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HomeMy WebLinkAbout1995-006806 (Re-Side) R� . PERMIT : CITY OF ORONO PERMIT �rPE: 2750 Kelley Parkway- P.O. Box 66 F:�!s�,�;i i�i� Crystal Bay, Minnesota 55323 Permit Number: ::;;;;�„_,�,;; (612)473-7357 Date Issued: ,�_;�t�'!��.•_�� SITE ADDRESS: ��-__ c;�:��t�►�=� °_"i � �:t; �` . � . x�i. � 1 i a—�i ,`l-�'�:`.:—:�;1 —:_'����. DESCRIPTION: �.;�::;T[��, �=:►�ti���?�r���:=;C:Ii: �=��x� 1��i��a� ;'�y�r:�it. �'.;c•� °_,,=—�G��,t��:F�°�����E? �.3.�J, 1 e�i j q�� !;����f•k:: I :�s c=� �'�--:�:��);m °•i i�` �i� i.+��LitTi[r� REMARKS: ����_t��l� � �S e i,�r�.cf,�� c.�r , �. t`V i�s���.n�.%i%��{r°i% �.�.� ��i� �`���'� �r-i•;i 9i Bi tr�f � re:.t�tYL"6't FEE SUMMARY: � ���R��—�a a` L•1+R�•'l:1�• !L l`�..7��7d 4 i"} �_'' 'F! .� ._'3,si". 4.i_ 4¢''�?i=T_. ��qpeA' t`iild �r.�� ���y �1 � } � t f /�L.4Ld1 9 Pi�tl'lltDl !L!Y v-J V ! d'ildt� �iB�i B ��nr nL�cvi'�+�.� �vus aiv.e � �:#!�� 1,pL't".ti.�1.!f w' ��:,r•=r_+ �t_+:_+ .�_�i.!,l.!4.1 '—�! "i o_''�� ` �"'E' � .._�yf' i�._:P _ _e s_�i.�:�.:�,:'.='. �I�il.i� ! i'._'� .._____ L'�,V= =;� CONTRACTOR• — �s��_°� ���_��,�� — ' `=� � �-�t� OWNER• �:1 i�3�:-+E:�'" E`�E��F��Z���<<_: T i�lia: 1 :.t�t�-i t.�:=; F��t:�,�. F.::r�:�i'�1�(� L���9 ;�;t.��.? ��I�:�33�;� ����� � �:�'�;� �a6=rs;�i{=� _.� �,�a�s€_6��#T��id.�Ta:e��� C���¢ �oF,�.;=i; i=s%�i_i�'�=a t��� ��,=;��1 �.���.•;�.; = ==�7—�r.7 = �i.��—.;�.L:i��ik ..,ry d �... r yy..«. � �. �:� ' yr_ _.t `�'?-��: l.��,��?�'r�;•��I�;���-'�r ��:4�r.��`. �F;.:FiI��:��; �'�-�s��.�„aw.Tt t�� `�:�1 �;r��::� �r��. �'�°�xL. �;+t~'��_av�����'� :�_ :�:'�=°�,��:���.rw� ���!,`i ���.;'�'�::v f sr� i=�� ���.�d� f�������::: ?'�� x��'��:�'�_;�' �:�`_t;�;F�'`s_��ia�3��''� ����`� ���_ �;:I��r' ���~ E I `t,§ ��� i�.a P ;9".��„%��.�s�• �'.:s�`�E:� % °' S 1 q,�`� ,;e,���'=:Sw�i:`�, Fef�T���E�:8�� �:I;'1� �'L s li 7��4s�"�,i�� �`w+. .�: �� i; :`-��" i—:e.o-�_�_= r:S'—s���. ,�' !'! �' � .. . ,� � � APPLICANT/PER TEE SIGNATURE iSSUED BY:SIGNATURE ��. � CITY OF ORQNO - I3IIILD�NG I'L''RMIT APPLICATION Total Fee: $ �� Date Received: Aate Approved: Enterec3 By: p�zmit�:����'�'?� ALL ZNFOAM.ATION MUST B� �trBM2TT�n rN FIILTa ��ox� P?.Aw x�vi�r WTT�r, �� sT�ut� (See Check-off List Encxased} THE APPLTCANTYIS:�y(cirCl.e�one)` OSdNER Qr CONTRACTOR JOB S�TE ADA�tESS: � Z=P' `�`���� - (work) 9,����� NAME OF OWNER: �-��Ell/�� PHONE: (hom�) -5`�3 MAIZ�ING 1�DDRESS: /_�,����}s� CITY: /1/i�6��_ -- ZY�: S .� , CONTRACTOR: �J�1��Y���•��11��„ ��� PHONE: - MASY,ING ADDRESS: ,/�//� fYir-,� CI'1`Y: 2IP: �� _ ����� ST,ATE LTCENSE: #_���, -- HYTE /ENGINEF.It: PHONE: MAIL� ADDRESSr CITY: ZIP: N � REGYS'I'RATSON � . TXPE OF WO�: New Additian Aacessoxy Structiur.� Move � Qemti Remrac e/AlteXati.on P.endvate L�iiB A�terat3,G�n,,,_� PROPCISED WORR (describ� in det�il? : � , � °� STORIES: I SQ. FEBT OF EACH FLODR= I�ip. pF �BDROOMS: GARAGE STAT�•S: ATT.��^ DET. Ov SS7.'IMATED CONSTROCTION VALIIATZON (eaclading 13nd? _ $�,���� -' z hereby apply �or a building permit and Z ackaawledgc that the infoxmation above is cornplete and accurate; that the w�rk wiil be ist oQnformanCe Wi��ha�hl ordinan�es and codes of the City and with �he Stiate F�uildinc� �Qde= understand th3.s is not a permi� and work i� not to start w�thQut a permi�; and th�� the wo�k w���. be in accordance With the approved pla�. � t �-�/-- �� f APPLICANT'3 SY�AIAT[TRL s � �� ,,,� DAfiE: � � 1 � � � 22�17�95 17:l]9 THE C I TY OF OROhJO 61 c-47,a-7?57 bN2 ', CI'�Y o:� t)RUN(� Post O[fice 13ox l3t3•Crystal IIay,Minncciukt.r+Fi3�•Muni�ipel�ffiee�! • � � � UR the North �Sh�re oF Lake Min�cetonka DATA PRTVACY 14DVISQRY xn accordance wi�h M.S. �3.04 ► Subd. 2� "R�ghts of subjec�s of data",: we would like to inform You that your rear�men� r�$P�r� lxe iicense f xom the City of Orono ox any df its dep y q i �ou to furn�sh certiaxn �xiva�e or confidentia�. in�ormation. � You are notified that: l. The informa�ion y�u fuznish w�ll be used �c determine your qua�.�.fication for the per�nit er lic�nse xeQuested. 2. Xou may refuB� to su�p1Y data, buti refusal may req�ire that the C�.�y deny the pe�i� ar l�cense. 3. The in�ormati,on may b� shared with other :� �cal , e�� e� f e d e�a l �gencies to �he eXt�nt neregsaz� to process the p licens�. 4, �f your r�quested germit or �.ic�nse zec�uir�g Councii activn to approve, some ��format�Qn may become pub�.ic. �. You have certain righr� uncler M.S. 13.�4 to r��'-ew priva�e data on yourself. 6. YouX �u3.1 name is requ�.rec3 t�� �rocess �khis app�ication or � perm�.t. _ �J��?A-�✓�- .9 I9-!r��5 �pv` S oc� F�rst Middle a�� i �'0 ,°G o C L�� � c� 5 PAddress � �LC�oaL►�-�"� �� _ �11� ��� 2� City State �iP ���` �(P Phone � Y understand my rights as stated above. � � � Signature � � sC wORKS—a�3•7359 � BUILDING�tONiNC—473•7357 � AUMlNISTRATtON d2 FINANCE—477•7338 • pV�� �►SSESSiNC D TE TIME CITY OF ORONO CALLED IN .� �� INSPECTION NOTIC SCHEDULED si �'S _9;.�� PERMIT NO. �6 COMPLETED �- ���— ADDRESS OWNER CONTR. TELEPHONE NO. ���'�(o/.� e � DESCRIPTION_._/f'�i��1, = � 01 FOOTING 11 MECHANICAL RI 18 IXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHOREM/ETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FI L 14 SEWER HOOK-UP 06 PROGRESS � EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C j O � � O � W � Q � Z W � W � � � ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext' spection 24 hours in advance.473-7357 OwneriContra o n si e Inspector. '� Whlte CopyAnspector's Flle Cenary CopylSite Notice