HomeMy WebLinkAbout1988-001119 - building � _ �- \ ��
CITY OF ORONC� PERMIT TYPE: �;i�t s� �J;;�i;;
1335 Brown Rd.South•P.O.BOX 66 Permit Number: "�?� 1 �='
Crystal Bay, Minnesota 55323 Date Issued: E-7:-�t'�'�fj;=��=�
(612)473-7357
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SITE ADDRESS:
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DESCRIPTION:
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CITY OF ORONO PERMIT TYPE: �=_�f��—f�r�`�`�
1335 Brown Rd.South•P.O.BOX 66 Permit Number: `'='� ' ��
•:_?'rj I+1.`�/J�=:_
Crystal Bay, Minnesota 55323 Date Issued:
(612)473-7357
SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK:
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CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Permit#:� Project#:
Building Permit Application Requirements: �
1. Building permit application - to be filled out completely and signed
2. 2 sets of construction plans to include the following:
a) Floor plans;
b) Footing and foundation plan;
c) Elevations (of all sides) ;
d) Wall sections and cross sections;
e) Details - stairs and any special connections.
3. Certificate of survey with Iocation of existing and proposed
structures including hardcover calculations and grading and drainage
plans as required.
4 . Energy calculations - form provided.
5. Septic report and design if required.
ABOVE INFORMATION MUST BI3 SIIBMITT� IN FOLL BSFORE PLAN REVIEW WILL BE STARTED
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: � � J �e,C�e�WO�� �C ZIP:
PROPERTY IDENTIFICATION NO. :
I c (work)
NAME OF OWNffit: n e 1�, �V�G1 {�,�� JO V� PHONE: (home)
MAILING ADDRESS: � �� 4.�e��t'�Q�� CITY: rjCp11�� ZIP:
Jq (p S 0
CONTRACTOR: ���� ��J 2��, C' � PHONE: �f' I D �
MAILING ADDRESS: �p� Z O� CITY: ���V�c��J vy�'i1M\2IP: �CI.O 6�
ARCHITECT: PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED DSB (describe in detail) ��C1 �� �2'(�OO"� L� �� S�.-� '� l .
STORI$S:�� SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET.�
$STIMATED CONSTRDCTION VALDATION (excluding land) : $ �Q� �
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 will be in accordance with the approved plan.
APPLICANT'S SIGNATURB: DATE: �' �q `-��
(Please fill out th reverse side of this form)
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� ,„}f ��,T Q�l���t��' ''x�' Post Office Box 66•Crystal Bay,Minnesota 553Z3•Municipal Offices
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� _ v 0 . On the North Shore of Lake Minnetonka
� � D1�,��.A_PRIVACY ADVISORY
In accordance with M.S. 15.165, "Rights of subjects of data", we
would Iike 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 germit 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 local , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some infarmation 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.
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_ _ . . . _._.-- ___ ._ _._. ._..._--- __.---.--._ . __
First Middle Last
Address
_ . __ _-. __..__....__ -- --- - ... ._.._. __ ._.. .. __. - __ . __. ..____ --.--------... .
City State Zip
Phone
I understand my righfi:.a as stated above.
-- _. --- _ ._.. . _W�_a
Signature
BUILUtNG&ZONING—473-7357 • tt[�At"JCS'ri2A1'ION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
A3SESSING
DATE TIMFa
CITY OF ORONO � CALLED IN ' '� ?C%''�"`�
INSPECTION NOTI - E SCHEDULED - ' .
PERMIT NO. � connP�ErE�_ - f��fl
ADDRESS L�6��
OWNER ,�l'1���.Sa�-�� CONTR. —
TELEPHONE NO. _3 —" a5�/ S�
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
� FRAMING O PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION O MECHANICAL ❑ IAKESHORE/WETLANDS
� O WA�L BD. O WATER HOOKUP O LICENSING
tl� ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS � SEWER HOOKUP ❑ FOLLOWUP
y ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAI
Q ❑ FIRE PREV. O SEPTIC MAINT. O FIREPLACE/WOOD BURNER
� O LL TEST PUMP ❑
Q COMMENTS: 'e '
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W WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
❑ CORRECT WORK&PROCEED
V ❑ CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
'-J CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WII.L RETURN.
❑ STOP ORDER POSTED.CA�I INSPECTOR.
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr site
I nspector 473'73rJ1
White/Inspector's File Canary/Site Notice