HomeMy WebLinkAbout1993-005167 - tearing off �. PEI�MIT
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VITY OF ORONO PE�RMIT TYPE: _
2750 Kelley Parkway • P.O. Box 815 `"_''.==�i('�=�
Orono. Minnesota 55356-0815 Permit Number: ::;;;��;,,-,�
(612) 473-7357 Date Issued: ;�;c;�•�;;���:_;
SITE ADDRESS:
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A ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� ~ CITY OF OR0:70 - BIIII,DING PERMIT APPI�ICATION
Dat� Received:
^otal Fee: $
Date Approved:
Entered By: Perr.titT:
AT•T• INFORMATION MIIST BS SIIBMITTED IN FULL BEFORESe�N �vIEW W��' BE STARTED
(See Check o�f List ________________.
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TI�E AppyICANT I5_ ( circle one) O��TNER o� CONTR.AC-TS?�-
.�� �f-}�\J`-� ���-�"f'�-��- ��. Z IP:
JOB SITE ADDRSSS.
(work)
. �D j; I��--� PHONE: (home)�������
NAML OF OWNER'� ���
MASLING �D�SS: ��� c�
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PHorrE: ��� �l� �
CONZ'RACTOR: �
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zzx� ���ss: !-1 LfZ � I���-1��0������ cz�: � �Nn��n�i l-� zzP: �S,S��
STATE LICENSE: �
PHONE-
ARCHITECT/ENGINEER=
CITYs ZIP:
MAII,ING ADDRESS:
R.EGISTRATSON a
N�:
Accessory Structure Niove �
TYPE OF WORR: New Addition Land Alteration
Demo
Remodel/Alteration Renovate
P�tOPOS
ED WORR (describe in detail) � ��'L'�U�� ��� �� �� � �i��
-� — �-I I N�L��
STORIES:
� SQ. FEET OF EACH FLOOR: �O��
NO. OF BEDROOMS: GAR.AGE STAI.LS: ATT. DET.
EST
IMATED CONSTRIICTSON VALIIATION (ezcluding land3 - $ �`���
I hereby apply for a building permit and I acknowledge that the informaticr
above i s comp l ete and accurate; that the work wi 11 be in conf ormance wi�ha�hE
ordinances and codes of the��iand work ishnot to start without a permit; anc
understand this is not a perm ce with the anproved plan. �
that the work wil 1 be in ac o I
l �->
�
/ DATE:� � �
APPLICANT'S SIGNATII�tE:
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�`;'''�`�`` Post Office Box 66•Crystai Bay,Minnesota 55323•hlunicipal Offices
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�. _ � � o� On the North Shore of Lake Minnetonka
DATA PRNAC�' ADVISaRY
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 will be used to determine your
aualification for the permit or license 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 other local , 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 inforntation may become �ublic.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your fu3.l name is required to proc�ss this application or
per•nit.
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First Middle Last
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City State Z�P
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Phone
I u er t my rights as stated above.
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BCJILDING& ZONING—473-7357
� ADMINISTRATION&FINANCE — �3%3-7358 • PL'BLIC WORKS —473-7359
ASSESSING
DATE TIME �
CITY OF ORONO CALlE01N � -��-.�3 `''� ` Ov
INSPECTION NOTICE SCHEDULED � /- 3 � �.3�
PERMIT NO. �� COMPLETED �� K
ADDRESS d 7 C�/
OWNER CONTR. (XX-�D
TELEPHONE NO. �73 � �-�� �
� DESCRIPTION -
� 01 FOOTING 11 MEC ANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVICRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 W BD. 12 WATER HOOK-UP 34 TREE REMOVAL
= 05 FINAL � 13 METER SETITURN QN 17 SITE iNSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
'� 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENT :
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W WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �,+ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALI INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
OwnerlCon act o ite:
Inspector.
White Copylinspector's ile Canary CopylSite Notice