HomeMy WebLinkAboutLA info-1990 DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. connP�E ED � 9 ^��
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OWNER CONTR.
TELEPHONE NO.
j; U FOOT�NG ❑ MECHANICAL RI ❑ SITE WELL
~ ❑ FRAMING ❑ MECHANICAL FINAL ❑WELLTEST PUMP
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� i i INSULATION ❑ FIREPLACEIWOOD BURNER ❑ EXCAVIGRADINGIFILLWG
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O i�WALL BD. ❑WATER HOOK-UP ❑ LAKESHOREIWETLANDS
Z �! FINAL ❑ METER SETITURN ON ❑TR E REMOVAL
= Ci DEMO—SITE ❑ SEWER HOOK-UP ITE INSPECTION
� G DEMO—FINAL ❑SEPTIC MAINT. C PROGRESS
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Q ❑ PLUMBING RI ❑SEPTIC INSTALL. ❑COMPLAINT
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_ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
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� COMMENTS� '
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OO �CORRECT WORK,CALL FOR REINSPECTION [1 PROJECT COMPLETE
U i-� ISSUE CERTIFICATE OF OCCUPANCY
�: CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL REfURN
PERMANENT
C; STOP ORDER POSTED.CALL INSPECTOR
L INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract�on site:
Inspector. �` Vl '- �
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO - BIIILDING PERMIT APPLICATION �
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Total Fee: $ Date Received: i�-'f'`j�y��
Date Approved:
Entered .By:
Permit#:
ALL INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED
---------------------------------- ---------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
Jos SITE ADDRESS: ���C� �� ��t c_ �� zzP: sS3���
(work)�S� -OS� /
NAME OF OWNER: �/<�Z°(�' `�.fl/l/ p � '� p
SI� ��NE: (h�me) � G �/
MAILING ADDRESS: �(J � ���,�f� CITY: �Gi{�ZGt d�.� ZIP: `j�.j r-/��
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP: ,
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration_�
PROPOSED WORR (describe in detail) : .�e�c_ GZ� �-j e f-e�
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALIIATION (excluding land) : $
I hereby apply for a building permit and I acknowledge that the informatic
above is complete and accurate; that the work will be in conformance with tr
ordinances and codes of the City and with the State Building Code; that
understand this is not a Fermit and work is not to start without a permit; ar.
that the work will be in accor ance with the approved plan.
APPLICANT'S SIGNATIIRE: DATE: ����Y� f'U
(Please fill out the reverse side of this form)
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� 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 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 , state or
federal agencies to the extent necessary to process the permit or
� Iicense.
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 yourseif .
6. Your full name, and date of birth are required to process
this application or permit.
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First Middle Last
l�0� �'en �i�� � S�u-e� - ---. _ _ - _
Address
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City State Zip
��! � ou �C�
Phone
I under tand my rights as stated above.
�, _... . .__'_'_'___. .__'.. ..._..___.__._
Sig ature
BUILDING&ZONING—473-7357 • ADMLNISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING