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HomeMy WebLinkAbout1993-005048 - re-side PEI�M�; -. - CITY OF ORONO ' PE�iMIT TYPE: -':?!�_;' ' ���= 2750 Kelley Parkway • P.O. Box 815 �_�f'�`�`����-�_' Permit Number: 1 -i:�f=;�_; Orono, Minnesota 55356-0815 - •• -� (612) 473-7357 Date Issued: SITE ADDRESS: s=,�_� ;_:�:_;t_:_� �=�,_����- ���_, l_°=.� ��. I . �`4t. � .�!_�_�,. j r_jt"`—�_',,�`—:}(tt_},i DESCRIPTION: r ;;�--�?�;E �':tai 3f��1?°� 3=`�.�i�ffl3.;. �',Yr�� '.��j=-��}i;:`±=iL(•j?ii;�:�i �;}�.��. t i_{=�`j'j ��t:�i i'���-:; ���'-4_-' f*?J—����.��� !'�!k' !!i !?�'!!elt?' L•i 1 ! L'! VliL�lTtl �i'r.r:iaii= :�t z i_ ' ! 17Y!'77TL•L L'! ! J.t.:L+.•. I- —T i fit.r}i!i t 1�J1J1 V�iV��V fF* i LAf V.l UL/t ��c. T':'.''�eli!{}flii SiLif..VVVlV REMARKS: `:i "" `= ?M'Li17'6' !t Q::a L•1lL415 !L LJ�..'c1`.:� f=�!'�fll!_'�J�d�A: ::ilii }1LL•L1! J !I/f'�!(!\ !V1J :4'.+:ti ii} .+'t}f'T ?ii)� i!iarY ttt�fd:L'TV 6•Vl'1 t1V1 !1+J•L�1 •f:i :� :iU d FEE SUMMARY: t�;' :;.: �;��� `'"i`" "' �:'�` ��T_ t ��, '��=y�:i ��=t1C �';��' ��_;�, , d_it:i •_ ._ • -� - -. ._.S_�f?-'��i=i t'`�t=' �.• t,i: ---------.�.����. �r_r t.�� �-�F� ��-::�: , :-t) -- -i - - � Cf�1�F�'�"��:`y`"=; �.�.:�'t��r._�;i�,v �i���? �3NN�3�� �:�;'y%:F ��i r .i 1 �?fvt�Y'F 1�.� .�_.`_ �_i�i�'�,r+! ���.����1�I d iLF I�rF'��'!_�: �:,�;!i{�F ��ij�# ��,:=;F;`� I_;f�'t�;tai:� :�j;�� ��:�;_�� i:i�1�.,=? �-:;�t;s—;�,°:�h? i:�,��,;=i,.�?_;—'�?;�,:� "!'f-(� t{h.:��iE�;'_;�C;����? I-1��;F fi;`t �i�t�'i_;�'=��'r� F�':"';�':�T:�;'.�:T€-it�Y ���.� ��:�'€��.E T�-!,� !=:E�t.>t� T t�El�'�i_ii?F.���t.:`I"'= ;_���[_i •T�. "-- !; �,[I � �:ti -'i-f-+-, �{1 `[-i �� � F 1 si;;'t.� - �3 ��•E r*. r :-��;=,�f-:� �' ':.ji':�- i� i r i i I_ 7 ��� 3 If- .... I.�•✓1 2'i i�.� : f ..�e'�.S._:..__ �.1_ {"�._.__ ��3:.•. ���i ' 1 L•� ' ' ��� f'?�'.v�_. v1 s ! ��� {"��t_.. '•1 � . !_ # i i..t.'I't _�i~'� : C ir.. t':�fi�:'u:" _sI_I y.: i"iI SFl i,i I,i:I�'i f �6''� �.�".l�iFj.i'S(�'�'!�!'l I �.; . 4,i{=�;i�lfi;'t,# i_I��;j-i f.�°.�i;_l�_,:�.`,`.�; i!�,_� _. . N . .._ �_.!� ._ �..._. . � �' _ :. .. . . _. _:V-- •- • � � . J � ��!���12� APPLICANT/PE MIT SIGNATUFE ISSUED BY:SIGNATURE �,Q�cJ CITY OF ORONO - BUIZ�i2�.�- PER�IIT APPI,ICATION Total Fee: $ b�_� 4' �' Date Received: Date Approved: (/�"`.� Entered By: �` Permit tt: 7� '�,� AI�L INFORMATION MUST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEY+1 WIZ`I' B$ STARTED (See Check-aff List Encl.osed) ------- ------------------------- THE APPLICANT IS: (circle one) Oti�TNER Qr CONTRACTOR ' _ . - � � � � ZIP: `� _� _� % � � JOB SITE ADDRSSS: - � ���� ' ' �� � � � ' � (work) `�' PHONE: (home) � �-� i^�-',�c� NAME OF OWNER: `�� %�% l C � ���'` •�� �� �.! " ( CITY: �.,,,�,���� �-_� ZIP: ?� _>�`j ,,/ MATI�ING ADDRESS: ��� �-� ,� % �i���c ✓/ Jt� r i� � r' � PHONE: ; -,C- "G- j F-= ' CONTRACTOR: r�� /� r, �7 t •�� � '�'�, � ? � ZIP: `_�5 j� �j. � ) '�,--� l/, � � .a CITY:%�,�� �'' C •, MAII�ING ADDRESS: ``o '� � C�;� STATE LICENSE: # �C` � 7 A.RCHITECT/ENGINEER: � � <'- ` PHONE: - MAIZING ADDRESSs " CSTY: -- ZIP: -.__. ___ REGISTR�TION z _ N�: Move � TYPE OF WORR: New Addition�` Renovatery StruLandeAlteration Demo Remodei/Alteration � � , � PROPOSED woxx (describe in detail).: � �=�� '�' � � �" '`%�' -L-�"� 5 'y� / ,- , � �i�, �j1� �� /./�/�` /��1�-�/�� �.� i���/ i - STORIES: � SQ. FEET OF EACH FLOORs �' GARAGE STAL.I�S: ATT. -� DET. i NO. OF BEDROOMS: C%' ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ��� �_� `��� I hereby apply for a building permit and I acknowledge that the informatior. above is complete and accurate; that the work will. be in conformance with th�.�� 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; and that the work will be in accordance with the approved plan. � � � � % - `� ' � / � �l' C,�� j�, ( /� �(1� �� DATE: ��� � � APPZICANT'S SIGNP,TIIE2E: + � t` � '. , � � w�: = �I'T�' O� OROIlTO � Post Office Box 66�Crystal Bay,Minnesota 55323•Municipal Offices • s _ � v On the North Shore of Lake Minnetonka DATA PRNACY ADVISORY In accordance with M.S. 13.04 , Subd. 2 , "Rights of sub erm t or data", we would like to inform you that your request for a p 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: l. The information you furnish will be used to determine your qualification for the permit or Iicense requested. 2. You may refuse to suppl.y data, but refusa3 may require that the City deny the permit or license. 3. The information may be shared with other local. , s�a�e or f ederal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Council act�or_ to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6 . Your full name is required to proc�ss this application or permit. 1_ , 1 � � l; ,� i �C �`, , c... � `___.. .,l ; /t c Las� First Middle , � > � <� _ � � � �."��-,� � �/ �c �,- i Address � . , � � �� '°� j ?� �/ �, _ � . "j �i� C C���� � c , i- � - City State Zip �� �/ , - / ,� ;. ( `�'�-�� � Phone I understand my rights as stated above. f`/ / / `,s ; ' ° J , � _�l / C�-�lG �r,�, �, �'�/ C � �---� /��' ( �� , Signature ' BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—�373-7358 • PUBLIC H'ORKS—473-7359 ASSESSIN G �/ ATE TIME CITY OF ORONO CALLED IN �'r't�9-3 INSPECTION NOTICE SCHEDULED �11/y� � PERMIT N0. _ '�"'%�� coM ETED << �I ADDRESS �\ �� a'� OWNER � CONTR.�����-�� � TELEPHONENO. �'�3 "��GO .�.c„>.,�� , � � DESCRIPTION ����i_,�._, � 01 FOOTING MECHANICAL RI 16 WEL�TEST PUMP Q RAM�NG 11 MECHANICALFINAL 18EXCAV/GRADING/FILLING � 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION h 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINA� Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � �. a � � �� � �s�S � G� �1 U o ti �l -C �� � �iJ � (�� — e �� �v a � '� ;� �� � � � � ��c E' G'C - S� �vt C�1 � C ��Ct (.c.�c � 1 S t�CC `t b o Q � '� � W � � , ��Zea �c.- ce,v `�r� tio�.�s� � � ���-r � �t ��s e��- b �^� � �; t � S c� z W � W � j d �ORKSATISFACTORY:PROCEED C; PROJECTCOMPLETE W � 17 CORRECT WORK 8 PROCEED '= ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. L, pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR i CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContra�or o lsite: Inspector. � � - ���� White Copyllnspector's File Canary Copy/Site Notice � DATEr TIME CITY OF ORONO CALLED IN �d��y� INSPECTION NOTICE SCHEDULED - � ' ` 3 �' PERMIT NO. !i U �f � COMPLETED �� 4I ADDRESS �-��' �� � ����/.��'-� /` � � �C OWNER l' .��-�-'��`-�' CONTR. I�U GC��_��r�-c-�u-C_.4,� TELEPHONE NO. �' �3 � t ���`�� CG�-� �������z-� v � DESCRIPTION �"" ,d,c�e{�1L � 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 5 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT Q = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP � 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO Z � COMMENTS: � W � � J O a � O � W � Q � Z W � W � j d WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ❑CORRECT WORK 8 PROCEED W � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �` pHOTO TAKEN INSPECTOR WIIL RETURN C STOP ORDER POSTED.CALL INSPECTOH �' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next' spection 24 hours in advance.47�73rJ7 OwnerlContrac o on 't : Inspector. - White Copyllnspector's File Canary CopylSite Notice