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HomeMy WebLinkAbout1992-004592 - add/remodel T� ,T- ` _ `-r_. . � `. \ " _ �.. 1 � �ERMIT 4 ����� ��" ���IVV @—`�a4avs3 � i , t-i�. i335 Brown Rd. South • P.O. Box 66 PermitNumber: ��tj������'�`-' Crystal Bay, Minnesota 55323 Date Issued: ��;;fiF.�,��-� (612) 473-7357 SITE ADDRESS: �.��� �;�'�i��Jh� �;C� � :TE� F�. � . n�. . t�_:—� ��—�_:—:�i—c�i���:<:° DESCRIPTION: _ _ �E—Rfrs�:fF!T�(�f; �:��� E,cail��in�� 1='���rr�it. 1'Y��� �_;�=—;�;f,_:,:y��?�1{�;_'=i-- �c�x7. ��_�;,.� �'r�i��:: Tvc�� �;F:—�;�-f►_;�=� -- _ -- -:t=rrA::i y11� t L'! y/1VJY1.T 1�i 1 tnl�+LrL Vl=l�1 L•L .t;��;��t:?YGti :� G�� :�.'.vv fi;:.��:��n��n 1LiLt V V ��j ;:it� ,.�.�;; lr��.�� • T1 i:` r�� L•f i 1 L . e��V ltLirLl�! !1�1t1� t.u�� ii:tiL::i iri/� f'(ti+1 �,(('}i :•}s?=:i T►ii'V7VL 4Vt�1 )1Y1 t V6!'Tr - !!1f!°S i.J i�". � VV:a,.1Jl t ' _. ___�...__.____..'.._____.___ . . REMARKS: __--------_ _.____ . __- - ___ _ _ _ _ _ FEE SUMMARY: VFiLt1�3T.T�f�l`! �?,i,i:;l:� E��se FeY ���t}, i;t_� :=:��r c���t��� ---------��:��;i r T�_�t..�1 F�r ��s:=� . ��_� -- _ ------__.__. __ _ _ CONTRACTOFi: - A�=F�1 i c L�7t- - OWNER: F'L1'�l�_�t j�"H Fi�.i����I NC� f�?:::=::�;'�7 :Ti:iH��_:��t� t:r. .r.�_+_�i!�_ 1��i;:� L:(I r 1� .�� �.`!� ��fii i�.��� �{� �_� F'LYMi�til�"H IyIN ����.7 Li i�lt� LA�`.E ?�'fP� ��:�,��. � t:r,i�:? �.7:�—_;:_<<�7 .�7.5—��;t:_,.5 . -----_ __ ___ . __ ____ ... ____ _ _----____--_.._ ____ __ _--�_...� ---.._ ---------------____—____. _ .___.-------, I � � ' TE-iE ljh�C7��;:=,t�;P�#EF} �-��F��=�:� �;����-s�`�:T'�: �'E!;!�s��,:�;��:�I;t i�r� ;�f���::� TH� REfiL I t�:�'�;i i'�EC'#E t�T'�. ':�'��.�I F I � r�I�D as;��;EE'=� T�� �ii�� �LL +�?��z�;��:: i td '..:`��;I�;T c_:i it3#='L I r�t�C:E ��l I TH ��L t�:I TY ��i= �.. .._�. ."�+ �r ����`��;€v�:�:_; �;€`��i '_;;"�TE �_�� t�!I��ih�}��=;�_�Tt� F:t�I L=��I P�C� E:�_;C.i� �Ei,t J I FiEt�Et�!!'�:. � r— ,. r� /V_, �.,, —� ..� , APPLICANT/PER EE SIGNATURE ISSUED BY:SIGNATURE � CITY OF CRC:IO - BUILDI�IG FE��ST APPI,IC�TION Date Received: :.ta1 Fe=: $ Da�e ADD?"O�i 2C: i _t@r2� nV: �' - %. . � Pe�it; y'��> / .:�_ �,'.. INFORI�IATION MIIST BE SIIBMITTED IN FDLL BEFORE PI,�'�N RE�7IEW WII.� BE STARTED (See Check-off List Enclasa� ------------- ------------------- �-------- -------------------------- �E APPLICANT IS� (circle one ) O�+T;�ER or�CONTP.ACmOR _� � —; JB SITE ADDRSSS: l /�j �• ���'(-�-'� ������ � ZIP: (work) --� � r, � �j, ../;i� - /�. � % � (��,�w%,� r ,��-�_ ,, �.���"' i'l� (;�,.� PHONE: (home f � � _` �ME OF OWNER: - )�' "� �' �'.� , , \ ��,�� CITY: mj�X�-; l�� ZIP: 'AII,ING ADDRESS: 1 ��l� �� l.��J�I� ��`. - " 17� �; ,•-�:- ��'7 � � � PHONE:��� ' - ! -�j '� i �NTRAC�'CR: 1 �.-�u bv11.v�.,�•.VL 1�e�1 t �-"��'7 � n �� .�� � CIfiY. I �..;,�:°�ll�j!�1Jf1'i ZIP: 'c -�f�� i ?�.II,ZNG ADDRESS:t � � o� �� - ;`�,f l('� � j � � T�.TE LICT�`ISE: - � . _. � PHONE: :CHSTECT/ENGSNEER: �'�IZING ADDR.ESS= CITY: ZIP: �MF_ REGISTRATION - ''PE OF T70RR: �7ew Addition Accessory Structure riove Demo R�*nodel/Alteration Renovate Lar.d Alteration 'be in detail) a+ :itf'Jt�t��� C;�i��,9,',� �i'li,�-�'? !�T,� ,i((�y�^ Y� � � :.�`��" �OPOSED WORR (descrz . , � �` _� ! ��� ; � ��� 7�� � ��� (' � �� ,��' (�i('���1 " ���D I�`'• �.,11�iJ.�� C�C", � V;.��`�-f :_f' � 1'r• .. ��� ��' � . �.l� �% - (f'A..��. ;11� t �) ,� x � � • ,� - _ . ,.�j ,, i,��/.%r�r�-S �/�, d.,� A.�(,A.�I�S-I' �:(`. , l_� _, - .� , ; � ,�: v ',1"�V1�a �° /yJ��� /���(.v ''ij j�_,�/%' , - � _ , _. - °'ORSES s SQ. FEET OF EACH FZ,OOR: )_ pg BEDROOMS: Gt'�RAGE STAI.LS: ATT. DE'�'. ;�",!-- .3TIMATED CONSTRIICTION VALUATION (ezciuding Iand) : 5 � �'��'-' hereby apply for a building permit and I ac?cncw�e�ge that the in�or=nzt'on �ove is complete and accurate; that the work wil _ be in conforinance with the -dinances and codes of the City and with the S�.ate Buil.ding Code; that 7derstand this is not a permit and work is not y-c start without a per:nit; and lat the work will be in accordance with the Papo�ved plan. 1 / _._ � , i _ . , �, F_ � / �- r _ � .. � , � �� l, � �� ; �., � ' i /�' �� DATE: � ?PI,ICANT'S SIGT�IATDRE: '; �` , � �_ - _ � _ - � � ���'�' �� ����'� t a Posi Office Box 66•Crystal Bay, Minnesota 5�323•'dunicipal Offices 0 : � - � g On the Nortfz Shore of Lake l�finnetanka DATA PRSVACY ADVISORY In accordance with M.S. I.3.04, 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 confidentiaZ information. You are notified that: I. The information you furnish will be used to determine your cua�.izication for the pe?-:nit or Iicense recuested. 2. vou r,iay refuse to supp?y data, but re=usal may reQuire that the City deny the permit or I.icense. � . The inf ormation may be s'r.ared w;tn ot:�er Ioca I , s�a�e or f ederal agencies to the extent necessary to process tne pe?-mit or ?icense. a. If your requested per.:.it or Iicense _equires Councii ac��or_ to a�prove, some infor:nation may become public. 5 . You have certain rignts under ri.S. 13.0� to rev_ew private data on yourself. 6. Your full name is required to p�ocess this appZication or per•nit. �_ � , -� r ; ; I � � '� ' ,�.�(��4r�� ;'''�; !`��,, I �� i,,"1 � (��� £�irst Midd�e Las� . � ,; � � -' �_' . � ,1�, �_;�� � ��i Address 1---- t ' � ��� �+ I 1 /' �, �._ �;- � , ,-� � f�� � U.;�:�, � , ,, City State Zip , r-; ; . ._. i" ' - < � `% Phone I understand my rights as $ta�ed �bove. �, �, � j � , t � � � . �/ / _�v ' � Si na u e - � . Bl,'ILDI�'G& ZOti'1`G - 473-7357 • ADJfINlSTRATION& FIV��NCE - 4%3-73=3 • PUBLIC WORKS -473-7359 ASSESSIVG DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE• scHEou�Eo � PERMIT N0. �� COMPLETED ADDRESS����Z-d j�,,f n� . ��t1 . OWN ER CONTR. TELEPHONE NO. � DESCRIPTION � L� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � \ 7"B�10f0 D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 0 -SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 Z � COMMENTS: � W � � J O a � O � W � Q ti Z W � W � � d ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W � ❑CORRECT WORK&PROCEED ; SSUE CERTIFICATE OF OCCUPANCY W O �l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-7357 OwnerlCont cto on s' : Inspector. White Copy/lnspector's File anary CopylSite Notice