HomeMy WebLinkAbout1990-003238 - replace win/repairs " � r� I �
� PERMIT
CITY OF ORONO PERMIT TYPE: �:t;I�.�slh•It�
1335 Brown Rd. South • P.O. Box 66 Permit Number: '-'`r=�y-"=
Crystal Bay, Minnesota 55323 Date Issued: `''�`l�'i'j�"'"
(612) 473-7357
SITE ADDRESS:
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CONTRACTOR: OWN,�R• -- �'�`F" �``''' � �—
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APPLIC PEHP��ITEEStGNATURE ISSUEDBY:SIGNATURE ��
' CITY OF ORONO - BIIILDING PERMIT APPLICATION
l Total Fee: $ �� � � Date Received: ,���' -� y�'
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' Date Approved: y "�� �y4
� Entered By: �-�'J
i Permit#: �� ��
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+ ALL INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED
� ----------------------------------- --------------------------------------�-.
? THE APPLICANT IS: (circle one) ER or CONTRACTOR
� J"OB SITE ADDRESS: I 3�� �rd � � � � �' ZIP: �j1 � 3 /�
(work) 5��i'� y9�'r
NAME OF OWNER: � I�� I� a. PHONE: (home) �f z� �-/77�
MAILING ADDRESS:1 3 9 S^ ,Y�r o�-�•t.,� ,� �° ' CITY: �� �"�- Z IP: SS 3 ��L_
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate �-Land Alteration
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PROPOSED WORR (describe in detai 1) : �,�Lu.c� �f �^.�O a�.-�—
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STORIES:�_ SQ. FEET OF EACH FLOOR: ��/9 P� S� , 7 �P� -S �
NO. OF BEDROOMS:�`� GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ d o , 0 D / Do � 4 D
I hereby apply for a building permit and I acknowledge that the informati
above is complete and accurate; that the work will be in conformance with t_
ordinances and codes of the City and with the State Building Code; that
understand this is not a permit and work is not to start without a permit; a•
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: ^ DATE: ��/O - 9 a
__ (Please fill t he re rse side of �this form) _
_ .. ��l
�I7�Y of UROl\T�
Post Office Box 66•Crystal Bay,Minnesota 55323�Municipal Offices
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� On the North Shore of Lake Minnetonka
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� DATA PRIVACY 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:
1. The information you furnish will be used to� determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other �ocal , state or
federal agencies to the extent necessary to process the permit or
license.
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 reguired to process
this application or permit.
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First Middle Last
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Address
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City State Zip
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Phone
I understand my rights as stated above.
�
�
Signature
- _ _ . _ . . . _ - -
BUILDING&ZONING—473-7357 � ADMINISTRAT'ION&FINANCE—473-7358 • PUBLIC WORKS—473•7359__`__
A3SESSING
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC � SCHEDULED
PERMIT NO. �- COMPLETED
ADDRESS 1���� �`, .��'�-� t!S r� ��a.
OWNER� CONTR.
.
TELEPHONE NO.
' ' 4 �
� DESCRIPTION `� t�'� N t��1S � �+�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
05 F 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� Cl CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pH0T0 TAKEN
INSPECTOR WILLRETURN
❑ STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next i s ' n 24 hours in advance 473-7357
Owner/Con r si
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Inspector.
White Copylinspector's File Canary Copy/Site Notice