HomeMy WebLinkAbout1993-005518 (building) P�:��I;�IIT
CITY OF ORONO PERMIT TYPE: �
2750 Kelle Parkwa • P.O. Box 815 ��`•� ` s�T F•�r;
y y Permit Number: ,._.,:�;_:;4`��^:
Orono, Minnesota 55356-0815 - - -�= =
(612) 473-7357 Date�ssued: ^,:�,:� -:::�::;
SITE ADDRESS:
, .�+;���:, r:;�'=���==i �`��i r�,� f;;�
r:�.�
= . _ . :. . . '�:`i;—i 1. :—_..._ ^':!—..t3;�,� �
DESCRIPTION:
�i�:=:T;}�i'_:t�l�:I;'=f�`.�;s�;
�=}1l11.��1i�!'� . .=1�fi'�3T. �`;�=N -:j'_''ri���..tr'�'.L�'y�_I�i��
�:l.�l 1 ! �_�1]`;r::! �i i}"•r:; �V��t-' ���--. I,i 1 Y
� _. .-a�.i.-.
_ . � . . -'i _ . .... . .
{
� � � �� . _.__.. _._. _�it: � ..
,'�y _'
REMARKS:
FEE SUMMARY:
;�r�;_:_!r��r�+�h; ��1`� ,�:�t��:=
�;�•;� i=�� '�;.`�i; , �_��_f
�:���^L`�rc i'�a=• ------• a�� �::
;yi_t�';_: E '� �;'f: �:f i
. . __. .`c'__ . __ . . _. .
CONTRACTOR: — ,�;;_��i ={_L��£t. — :=i . �_��:= .OWNER:
�,�.__.: ._ . _. _ _ _
.... �.,_..,
.. .... . .,._ `_-:�f I.! �,tLri:-� �.�:�{i� 3 ;;,. _;�.���� �'r. =G i-:zi-i`:-•��"i . �"E�_��';F=i`•_
il 3 '-� ]r�i-�� (.., j' ��I'1 1� -:! f ir�
. _ _ �.�_ _i,'�:—! €�i�; --——- _�:—_:��� �-'_:�t"�s T �
i:E%�._�� C ��l��,��:TPy' hi :£:�!L:== "'�_"�'"' i u��•:�r t
t:s .___ . ._. �'�- . _ _. _. _. _. f_I��,i_i,JE_! ��'� _. . _.�;.
t• - -._ . . . . :i`. - `f�ll-- - • -
_:.,, ir.. .,;.,...�._..�r.�s _. .rr, � _ _ :v...:-!' t�' _ - _ --
;.�.t +�� . _. t 't=r..r 1 =i :.�..:=:�t C:_., � 'sC:�::r"��� i:�[:F+.` '` 'i!i'4 E�i 3 t:7[<p��i- !;. ;! rri#— !i'��.t'"s;—iti
. . :C �,,:,i.__}":•_ _ _s�'•......__ . .�"_�`.�_:..: . a•:___,_._.__. _. . ... �:.i.W _�i.�_.. _. . . ._ ."�� . ._`._! . _.. '�t_. _. �`_�
'�''::i�j�- �:wl��: j�t{•:li_i !;i=t,.'�E=.� . `_t i�,'ti_: � ,,+_.. �.ui ;?+.'7`., ��''� _;�'�=T�_..' 3_���`��"�`._1.'s-tl`,�;_.:',: t:j� �i'S f-$'.._�__ ti i i '{ l�I;�
. ,
L !;�I v! i # ` t�6 #�i = � ':31'� '- , ri ; _, ! # - €�.4�.�".."i._� � , � �-! t �j s�. _ i.._`�i�, t",C' _'i���:-'�;t`'�i i _. . �
...I ._. ...�.3... _.. .. .. ......._. . . ._., _.� !� . f* _.�__. _ . .!
/
APPLICANT/PERMITEE SIG TU E ISSUED BY:SIGNATURE
� �
CITY OF ORONO - BUIZ�DING PERMIT APPZ,ICATION
Total Fee• $ �( �� ��� Date Received:
Date Approved:
Entered By: � �� -
Permit tt: '�>`�! Y
ALL INFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Encl.osed)
------------------------
TgE APPLICANT IS: (circle one) O��TNER o CONTRACTOR�
JOB SITE ADDRESS: �J o2L �C�-Q.�L� ��'��� �'��� ZIP:
(work)
i C�
NAME OF OWNER: I 2 �f 1 /"�—" PHONE: (home) `�z� ` r �' ��
MAILING ADDRESS: ���� CI�: ZIP:
CON
TRACTOR: ...J� �Z I�GI�L O E f2 S c.�-/1-' �— PHONE: 7 /� � �� �
MAILING ADDR.ESS: �� �� �"�0�������� CITY: ��'�� �G��'�-- ZIP: � � �
STATE LICENSE: � ��� �"
ARCHITECT/ENGINEER- ���L��� t PHONE: �
MAIZING ADDRESS: CITY: ZIP:
N��_ REGISTRATION tt
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration_�, Renovate Land Alteration
PROPOSED WORR (describe in detail) _ �\�''�- �-- ��' �� � �����'' C��J -
�� ��� �L � CJ�'l ��:�-� U , � ��'_r�r�-ti -
f !
STORIES: ` Z- SQ. FEET OF EACH FI+OORs
NO. OF BEDROOMS: 7 GARAGE STALLS: ATT. DET. �
ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ �� �Cj'�
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 a rdance with the app roved plan.
, /� ��
� �
� � Z�� �� DATE: �
APPLICANT'S SIGNATDRE:
i
� �..
�.�� ,
�.
��.
''�� �
A>..
�.� ������� C�'�Y o� ��ONO
��.,r
0�1 ' Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
!
i _ � � On the North Shore of Lake Minnetonka
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
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. 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 Iicense.
3. The information may be shared with oth=�r essCthe permit or
federal agencies to the extent necessary to p
license.
4. If your requested permit or Iicense requires Councii ac�io%
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review grivate
data on yourself.
6. Your full name is required to proc�ss this application or
permit.
First
Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN ��^ �I -�7'3
INSPECTION NOTICE SCHEDULED /v—i� :3 G
PERMIT NO. �f�Fl COMPLETED i� �_
ADDRESS�S�c�U -� �
OWNER �'/l�Lln CONTR. /�2.�i-,_ �d`/1i1�
TELEPHONE NO. �7..3 � � �`'`�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
FRAMING 11 MECHANICALFINAL 18EXCAVIGRADINGIFILLING
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
�
J
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
j
W� �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra te:
Inspector. �
White Copyllnspector's F'e Canary CopylSite Notice