 1222200000
VALUATION $12,500 ,,01 CEN 6.25
C1ECK ` TL 150.25
Base Fee $144 .00 RECEIPT-THANK YOU
Surcharge 1f-:5 n249569 'ool O1 T03:29
Total Fee $150. 25 05/15!52
CONTRACTOR: — Applicant — OWNER:
AMRC: INC: 15530020 AMUNDSON C: C
3700 ANNAPOL I C: LANE 2697 ETHEL AVE
PLYMOUTH MN 55447 ORONO MN 55391
(612) 553-00'7'0 471-7700
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NED HEREBY REQUESTS
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APPLICANT/PERMITEE SIGNATURE ( ISSUED BY:SIGNATURE !1✓
it
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ /' ,( � `�
Date Received:
Date Approved:
Entered By:
Permit#: %y= -/( !
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER o • TRACTOR
JOB SITE ADDRESS: P. 409 -
7 yI,/ ice_ ZIP:
(work)
NAME OF OWNER: (Yr 40P---V962/ LJ PHONE: (home) 1/.>/- 7
MAILING ADDRESS: 7C-97 � { -'� CITY: 0-Ai ZIP:
CONTRACTOR: A PHONE: 55-3 00
MAILING ADDRESS: 5 70 v 11 iv, CITY: l� n-e-L. ' .ZIP: .57:.5-act /
STATE LICENSE: # `-1--U CO
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration >e Renovate Land Alteration
PROPOSED WORK (describe in detail) : l C
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / ,2 ( S U U
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.
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APPLICANT'S SIGNA � " .----- . DATE:
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\,. _fin^r
-...'-'-'-:-. .._, CITY of ORONO
CePost Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
QF ..
QRONa 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.
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First Middle Last
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Cit State Zip
Phone
I unders -nd my rights as stated above.
l'°,°!/>/ zr--7,—\_________--------_
Signature
BUILDING& ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN )24S/9-2–
INSPECTION NO ICE SCHEDULED S/..z0 Gem
PERMIT NO. a COMPLTED
ADDRESS G- 7'7 C_� /� j� K;
'.-
OWNERi CONTR. 6;27
TELEPHONE NO. -5-5 - C.C.,1 D
DESCRIPTION - 7y �t',e�
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINA 13 METER SET/TURN ON 17 SITE INSPECTION
DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 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
o COMMENTS: /1J em- 9 Z —
cc
cc
O
cc
O
Cc
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W ElWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO 1/ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
IISTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor or,site:
Inspector. L
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED
PERMIT NO. OrLETED
ADDRESS `Z 6`1 2; .e 1 6(L___________
OWNER$��� cL,j r CONTR.
TELEPHONE NO.
!
DESCRIPTION � JL)vW4L
Si 'e
Lj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
CI
• e05addghli.,BD. 12 WATER HOOK-UP 17 SITE INSPECTION
CFINAL 14 SEWER HOOK-UP 06 PROGRESS
F„. 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v• 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
W
Q.
CC
0
>.
CC
0
U..W
CC
Q
colW
Z
W
CC
W
a WORK SATISFACTORY:PROCEED ,ROJECT COMPLETE/
CC ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
W
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR Ll CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins• -ction 24 hours in advance.473-7357
Owner/Contr. or o site-
Inspector. (� `'_ i i'
White Copy/Inspecto Canary Copy/Site Notice