HomeMy WebLinkAbout1992-004869 (siding) -
- PERMIT
� CITY OF ORONO PERMIT TYPE: Ec!?�!_i:�:I�d�_
1335 Brown Rd. South • P.O. Box 66 Permit Number: '-'t'`'�='=,�=
Crystal Bay, Minnesota 55323 Date Issued: ��=�� '`''��_''=
(612) 473-7357
SITE ADDRESS:
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APPLICANT-PERM1 E SIGNA URE ISSUED 9Y SIGNATURE ,C,�J
� CITY OF ORONO - BUILDING PER�iIT APPLICATION
Total Fee• $ j�. Date Received:
Date Approved: _
Entered By: '/ u,
Permit,r.
AT•T• INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WI71L BE STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) OG�INER or CGNTRACTOR
JOB SITE ADDR$SS: ��S� �J'1 %�sl� �� � �_ ZIP:
(work)
� ��E'�`' j��C��1 PHONE: (home)
NAME OF OWNER: �E' G� I i -
MATZING ADDRESS: CITY: ZIP:
CONTRACTOR: ��U��.,� �'��31.� ,'� �� PHor�: S�� �'i'�_
MAILING ADDRESS:�(]/ �U{�/Tr�� ,� CITY: ,l�:��/ 1 � /�� ZIP: 5 Z
STATE LICENSE: # / Gi �� (�
ARCHITECT/ENGINEER: Pg��'
MAILING ADDRESS: CITY: ZIP:
N�ME: REGISTRATION tt
TYPE OF WORR: New Addition Accessory Structure MovF �
Demo Remodel/Alteration Renovate Land Alteration_
PROPOSED WORR (describe in detail) : �l /� �"�%U 5� � ����' �
STORIES: SQ. FEET OF EACH FLO�Rs
NO. OF BEDROOMS: GARAGE STAI�I�S: ATT. DET.
u�
ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ � '3�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 SIGNATDRE: � DATE: f
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���y Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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`�� "�� ` ; " Orc the North Shore of Lake Minnetonka
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DATA PRNACY 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
yau to furnish certain private or confidential information.
You are notified that:
l. The information you furnish wil. l be used to determine your
qual.ification for the permit or Iicense requested.
2. You may refuse to suppl.y data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be snared with other Iocal , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii actior.
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.
�' � /��-' L� S �o �Xr�,L
First Middle Last
��l%� Do!/���-s �� �i
Address
�� ,�UGsCLY� �ff�� 55 �� �
City State Zip
� 33 -� � ��
Phone
I understand my rights as stated above.
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Signature
Bt!ILD[NG&ZONING—473-7357
• ADMINISTRATION&FINANCE--173-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �2-2i-g 2 (7�(�i^,
PERMIT NO. H���� COMPLETED I 2�`�-�" `�Z �~�'C%
ADDRESS ���� BI�yS1 �F
OWNER rc cc �'�=r'�-r� � �� CONTR. D��.:;..;c�: CL�-y.i—
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W�`�'WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto on site;,,
inspector. '
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