HomeMy WebLinkAbout1988-001148 (building) . �M
� ERMIT
'� , • ��ON� PERMIT TYPE: �;t�I;.._i�.�,i�,���
�� -.�uth•P.O. BOX 66 Permit Number: t?�-�_ ��~�=
�" �, nn�nnesota 55323 Date Issued: �-����'��=�!�=��-�
(b���4�.s-7357
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FEE SUMMARY:
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CONTRACTOR: ---- ;�����i i�.�.�it. --- �WNER: t���^ �.
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CITY OF ORONO PERMIT TYPE: ��t���--Ul�`j�
1335 Brown Rd.South•P.O. BOX 66 Permit Number: `-';}� � `�'=;
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Crystal Bay, Minnesota 55323 Date Issued: - � '�i�''`'
(612)473-7357
SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: "�"°�F�� OF �JIfORK:
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. CITY OF ORONO - BIIILDING PSRMIT APPLICATION
Total Fee: $ Date Received: � � ��
Date Approved: �
Permit#: Project#:
Building Permit Application Requirements :
1. Building permit application - to be filled out completely and signed
2. 2 sets of construction plans to include the following:
a) F�.00r pZans ;
b) Footing and foundation plan;
c) Elevations (of all sides) ;
d) Wall sections and cross sections;
e) Details - stairs and any special connections.
3. Certificate of survey with location of existing and proposed
structures including hardcover calculations and grading and drainage
plans as required.
4 . Energy calculations - form provided.
5. Septic report and design if required.
ABOVE INFORMATION MIIST BE SDBMITTED IN FOLL BEFORE PLAN REVIEW WILL BE STARTED
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SI1'$ ADDRESS: �s�� ��i�C�� � ��/'��4-'- ZIP:
PROPERTY IDENTIFICATION NO. :
(work) 33�--�z-r�c�
NAME OF OWNER: ��'-rt'c�� J U���,z�G;� PHONE: (home)
MAILING ADDRESS: /S��S � � d c� ��� CITY: ���Lt�{ � ZIP:
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CONTRACTOR: Cs�I�t �i1•.3'�1`+'-u-c-�'�-6L1 PHONE: ��S " �ST"�'�
MAILING ADDRESS: �3�a S�` � cC�.': CITY: �1.'�{��-� ZIP� `� I��
ARCHITECT: � PHONE: `
MAILING ADDRESS: CITY: ZIP:
TYP$ OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSSD OSE (describe in detail) : � - r���` '"l��-�-J C' — /��� `� �'�
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STORIES: f SQ. FEET OF EACH FLOOR: � I SC'�/�f'-�'%�
NO. OF BBDROOIKS: � GARAGE STAI.I,S: ATT. '-"' DET. ��
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SSTIMATED CONSTRDCTION VALDATION (excluding land) : $ ��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 per it and work is not to start without a permit; and
that the work wi l i be�i .�,�c rda with the approved plan.
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APPLICANT'S SIGNAT'fJRE: � � <<=� �-��� �i.>� ) '��� /%t, � bATE: ��� 2� �'
(Pleas fii1L ou e reve e si e of this �orm)
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�aF ����,�� �.. Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Officea
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a`-°' �y v�'�'�`° On the North Shore of Lake Minnetonka
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�� � �� ��� DATA_ �RIVACY 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:
l. The information you furnish will be used to determine your
����� qualification for the permit or license requested.
��' ut refusal ma require that
�� 2. You may refuse to supply data, b Y
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
Iicense.
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.
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I understand my rights �. :�'�ated above.
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Signatur
BU[LDING&ZONING—473-7357 • ADMWIST.',�:"''�"� FINANCE—473-7358 • PUBLIC WORKS —473-7359
A3SESSING
DAT� ��'T'Nl€ �
CI OF QRONO CALLED IN _ I " u U
INSPECTION NOTIC fI SCHEDULED �- ���'`--
PERMIT NO. l`T COMPLETED � �
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ADDRESS 5
OWNER V TR.
TELEPHONE NO. ,3��=)�-OC7
j; ❑ FOOTING ❑ MECHANICAL RI ❑SITE WELL
~ ❑ FRAMING � MECHANICAL FINAL ❑WELLTEST PUMP
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� C INSULATION ❑ FIREPLACE/WOOD BURNER ❑ EXCAVIGRADINGIFILLING
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Q WALL BD. ❑WATER HOOK-UP ❑ LAKESHORFJWETLANDS
Z FINAL ❑ METER SETITURN ON ❑TREE REMOVAL
Q u DEMO—SITE ❑ SEWER HOOK-UP ❑ SITE INSPECTION
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� ❑ DEMO—FINAI ❑ SEPTIC MAINT. ❑ PROGRESS
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Q ❑ PLUMBING RI ❑ SEPTIC INSTALL. ❑ COMPLAINT
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_ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
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GW �WORK SATISFACTORY:PROCEED C PHOTO TAKEN
� CORRECT WORK&PROCEED ❑ CITATION ISSUED
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� C CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
� BEFORECOVERING ❑ ISSUECERTIFICATEOFOCCUPANCY
❑CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on 'te:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice