HomeMy WebLinkAboutPermits/inspections-1984 DATE �/ TIME
CITY OF ORONO CALLED-IN /
INSPECTION NOTICE SCHEDULED — —
PERMIT NO. COMPLETED � _
ADDRESS � � 1 � �QL-I.SC� l�T-
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI p SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP O LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ METER SET/TURN GN ❑ LICENSING
W ❑ FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
�L ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINA
O ❑ FIRE PREV. ❑ WELL TEST PUMP
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QW ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
�B�ORRECT WORK& PROCEED
V L��RRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILI RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
p INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 ho s in advance.
Owner/
I nspector 413-7357
/
White Copy/lnspector's File Gold Copy/Site Notice
DATEC ^�TIME
CITY OF ORONO CALLED-IN �:.� �-t� y Ji / ��
INSPECTION NOTICE scHE�u�E� -�-�-y-�;/ �� �
PERMIT NO. COMPLETED �� '� � _� � • V�
ADDR ESS /y�� � �C r��� C>�� � ,�r� _
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING p PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICA� ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� �+� WALL BD. ❑ METER SET/TURN GN ❑ LICENSING
W �FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
�l ❑ PROGRESS O SEPTIC INSTALL. ❑ FOLLOW-UP
� O DEMOL. ❑ SEPTIC MAINT. ❑ SEPT�C FINAL
Q ❑ FIRE PREV. ❑ WELL TEST PUMP �
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O ❑ CORRECT WORK&PROCEED
U ❑ rORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WIL�RETURN.
❑STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
I nspector �� 473'7357
White Copy/Inspector's File Gold Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED-IN .� —�lr—Ty �.�,� � �J
INSPECTION NOTICE SCHEDULED �-/7=85� f-} • /►�t.
PERMIT NO. COMPLETED �-�� 1�'.�_3d
ADDRESS /� ��" � �2����/_-�� �-�'�- �o _
OWNER ��� CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
�AMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� 0 WALL BD. ❑ METER SET/TURN GN O LICENSING
W ❑ FINAL ❑ SEWER HOOKUP p COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. O FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ WELL TEST PUMP ❑
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p �(�AIORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
Q ❑ CORRECT WORK& PROCEED
V ❑CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
I nspector 41.;-7357
White Copy/Inspector's File Gold Copy/Site Notice
CITYof OIZ()N() PERMIT N� 52�1 �
Building Permit -�J_ / �//�
DATE ISSUED��'
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357/ Dl�� j
ZONING DISTRICT SITE ADDRESS � ,
LEGAL DESCRIPTION: PROP. ID. �" ^ �
LOT BLOCK SUBDIVISION
FIRE ZONE
WN (Nam ddre s) (Phone)
VAR. DATE �� � 3 — �
AR HITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. SE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT ARE /�
WI TH EPT BUI ER . (Firm) (Address) �f (Phone)
PR SE SETBAC
�� � � � � � ��
FR N R.SI TYPE OF WORK New Addition Remodel Renovate
R E D �. ���c1 i�z-�J� ./ ��
CONST. TYPE BLDG. SIZE EST.CONST. VALUATION
LA E TLAND �--Z�
L. W. Ht. / U / 1
L/
AC ESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES ^
BLDG. PERMIT D� � '
N EXISTING DWELL. BDRMS/FLR �
AGENCY-APPROV. DATE UNITS STATE FEE
CITY GAR.STALLS SEPTIC PLAN REVIEW
ATT. APP. DATE
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT oCC.
SAC CHARGE
C LASS.
STORIES COUNCIL ��
APP. DATE TOTAL DU
REMAR KS:
INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
FOOTINGbeforepour SEPARATE PERMITS
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
F INA L before occupancy
SEPTIC
MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY. PLIANCE WITH AL� CITY OF ORONO ORDINANCES AND STATE
GRADING& FILLING
INSPECTION HOURS 473-7357 - OF MINNESOTA ILDING CODE RE EM NTS.
CALL 8 - 12 A.M. INSP. 1 -4 P.M. ,�
CALL 1 - 4 P.M. INSP. NEXT DAY EL TRICAL from State �
Signature � ate �
COPY: WHITE—FILE GREEN— /'
CANARY—INSPECTOR GOLD—RECEIPT //�J�
PINK—ASSESSOR Approv City o Orono
C�TY Ol ����1�'�� PERMIT Iv�) V 5205 I
Building Permit oATE �SS�Eo Z_��:_��
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 �Lf� �j'rA�e.c_7S �� ��C�
ZONING DISTRICT SIT� ADDRESS ` ,-n.✓
LEGAL DESCRIPTION: PROP. ID. I I � I 7 Z� �� �'C-�'�
LOT BLOCK SUBDI VISION
FIRE ZONE
WNER (Name) (Address) (Phone)
VAR. DATE Lt'� �'Cs���: k _ SC-C� _Kl- c.
ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BUILDER (Firm) (Address) (Phone) ��Z
p-�7 2.�7
PROPOSED SETBACKS �� � S � � / / / L � '� �
�.._::._ �
FRONT R.SIDE TYPE OF WORK New Addition Remodel Renov�te'-�,
R E A R L.S I D E �c.w..�Lti;� L.l.:l�L L r �" S i A L_L �(.,-lei�. //l,'i�l</�'��
CONST. TYPE BLDG. SIZE EST.CONST. VALUATION
LAKE WETLANDS
L. W. Ht Gr'�'�r
ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES
BLDG. PERMIT ��'•c�(�
NEW EXISTING DWELL. BDRMS/FLR - '�
AGENCY-APPROV. DATE utvlTs STATE FEE S �
CITY GAR.STALLS SEPTIC PLAN REVIEW
ATT. APP. DATE
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT oCC. SAC CHARGE
C LASS.
STORIES COUNCIL ^� �� /
APP. DATE TOTAL DUE G--G.
REMARKS: U`t.l�� ��. 1�.ti�'� �;r�,� -1 �' , �,\��C 1!`-\i _j� /1� ���,� �FD �
I�C: '� ��-�,/' ►\��i�al_ �Cf�o��5
—T
INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT
FOOTING before pour SEPARATE PERMITS
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
_FINAL before occupancy --—
SEPTIC -- MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY, PLIANCE WITH ALL CITY OF OR O ORDINANCES AND STATE
GRADING&FILLING
INSPECTION HOURS 473-7357 OF MINNESOT �UILDIN COD f EQ REMENTS.
CALL 8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL trom State ��
Signatur ate
COPY: WHITE—FILE GREEN—FINANCE -
CANARY—INSPECTOR GOLD—RECEIPT •
PINK—ASSESSOR Approved � � �'l� '' --+''- City of Orono
GENERAL PERIVIIT . � CITYPERMITNO. _—�3`�� �
CITY OF ORONO r
P.O.BOX 66 Date `�- ' 2 � ` d�
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owner � Address � 7� � � /�-�
s -� �
Contractor Address
City License No. State License No.
RF,MARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: (�NEW ❑ ADDITION ❑ REPAIR
Inside Plumbing( # fixtures ) Fee $ On Site Septic System Fee $
Water Meter(Size ) Fee $ Water Well Fee $
Meter #
Remote# Mechanical Equipment Fee $�
Miznicipal Water Connection Fee $ Moving/Lifting Buildings Fee $
❑Copper ❑ Land Alteration (Excavation, Fee $
Grading, Filling, etc.)
Mtinicipal Sewer Connection Fee $
❑ PVC ❑ Cast ❑ Other: Fee $
MWCC SAC Charge Fee $ After-the-fact Investigation Fee $
ACKNOWLEDGEMENT TOTAL
The undersigned hereby acknowledges receipt of this limited
pexmit, including acceptance of all special information,
terms, conditions or requirements written above. The r
undersigned understands and a�ees under penalty of law State SUTC�1dTge: Fee $ ^ v �
that this permit is strictly limited in scope to the work,
activity or irnprovement specified; that this permit does
not grant uny authority to do work or activities requiring Total Amount Paid to City Fe8 � ��. �Q
sepazate permit approvals; and that this Permit does not
�rant authority to violate any provision of any City
ordinance or State law,rule or regulation. All work shall be
done in strict compliance with all City ozdinances, building
codes and/or health department regulations, and shall be This permit is not valid until the proper fee is paid and
subiect to inspection, apProval or reiection by the c�cy. it is approved by an authorized City Official.
Whenever so ordered, the undersigned agrees to correct
any work found to be in violation of the conditions of
this permit.
Sig e of Appl ca � " Signature of City Official
� ���L� � C� �
Code:White—File Copy Canazy—Inspectur's Copy Pink—Finance Copy Gold—Applicant's Receipt
��r��►- � ,; ' ' APPLICATION FOR
. o�- ���1�"� _
�e�������� ��e�mi�
GENERAL INF012MATION
1. Vou .�ay ayp[� 6u1 meehan<caL peamlte by malC on in peaeon a1 th¢ C1Ly o��ieea. llalled-in pen.+ita aae eubjec2 to the
yu�lage and handCtn� 6eea ehown be�ow.
1. Vca.�iC calda wt(1 be ernt by aetuan ma1.0 .the eam¢ da� thc appCicat<on ie �eceived. PERµ17S ARE NOT VALiD UNiJI YOU
RECEIVE A PCRNIi CAfcD. UJRK 11UST N07 6EGIN UNTIL 7HE PERN17 CARD 1S YOSTEO ON 71lE JOB S1TE.
3. Whtn any new conottiuction on ti¢modeGing ie .in�oCved, u acpanate bu<Ld(ng penmit muat be obtained.
I. ACC wunk muel be Jont in aceondanct with State ButCdii�g Codt lequilem¢n;e.
5. A U woak �,uet be tnepzeted �aough-�n and 6ina(�. Ca U J73-1357 1I-houa noSice xeQu<ned.
6. Houee Heating Teat Recond muet Lt euba<tZed be6oae 6inal - aee attac4¢d.
INSTRUCTIONS Co,�pC��¢ uL� lteme on Zhia appL,ication. Compute the peam<t 6ee. Sign and date .thc cent�6<catton.
INCOHYlE7E APPL1CA710NS W1LL NOT BF PROCESSFV. 76 you havc Qut�ilone, caGL /7)-7357
UTALK- 7N VERh17TS App.2y a.t C�,.t� U� {��.ce•s , 1335 Sau�h Bnown �oad EC.ty. Rd. 146 )
MAIL- IN PERh1I7S F��e�.aae �ee - Ma.�.2 �o : P. O . 8ox 66 , Cnya.ta.� Bay, Mn. 55323
# � * * * * * * * * * * * * * � * * * ** 7k * ak* 7k* ik***7k **il: �** ik**ik*ik*it**7k****kik* �ikikk�k***ik **ikik** ik*** ik ***
JOB SITE
Oceupancy Type: aee4 ¢ �aL co�■encia[; Othea
J .
Owner ' s Name �- - P �f j",�tf'�
c� C" �, � Tele hone Numbe
Mailing Address � �� � i►r����, �"''�i �--"� 4 ► �
�... , �r�,��'�
Contractor' s Name ��� t ' ; ; `:, � "��,f' ! �°; � •y;'s, Telephone Number
f ;
Ma i l i n g A d d re s s ) ` �� �/�.� �'�._�7 '7'".�? , t.: s r�� ,•`� � r 7`t� 4
******K***************x*�******************�:**�**�*****************************
HINIMUH FPE (520.00 per pzoject)
..........�........................�...•.�...��..�.•......�a.............•..........•.........•••.•�••...••...•�•...•...•...
HEATING SYSTEHS $15.QGench unit
FUEL nnt. gau, ^ lp g�s, � oil, _ clect.
other (spacify if canbination burncr)
EOUIP. (if more than 1 unit per bldg., list cach eeparatcly)
No. Type Dt�h Input Drand Name Model No.
f. a. furnace
hv boiler '
unit heater ,
soler h[g. c
_ equiprnent YSU.U�each system Total
.................................r..........,..................�............................................................
AIR CONDSTIONINC $15.00 encn un�r
Cenczal Air _ Separatc Central Air System
"� w/furnacc
Brend Name ltodel No. Tons Total
.........................�,.....�..........�..�................�...a......� ....•.•........�....•r�.......�.................•.
HOOD i�uR1ING eOUIPhi£t:T (atta py of mfgr's installation spocs.) $LS.0 U ench unit Wood stove vith flue
�b $30.QQ each �nit wootl combination or add-on unit
Fnctory� Fireplacc(s) frcestandiny built-in e15.�� each unit factory fireplace �+iLh flua
Hood Stove(s) frenklin, other Y .
q �__ _
Brend Name � 9T""`� � C" Model No.
Hfgr'• Min. Clearances, side , rear ("� , Min. Flue Din. 4, '� Total � ,� i
•���•.•������...��...•.•...�..�.�.����������r���y��•.�����a�������.�•�e���.�•�����a�.������������������������������s�������•
�'r+T13i2ION - 5 5.00 each exhaunt fans (bath, kitchan,
No. � Y.itchen Exh�ust _ du.:ted _ recireulatin9 _ cfm attic, ete.)
No. �_ ➢ath Exhaust (must be ducted outside) _ cfm
No. Otner Fans: Locations cfm Totul
.................................�..•..•....�..•�«........•.a•..�...............•.r•.�...•�..��-..�.�•.......�•..�....•.....•
FUFi. sToanG� (must be aE�proved by fire m�rshal)
_ Fuel Oil, q�lluny _ undergroun� _ insidc _ outside
Lp Gas, yallons
O[her,
........................................................................ . . ... .... ...................
sNrttri�;rFn SYS^-�w,s ) a) •r.i=siiietlti�l $20.00
($�0.00 minimum; $10U.00 maxiniuni)
Nu,�ber of Heads No. of Risers b� Commercial �2�.00 Plan Review
Type ol Sys�em (3 sete of pl�ns requirecl for revie�a) $2.UO per head Tnt�l
•��••�••�.��•�...•.•.�..a..�•���e��a.��r.����a���i�a����a����.�a.�����������.�������a�r��������a������r��������������������•
Coirvnercial, Industrial c Multi-Family cen Fee Schedule
PERMIT FE� CALCULATION
1 . Total of ahove Installations or P�Iinimum Fee (�20 . 00) � $ �
2. State Surcharge Add the State Bu<Cd1ng Code Dlvlalon Suachaagc to cach peaw<t $ . �j�
3. Postage c1I7C� Handling On aCC na<Led-in appCicat�.one, adC the poeZage aeid handCi.ng 6et $ l. OQ
4 . TOTAL P�Rr�1IT FEE add �tnee �-3 abovc, $
k¢ unle.tieign.d heneby nypllca tu tlie C.ity oa Oaono 601 iaeuance o6 a Ilcchanical Pen��i;, aga¢e♦ to do aCG wolk in ♦talet •
ccoadar.cc with tli¢ oadinancc� 06 the CLty and tlie Regulattone o6 Lhe llinneaota State (1u<Cding Code, and eenti6iee that
[( etaLe�nenle eade on Lhia appCicatlon d.te compLete, taue and conaect.