HomeMy WebLinkAbout1993-004912 (shed) PERMIT
� CITY OF ORONO PERMIT TYPE: �,, ���;�����_;
1335 Brown Rd. South • P.O. Box 66 Permit Number: -
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Crystal Bay, Minnesota 55323 Date Issued: - -
(612) 473-7357 f s� �J.�'V�.,��-�
SITE ADDRESS:
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CONTRACTOR: OWNER: — Ff=�;�l i c�;�-�{. —
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATUR�
� � CITY OF ORONO - BUILDING PER�iIT APPLICATION
Total Fee: $ ' � Date Received:
Date Approved:
Entered By: 91 �
Permit�:
AT•T• INFORMATION M�ST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI. B$ STARTED
(See Check-off List Enclosed)
----------------------------------------------
THE APPLICANT IS: (circle one) O��INER or CONTRACTOR
JOB SITE ADDR$SS: �JO��-�+��0 C�' �t/ 4��r ZIP: ���/�
(work)
NAME OF OWNER: �r�Q�f 1/� ��� PHONE: (home) �'��/���%
MAILING ADDRESS: 3J�� ( !lS�D C���4 CITY: Q ZIP: �,f�9�
CONTRACTOR: — pH���
MAII�ING ADDRESS: CITY: ZIP:
� STATE LICENSE: #
ARCHITECT/ENGINEER: ^� PHONE:
MAII,ING ADDRESS: CITY: ZIP:
NAML: REGISTRATION n
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodei/Alteration Renovate Land Alteration
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PROPOSED WORR (describe in detail) : �����K v"Ov�' J'(r � �( �
STORIES: SQ. FEET OF EACH FZOOR: ��
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �Q�� 6 4a
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 wil 1 be in accordance with the aporoved plan. �
APPLICANT'S SIGNATDRE: /� � / DATE:��a'' ��
7 lU//�� l(,(C'<G� �'1 /n � �f ,�/��'Or�/� l�S�7`OJitI�S, ���f /.S �'1/l�l�� . . .
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t,::-.�� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of
data", we would Iike 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 wi3.1 be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other Iocal , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or I.icense requires Councii actior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to procass this application or
permit.
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First
Middle Last
��o� �'�a i�� -
Address G��
h � (
Cit State Zip
%J��dB�
Phone
I understand my rights as stated above.
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Signature � �
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
v DATE TIME
CITY OF ORONO CALLED IN ' � � � � I�'l,
INSPECTION NOTICE �. SCHEDULED –oz`�- 3 l:? ' c�a%�-
PERMIT NO. ��I/_T COMPLETED �, �_
ADDRESS .� aJ d � �:Z�`.t� C.-�-�
OWNER �'���- CONTR. �����>--��
TELEPHONE NO. '?` �I' ��--�� J �
� DESCRIPTION `'�-C_ � �C���-- � =�y�J
� O7 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� �4 12 WATER HOOK-UP 34 TREE REMOVAL
Z
05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
EMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBiNG FINAL 23 SEPTIC FINA�
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �WORKSATISFACTORY:PROCEED ��= PROJECTCOMPLETE
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W1� CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� L 7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r qr#site:
Inspector. -U
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