HomeMy WebLinkAbout1992-004723 - tearing off � . } PERMI'I
CITY OF ORONO PERMIT TYPE: �:;��j_��,�f:�R=
1335 Brown Rd. South • P.O. Box 66 Permit Number: �:�s%a-7��_;
Crystal Bay, Minnesota 55323 Date Issued: �.�.f:`�t F!'-'i
(612) 473-7357
SITE ADDRESS:
�°��i�:� t=!'a°=;��:�3 F`E:I t�a? �'�
.FF�
�'. I . �I. _ �=i�—� �.�'—��:=,—_:�—E}i�F.i�
DESCRIPTION:
TF"�:F;i E�i{� 3:;F i�
E�i�i. ?��i��� ;=����,;i t. i=r�ti `r;F—�€��_;h�t•i{±i�+�!.-
�:i�j, fi{j,if� E�i;'f;.',s' '(�VC,� �+:�`�i;_s�+�'
t�Y i+L .'!ill�Al!!
V1 f I V! UIIVlfV
t 1�t(r'tRt:'= i 3L�7l��
! d1�Rltl.•L 1J! ! AL�L
7 i9��ili}ijftit �
1Jial1VV1.•VV f7
V.L Vt1fi LaIJ�VV
1tLLL1�VVV�� �
t�l VL7� t�VV}
Lrf 1LLr�• !L Vi:a VY
t_%=�.''L TfJT_'�ilhei& 4°f�}I f
/1LLL1! ! 1!!l71T11 !L'L
7�li..r/uVt'L 4VV'1 17jV1 !1J'il_
;,��
REMARKS: '�`���`vf"
FEE SUMMARY:
V�aL�_st���'i�lr•! �.�,iii;:;
��i�Y �=t=' �Si_':.� , f 1CJ
'=;�a•�r : . - :
.'ji� ��, (i�i
__.1 !ct E _ ---------.L.ay....�
!;_��.d Z �'�� t f-�5 , {"}i j
CONTRACTOR: OWNER: � �F'�'� ?��i}#� —
i•1t��TIh!'=;��N .;���iY
._���;i 3 i:F����(;.:��1 �'�_?I�T �;�'3
't41f=����i�TH it�1 ��;°�1
�.:�.—;r�.'�._
�;; — ------- ----_____-------------
'�;;; ..fLJ�" ' ��"�' l�.:.,1'_!3 hS,__ � ��t.._,.:;_��_�'y �;�G"�}� ;L_'.�+_ '�,._+_� �'.- - 2 1}� 7'! ; �j' t�'a_ '('t�j t- '_''� `P.1 `h+'I 1i1�;�.��� 7" �
. ! i.� . 'L v�t ._ � *3�� t_��si....iJ f•.i_���i?_� !�Lt'-.1 E � .� ' �f� f •.� �Sii_'�:'•.ir. 1 3 3.^ �.t�?'f.Y _: 7� ... f f_.�� I �_'
� :«• x '..__....�. ._; 2 . _ ...�.. _. _. . .,�. t _. . ... _. _. `
__ ` __
-,� t. i = i '. I _z�,t �-= ! 1�� i;l�I �-`� � �'�_��'*�• 1�`�f i !'��'� E ' �t ��(�`�.._1 f:['�l�C.. ',�j � �'' ��� f:� _': �` �_��
_ �. . .. �:__. f:}v.., i�. :,_ .
��` '�i;-�'i..ii'••;E i = I�'!.1 7 i`!�i;`V`r�;`•:� f-ii!�'•_1 _��:i � � '_??` t'��1;�€I�ii`._;# ;����-i ,����.��_i._f;,i`3f� {_I IIJ� t':a`__�s��_�i�"i��'�w_�`� !•-
_ ._ _ _ ', ^ , , �
�� ! 1 r` �
� � i?��
APPLICANT% ERMITEE SIGNATURE ISSUED BY:SIGNATURE
t �
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By:
Permit�:
AT•T• INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI� BB STARTED
(See Check-off List Enclosed)
--------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: a"��� �W 8�Yl �-G+ ZIp' � �� �
(work) 4�10 3�`O�,
N� OF OWNER• � �, �h� �S PHONE: (home) �`7 ( � � 2�--
—?
MAII,ING ADDRESS: �aw« CITY: W�-/�-a� ZIP: .�3 °f �
CONTRI�CTOR: PH��'
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PH��'
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION �
TYPE OF WORR: New Addition Accessor�/Structure Move
Demo Remodel/Alteration Renovate N Land Alteration
PROPOSED WORR (describe in detail) :��'J �OC�c�2— {"'6t�-
STORIES: Z SQ. FEET OF EACH FZ�OORs � g d �
NO. OF BEDROOMS: � GARAGE STAI�LS: ATT. Z DET. Z
ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ � �
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 approved plan. ,
APPLICANT'S SIGNATORE: + DATE: � �~ ����'`
� i
��
�����.�»�
`n3.. �. �1��" ';:,
� %�
����� � �1�.� �i��� O� �����
�s �� �. ?,..�
� ��� ;��
�:�. �
G ` -�=°-�ryy Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
y `:'.4
• �e ��
o ' e o �� 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
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 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 Iocal , s�ate or
federal. agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii 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.
,��yv' Qs �o�;v� d�r` , S
First Middle Last
c� ` � �.o�c�
Cu.s �.-0 9 r v�,
Address
1�� � �� 5�3 � 1 —
City State Z1p
4 -� i g c�Zz
Phone
I understand my rights as stated above.
� ^
Signatu
�
BUILDINC&ZONING—473-7357
• ADMINISTRATION&FINANCE — �73-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
✓
DATE TIME
CITY OF ORONO CALLED IN ,[/"���
INSPECTION NOTICE SCHEDULED %/ — /� �
PERMIT NO. ��1�--3 COMPLETED
ADDRESS :�9 f G� C�-d�¢.��o ��� /C�/�'
OWNER �17����n-�.tii CONTR. '-
TELEPHONE NO. y ��� ��� d
� DESCRIPTION 0� � --Y�U�
lt� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q FINAL� 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
�
J Vv
O
�
�
O
ti
W
�
Q
�
Z
W
�
W
�
�
d ORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� [7 CORRECT WORK&PROCEED f=' ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
f7 CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next nspection 24 hours in advance.473-7357
OwnerlContr to n i :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
v�
DATE TI E
CITY OF ORONO CALLED IN ��� d�' �1��" �`�
INSPECTION NOTIC _� � ` SCHEOULED /��-� � - `���' 3..3c:� '�``'
PERMIT NO. -� �� � COMPLETED � 1,�
ADDRESS �`J��' ��c"-c� ��� ��(�
OWN ER �i �;�'--_�c.�t�-� CONTR.
TELEPHONE NO. ��% �' " X�� `°`' ;—'
� DESCRIPTION ��� '`--"�•��
� 01 F 11 M HANICAL RI 76 WELLTEST PUMP
Q 2 FRAMING ; 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 031NS TION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 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
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d �WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
W
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. i J PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �-'CITATION ISSUED
❑ WSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contr r o�ite:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice