HomeMy WebLinkAbout1991-003888 (remodel) PERMIT
CITY OF ORONO PERMITTYPE: �;�4���};j�,��
1335�Brown Rd. South • P.O. Box 66 Permit Number: si�:r:;;�;��;i=;
Crystal Say, Minnesota 55323 Date Issued: i 3;w::`�.�,:�_;�
(�612) 473-7357 _ -
SITE ADDRESS:
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APPUCANT�PERMITEE SIGNATURE ISSUED BY SIGNATURE
CITY OF ORONO - BIIILDING PERMIT APPLICATION
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Total Fee: $ Date Received•
� �- � Date Approved:
Entered By:
Permit#:
ALL INFORMATION MDST BE SIIBMITTED IN FIILL BSFORE PLAN REVIEW WILL BE STARTED
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: ��D ��W v/� � ZIP:^�3J /l
Ct�a y-��a��� �I�r �
(work)
N1�ME OF OWNER: r�l rI l_J�f�� PHONE: (home)
MAILING ADDRESS: ��I/ � L .�E' O �/✓�C�C _ CITY: (�f/� G/ ZIP: ^�
CONTRACTOR: ����i�� PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORR (describe in detail) : � ��G� '" �a�l/1��� �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STAI,LS: ATT. DET. -�
y�y,2y= �ti�� %� �b��
/�- o�
ESTIMATED CONSTRDCTION VALUATION (excluding land) : $ iC�G�� 1 �`ji��
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 Fermit and work is not to start without a permit; and
that the work will be in accordance with the ap�roved plan.
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APPLICANT'S SIGNATQRE: DATE: U /�
lPlease fill out the reverse side of this form)
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_ ; ��l riv-•L K .H �ITY of �ROloTO _ .
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.i 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__PR_IVACY 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 Iicense 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 Iocal , state or
federal agencies to the extent necessary to process the permit or
�icense.
4. If your requested permit or license requires Council action
to approve, some inf ormation 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 as stated above.
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Signature
BUILDING&ZONING—473-i 35 i • ADMINISTRA770N&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIti G
IDE�i'1FICATIOa OF PRE�l��E� �������Q � -
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Approved Addresses Shall Be Dispiayed, i
Plainly Visible And Le�iale From The '
Street Fronting Th� Property . �, .�;
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� DATE� TIME �
CITY OF ORONO CALLED IN �d / - �/ �� �� �,
INSPECTION NO ICE SCHEDULED �d-lG�-yl �
PERMIT NO. COMPLETED � LI
ADDRESS `� �� L' � �
OWNER �i .Po�C_�-�-� CONTR. � �-�,-��
TELEPHONE NO. y 7 � - C'� �i�I
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 BD. 12 WATER HOOK-UP 34 TREE REMOVA�
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
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? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPT C FINAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac�o�on,sit • �
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�_� � DATE ,J TIME
CITY OF ORONO CALLED IN � �/ /�• `��rw
INSPECTION NOTICE ,( �� SCHEDULED '� - � lJ '— 3�
PERMIT NO. ��,'J� COMPLETED ��
ADDRESS . ��`�J "' "/�.�� _.(���
OWNER �S j���LP��.2�-�,��CONTR.
TELEPHONENO. ��� � �-�=�a%%� �;�
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� DESCRIPTION,.����-z-� _-�`"-/S�'�� (�
�U 01 F4911C�l.,G 11 MECHANICAL RI 16 WELLTEST PUMP
Q `02 FRAMING�� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Q
Z 04 WALL B0. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 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
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALI INSPECTOR
❑ GTATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCon o site:
Inspector.
White Copyllnspector's File Canary CopylSite Nofice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE_�, � ., - SCHEDULED _3-�t/ (D�o0
PERMIT NO. "�-' '� COMPLETED � G�
ADDRESS ��S �r�,� C�`r �
OWNER CONTR.
TELEPHONE NO. 47 r d�B 7
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FFAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
��1SULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. L, PHOTOTAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra site:
Inspector.
White Copyll�spector's File Canary CopylSite Notice