HomeMy WebLinkAbout1984-5431f- swim pool CITY of OIZOl�O PERMIT N� [ 5431 I
Building Permit �
DATE ISSUED �'��- Sr�f
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS �7�5 Bd�N �OiNT I�Oa�
�� /n LEGAL DESCR IPTION: PROP. ID. _ /(o % / � r} 3 �S �O DS�
�' LOT BLOCK SUBDIVISION
FIRE ZONE
WNER (Name) (Address) (Phone)
VAR. DATE — j j �j,��� '
'"' ARCHITECT/ENGINEER — M st Certify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
'� �Firm) (Address) (Phone)
LOT AREA
c� A�. �
WIDTH DEPTH BUILDER (Firm) (Address) (Phoane_.�
fi �'t' df (� � � � �`T�"�'Ot�D
PROPOSED SETBACKS `'/D5 U CC3.. � / �
FRONT R.SIDE TYPE OF WORK e Addition Remodel enovate
r Q �.i-
REAR L.SIDE �pp
,� �
CONST. TYPE BLDG. SIZE EST. CONST. VALUATION
LAKE WETLANDS
i' ••• L. W. Ht. I J ��� ,12�
ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES
� " BLDG. PERMIT ,$ O
NEW EXISTING � DWELL. BDRMS/FLR
AGENCY-APP V. DATE UNITS STATE FEE �
CITY GAR.STALLS SEPTIC
ATT.
APP. DATE PLAN REVIEW 1 �O
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT OCC. SAC CHARGE
C LASS.
STORIES COUNCIL ^
APP. DATE TOTAL DUE � �,�• OV
REMARKS: (,3 �LRST� C V U < o�t7 ALL
,�r /�r���m���,4KD coU�� ��r►-.�-t-�
INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT
__�FOOTING before pour SEPARATE PERMITS
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
FINAL before occupancy
SEPTIC
MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM
WATER
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STA'
GRADING& FILLING
INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS.
CALL8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State A�
Signature 'V V� �' �+
C�PY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT �� ��
PINK—ASSESSOR Arrroved d� • � ` C
C I I7 OF ORO_�0
' � �LIT_D�'�G F�:�:?•,IT �.�PLIC%-.TIOI�
BU11.D]WG PfY*tIT AYYL7f.AT101d RFOUIRE'fFNTS
?.FGuirec.ents to be handc>d in with P,uilding Prrmit Application: Construction Plans should include:
1) Building Pern�it Application - to be filled out 6 signed a) First floor plan
2) Mechanical Pennit Applicatfon 6 Ca7culation filled ou[ b) Footing & foundation plan
3) Energy Calculations - filled out c) Elevations (of all sides)
4) Furnish Septic Report 6 Design d) Wall sections & cross sections
S) Furnish a Certifica[e of Survey e) Details - stairs and any special connections
6) Furnish ,Z sets of Constructlon Plans:
e) 1 set for City to keep on file
b) 1 set for builder to use on site
THE ABOVE INFORMATION MUST BE SUBMITTED BEFORE PI.AN REVIEW IS DONE
Work beyond or without a required inspection will be subject to a penalty
CIT2' l'SE O.�LY SIl�� r'._»f:�SS ,��� ��''c��l'� (7�1�✓L f �� �'l�-C'Y�rJ F�iIL/) �`j �`�%�
E3UILDI.`:G PEicT'IT --- - ---- --- ---
N 0. DATE LEGAL DESCRIPTION:PROP.ID.
LOT BLOCK SUBDIVISION .
z�•.i�:G DISTRICT� WNER (Name� (Address) (Phone)
- :_z�E Tcez.��", '���'...�� :C����4� . - �'«<�z-. _ t. ,��.� :_:,t-�,hc, � ��3�/
ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & I dustrial Construction Plans
.-'. ,^,aTE
� ERT.NO.
_��.^ lSE D�TE �, (Firm) (Address) (Phone)
_�'t F EA J. � ��v
Ac_ .r � � �� � /� �11�0:1�7`/�1.y'i
r. �'H + DEPTH�� .. — / C.1 L (� ��) �/ .
��' � ' BUILD (Firm) (Address) (Phone) S�-� ��I.�
__.Y-c;:J SETBt.CKS
='�.1 P..StDE�� �
r
==sF. LSiDE �
..-..� -- TYPE OF WORK New Addition Remodel Renovate
_+� � wETL�NDS
p �
-_�=5S
a£K /�EXiS71NG ti CONST. TYPE BLDG.SIZE EST.CONST.VALUATION .
"�_ "-A�OFiQV_DATE
�'�Y L. W. Ht. /� S �?`' .�t�J
�,n?Y
RESIDENTIA STORIES B 1 2 3 REMARKS_ `��� � � , ��� ,
'_a:F
' =`==v�""T DWELL. BORMS/FLR �` '
UNITS
� �,����,- ,
_ GAR.STALLS SEPTIC
PEF.�ir FEES � A� APP. DATE ' ��� '"� ���
n'�� Pe�.41T
D ET.
g'a;;FEE �'`• DOCK
i'_lA ccylEK �
_=a+..Tr
NON-RESID. PROPOSED USE
�s4c FEE
� �CC.
S+;CK�qGE CLASS. • �
STORIES COUNCIL
TOT.aL DUE , •
APP. DATE
tpSiFCT10N REDUIREO WORK REOUIRING T'he undersi ned hereb rrakes a lication for a building
�noT�tic..�a.�,,, SEPARATE PEHMITS 8 Y pp
�,,,,.,,,,�,o„o,,,, permit for the work described, agrees Co do all work in strict
M.SLLATiOM IIUMBIHG accordance with the ordinances of the City of Orono and rulings
..w��ao�now�a.r.,�,� MECMANICA� of the State Building Code Division, and declares that all
c.ww�e.�a„a,.,,,r,, wE`� fac[s and represen[acions stated herein are true and correc .
sF vT ic
•OW R�E�Ow�D OR w�RhOUT A RE� SEWCH / 1
�
A�P:ft r.4�ERiOti nlll BE SU6 � �� � �������fj��,������/�
WATER �
�_?��.ITG�E wa.L7Y ���
'.�Y'ER�04'OIJRS �J17751 GRADING6FILUNG �
U}��-u.� ��.sr.�..r.�. Date Signature
U�L�� � �w.I�.Y.NEXT�AY ELECTHIUL Irom Sul�
� - ,�-� 9- �� - ��
CHECR OFF LIST FOR ISSUANCE OF PERMITS
Address : •
� s d� .�
Initial Area of Review Remarks
Building Code Review �
► 1
��_ Zoning Review E-�-, ��� �� ��
:::^ (2 Tj f C'�Y�1��, ~`t� v.'E"° �.,1`�.,�!'.�E' 5::. �`:
�d?U 1 V� 'T-1� 'TN"�' 3"►°! C, l?"
Access µ.,,�L ��V�- � �
a) State
b) Hennepin County
c) City (Public Works Dept)
-- d ) Private Roads
(Public Works Dept)
Utilities (Public Works Department)
— a) Sewer
b) Water
Septic Review �
MCWD
LMCD
Special Grading Review
Engineer ' s Review
Attorney' s Review
Special Assessments
Things to be noted on the permit:
�JAM TJJ �MPG � JRG � DMH
I
_�� TIME
CITY OF ORONO cA��E�-iN
INSPECTION NOTICE SCHEDULED ���� -�
PERMIT NO. coMP�ETEo �
ADDRESS ��0�_7 �(�j�15 �f ,�C�✓
O W N E R ��t;c.-r��,�/vn ct.s�� CO N T R�� �
TELEPHONE NO. / 5/7/��/�S� � ''
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSING
W ❑ FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. O FOLLOW-UP
� ❑ DEMOL. p SEPTIC MAINT. ❑ SEPTIC FINAL
O ❑ FIRE PREV. ❑ WELL TEST PUMP ❑ FIREPL E/WOOD BURNER
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Q COMMENTS:
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W WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
O
O CORRECT WORK& PROCEED
V � CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
�
I nspector �� 413-7357
hite Copy/Inspector's File Gold Copy/Site Notice