HomeMy WebLinkAbout1992-004537 - tear-off �
� . PERMIT -
��ITY OF ORONO PERMIT TYPE: �,�,���I���.�
' ',35 Brown Rd. South • P.O. Box 66 Permit Number: t�t i �
Crystal Bay, Minnesota 55323 Date Issued: e7::�i�:�;l��t
(612) 473-7357
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — A�=�1 i c��+t. — OWNER:
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APPLICANT PERMITEE SIG ATURE ISSUED BY:SIGNATURE
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� CITY OF ORONO - BUIZDI�IG PERi�iIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: u,
Permit tt.
AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILZ� BEFOR.E PI�AN REVIEW WILL BB STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) 0�+7NER o ONTR CTO
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JOB SITE ADDRBSS: � ��% �''
(wo r3c)
�f� �: PHONE: (home) 7` � ' �S^/
N� OF OWNER: �
MAII,ING ADDRESS 4��l�����^�J ��'� ' CITY: (�/'.p�'>sl- ZIP: JS`�G�
CONTRl�CTOR: /� ��-� PHONE: '��Y ��� Y
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MAILING ADD 5�57�� �) �Cl�• �� �c�C� � _ CITY:�.�'�i''u�c,/��� _ ZIP: ��-���
1 7
STATE LICENSE: � �G� S � _
ARCHITECT/ENGINEER: PH��'
MAII.ING ADDRESS: CITY: ZIP:
p�: R.E6ISTRATION n
TYPE OF WORR: New Addition Accessory Structure riove
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : '� -�'�'� �� `��
STORIES:�_ SQ. FE$T OF EACH FLO�R:
NO. OF BEDROOMS: GARAGE STALI,Ss ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � 7 b �• Gv
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 SIGNATOItL�
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?�., � ' Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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s: � �_ � �� 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:
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 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. ac��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 process this application or
pe�-mit.
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F rst Middle ast
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Address
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City State Zip
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Phone
I understand my rights as stated above.
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nature .
BUILDING& ZONING —d73-7357 � ADAi1NISTRATION&FIN.�NCE—473-7358 • PUBLIC WORKS —473-73�9
ASSESSING
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DATE, TIME
CITY OF ORONO CALLED IN " '�� ` u 3��� �'y
INSPECTION NOTICE SCHEDULED '' -�'� d �'►
PERMIT NO. 5 �7 COMPL TED `�
ADDRESS ��� v � :�9—�-�>
OWNER �lLc�t�.. CONTR. vc '
TELEPHONE NO. �7`�� 3 ���-- �
� DESCRIPTION � �
� 01 F� 11 MECH AL RI 16 WEL�TEST PUMP
Q 02 FRAMIN 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 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 FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED pROJECT COMPLETE
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� ❑CORRECT WORK R PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
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Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- PHOTOTAKEN
INSPECTOR WiLL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR
C'. CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contr site:
Inspector.
White Copyllnspector' File Canary CopylSite Notice