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HomeMy WebLinkAbout1990-002940 - renovate/remodel PERMIT CITY OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 ��;��������� Permit Number ::,�i',�'�,:ii� Crystal Bay, Minnesota 55323 Date Issued: i:ir.;`i;�;;==;ii (612) 473-7357 SITE ADDRESS: ;.�_;�, ��EDEt��,��Fiiu �!� i L�� F'. I . ��i . �i�—i 17—�:�'.--1;;=—t=ii)i:�' DESCRIPTION: � i fi.!i h i T i'!".T j�: %�..t'll_{ �iV t �� t•_� , �.��i 1��i�-��� �'���ri,i t. T f F�e °3�-�i�tl�I�.�t•13i;�i�(� E��.�i 1�=1it-i�� i�+�.�t�r:: T;�s� ��:i�f���'v'i-�TEi�ir�'iy=�C:EL. .,,-.{.t: r�z r:+-�„�'J ' j,,.y ! 1 L�t �11�U1 .. .�.1�:?A.!'L ''sL�Tf'`C . �.h�;r��y4�- 've i iv� � �'31teli�tf n .1.�'1J1L'1.'V1lV fi j .•[I! `a,'i� Jtf! vy jau� �v.w � '�'� :=•it�titr� � iL�,::�c'vv�vv ��t 7 !=�1 a�J V ...._�.; V 1 VL �i} =11 �•L'i.1 i� .v .ti i..t rL� . ��L�_'��....�' Aif�' �t�!:1� e;%4:�a.ii r i��t*�v 1T; .:#� �: i��%��•�.: �.�'viri �ivi �.�,��5. ;�k REMARKS: `�`"``'� :�� FEE SUMMARY: Viy�t!tyT I f.i��l �1 ,i iiji i ��•���e F�� �=ts i ,i x_� :�:i�i'C�`f�t 1'3� --___.___ _�.��,�C3 . ���•�.+I F�e Y�_;.:i. �,i's CONTRACTOFi: -- i��sF�1 i ci�i�t. -- OWNER: �"i=�3-!�l�F �lT'3�[{.��TE}"� ! .�.���4`� �•�.i �,Li7L�.�,���� �i._1��i_�1� �ii���l�� �N�t�.�, �t}' 'i={ /"� }'' -•� $'�L ��f'•.f"1 {-1�� �,r�i:! ���L.r�L..��{t� I{J i�U3 E h�=��`��i�:�F t�t,( �:_=,��;1 ir;�;+���4;ri i���i E.=.:=:�t. .=��.�_:E �i�?..-s-?5� �------ ---------------_.-- ----- � � r .-r„-.T iG r:r� . -•r�� r�,--. - - ,� �. �,.. •.:- _-t� : t�:-t-,-. �; i�-�� :1��is,��._.f�:��E�s F��_!-,.�E:�k' fic��t=�c�� .� r�*i'r`�i I':�'��i�_Etd TE=} ��i=t��::� �f~•t #��-:r'=!z_ i;;.-i-,'�_.k'=i�=E_,� ! ._ �` ='F=��=I F I;v(� �it�l�.� i=�t��'tiEE`�; Ti i i1 f:i ;�;_t_ :�+;;=�F:: L i�� _;'T�t i i=:'i c:i Ei 13='1...i t=i�'di=c �a i T;�� k';�._� �=i ;Y �si= "'h ' 1' T k f '""s..• .. i Y ' T::• f':� T i j' �� ' i T C..r..��., . .�. [�I*�}_.�I�It_� 1_{�"1L�1 F'+{t-��t�.•i_�� f-I���t `��!"�� C I_.1�- i`i,�t,�E ,___.I.i � !-{ C,t�1 L��3 l4ii +•{_ti,,: �l:-,(<<% f fii�,. i�i�r', ! '- , � _,_} ___ � c�-, �,S APPLICANT;PERMIT IGNATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ Date Received: Date Approved: Entered By: Permit#: o29yU ALL INFORMATION MDST BE SIIBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED ------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: ��� ���'����v��� ��. ZIP: ,j��,j�p (work) NAME OF OWNER: ���� ��j��� PHONE: (home) MAILING ADDRESS: !�l�� i%���2��� CITY: ��C,�� ZIP: v�s.3��o CONTRACTOR: 1�...�i�/�'RJ /<-,T��C��`'r/�� �. PHONE: �G ` ,� MAILING ADDRESS: ��!�� � CITY: � ZIP: `��3� TYPE OF WORR: New Addition Accessory Structure Move Demo�` Remodel/Alteration Renovate Land Alteration PROPOSED WORR (describe in detail) : �1���0 L/��~�'1i6�l2. 1�7Ll� /2f� - �!/�L/U� ���0�=�0� STORIES:�_ SQ. FEET OF EACH FLOOR: / �OO NO. OF BEDROOMS:�, GARAGB STALLS: ATT. DET. � ESTIMATED CONSTROCTION VALIIATION (excluding land) : $ � B � �� �� I hereby app ly for a bui lding permit and I acknowledge that the informatio: above is complete and accurate; that the work will be in conformance with thF 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; anc that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE:��� DATS: ���` �� (Please fill out the reverse side of this form) ��4f�'���Tk _ �!'`�` .L d'��r��.r , t �,. ��+T�` f r �..:'. a.az;ad"a �a �, s 7 . G���f������f�`�:� CITY o� OIiONO �_.,;}�N�f.�_� ��'.ti..,.�,c�f,,,�:�' ��`�-; Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices h��� 'i�Q'"Y`j�:'�.., .. � � ��� Yy: Y ,-F": On the North Shore of Lake Minnetonka v - • ��::- � DATA__PRIVACY ADVISORY In accordance with M.S. 15.165, "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 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 �icense. 3. The information may be shared with other local , state or federal agencies to the extent necessary to process the permit or Zicense. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 15.165 to review private data on yourself. 6. Your full name, and date of birth are required to process this application or permit. /�����'�',f� ,Gv�C-�S � � - -- - - - First ���� Middle Last --�"�- .`�- `.�t�. .___ _---- .. . _ -_ -�-'�----�"�-.--.--�___.__._ .. ._ __ ----_ . ._ . ..___ Address ��CL_'��_-�_ __GD�-- - ._._..___`�-.-- -- -S�S3��--- ._.-----�-- City State Zip . _h�7�_._�_7_.�-__r__�_.___.___ .__.__ _...---------- Phone I understand my rights as stated above. -------__. .___ ..-----.--__ . Signature BUILBiNG�ZONING—473-7357 • ADMINISTRATION�FINANCE—473-7358 • PUBLIC WORKS-473-7359 A3SESSING � DATE TIME CITY OF ORONO CALLED IN � �- `I�' INSPECTION NOTICE SCHEDULED l�- �- ��7 � �' PERMIT NO. ��`� ���� connP�ErE� 4_ �% ADDRESS � �� �G'�E�-c�`-cr�''�--' OWNER ����.✓� ,��-�.- CONTR. �����i'i�'J �r'�'Lc-�,.�,:tu:�� TELEPHONE NO. �''� ?`� � ��'� � j: ❑ FOOTING ❑ MECHANICALRI G SITEWELL ~ ❑ FRAMING ❑ MECHANICALFINAL ❑WELLTESTPUMP W � ❑ INSULATION ❑ FIREPLACE/WOOD BURNER G EXCAV/GRADING/FILLING � Q ❑WALL BD. ❑WATER HOOK-UP � LAKESHORFJWETLANDS Z G FINAL ❑ METER SETITURN ON ❑TREE REMOVAL � I�DEMO—SITE ❑ SEWER HOOK-UP �SITE INSPECTION � G DEMO—FINAL C7 SEPTIC MAINT. ❑ PROGRESS J Q G PLUMBING RI ❑ SEPTIC INSTALL. ❑ COMPLAINT W _ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP J � COMMENT : � �S O i�' � W a � J O �. � O � W � Q � Z W � W � � d i�WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN W � i CORRECT WORK&PROCEED ❑ CITATION ISSUED W Q �. CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE � BEFORECOVERING ❑ ISSUECERTIFlCATEOFOCCUPANCY ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY INSPECTOR WILL RETURN PERMANENT C7 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-7357 OwnerlContra r o�site: Inspector. U White Copyllnspector's File Canary CopylSite Notice