HomeMy WebLinkAbout1989-002095 - re-side PERMIT
CITY OF ORONO PERMIT TYPE: ;;;;6 ;i�; ,;
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1335 Brown Rd. South • P.O. Box 66 Permit Number: s-`{';��={`•=i°=;
C ,,Minnesota 55323 Date Issued: E-�!'f�i����=�'�
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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INSPECTI01�1 RECORD
CITY OF ORONO PERMIT TYPE: ;=�_'L�-�=�ii`'`'
1335 Brown Rd. South • P.O. Box 66 Permit Number: `�'�t'��``"���-
Cr stal Ba , Minnesota 55323 `5~'. '�``���.-�
Y Y Date Issued:
(612) 473-7357
. SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK:
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CZTY OF ORONO - BIIILDING PERMIT APPLICATION
.�' � f Date Received:
Total Fee: $,� <.��� � % -
" Date Apgroved:
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Entered By: permit�: � ���
AT,T• ZNFORMATION MIIST B$ Si7BMITTED IN FUZ.L BBF�RS p�N ��Z� ��_B$_STARTED__
-------------------
THE AppI,ICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: ? � � 'S^ C- 1"k~5 �� l �� Y �� ZIP: : .
� °"M,�
(work) _
, � PHONE: (home ) ` .-� :.1'
NAME OF OWNBR:
� .
/. ey' CI�Y: ZIP_
MAILING ADDRESS: � `
I U� (l(E'�' i PfiONE: �y�.�- .���
CONTRACTOR: ��� / � d.� �
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MAILING ADDRESS: �7 � /��� �t�'`�'� CITY: /�� q y� ✓ Z IP:���.���
TYPE OF v�?ORK- New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROP�SED WOR� (describe in detail) :
STORIES: SQ- FEET OF EACH FIAOR:
N�. OF B�DRO02S.S: G�R.AG$ STAI�I.S: ATT. DET.
EST�TED C�NSTRIICTION VAI,IIATTON (exclnding land) : $�_t�� � �
I hereby apply for a building permit and I acknowledge that the informat
above is complete and accurate; that the work will be in conformance wi�h�
ordinances and codes of the City and with the State Building Code;
understand this is not a Fermit and work is not to start without a germit; :
that the work will be in accordance with the approved plan.
APPLICAIqT'S SIG�IATII�: DAZ'�i:
(Please fill out the reverse side of this form)
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�f���, ��� ,x,'".,�-f :;; Post Office Box 66•Crystal Bay,Minnesota 5a323•Municipal Offices
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DATA__PR_IVAC�' 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 I.icense
f rom 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 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 IocaZ , state or
federa� agencies to the extent necessary to process the permit or
�icense.
4. If your reauested permit or Iicense reauires Counci� 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 fu13 name, and date of birth are required to process
this application or permit.
---- -._ _ _ .
- -- --- ---- ----- --- -
First
Middle Last
Address
- _-- ----- --_ __ -�---- - --
.. -
- __ ---- -_ ------- --- - _ _. __
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZOfYING—473-7357
• ADMINISTRATION&FINANCE—�173-7358 • PUBLIC WORKS —473-7359
ASSESSING
5
DAT � � TIME
CITY OF ORONO � CALLED IN � —
INSPECTION NOTICEaQ�� SCHEDULED � — o �'��
PERMIT NO. COMPLETED Z �- r�) �
ADDRESS S rI .
OWNER��i,S S CONTR.
TELEPHONE NO. ���—'�J���
f FOOTING ^ PLUMBING RI ❑ FIRE PREV.
�
� � FRAMING C� PLUMBING FINAL C' FIRE SUPRESSION SYS.
� C INSULATION �: MECHANICALPo L� EXCAVIGRADINGIFILLING
� I-!WALLBD. u MECHANICALFINAL C LAKESHORFJWETLANDS
��FINAL C FIREPLACE/WOOD BURNER �TREE REMOVAL
Q C DEMO—SITE ❑ WATER HOOK-UP C KENNEL LICENSE
� C DEMO—FINAL C METER SETITURN ON ❑ SITE INSPECTION
� C7 SEWER HOOK-UP ❑ PROGRESS
_ ❑ SEPTICMAINT. ❑COMPLAINT
J C SEPTIC INSTALL ❑ FOLLOW-UP
� ❑ SEPTIC FINAL
O C� SITE WELL
� ❑WELLTESTPUMP
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W�RK SATISFACTORY:PROCEED C PHOTO TAKEN
WQ�� CORRECT WORK&PROCEED ❑ CITATION ISSUED
p C CORRECT WORK,CALL FOR REINSPECTION ❑ ISSUE CERTIFICATE OF OCCUPANCY
V BEFORE COVERING TEMPORARY
CCORRECTUNSAFECONDITIONWITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
[, STOP ORDER POSTED.CALL INSPECTOR
C, INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlContracto ' e:
a
Inspector.
White Copyllnspector's File Canary Copy/Site Notice