HomeMy WebLinkAbout1989-001801 - re-side PERMIT
CITY OF ORONO PERMIT TYPE: - :-: ;�,��
i:�#_}Z;t_��+�C�
1335 Brown Rd.South•P.O.BOX 66 Permit Number:
Crystal Bay, Minnesota 55323 Date issued: `-'`�'�'� �'��_��=�
(612)473-7357
SITE ADDRESS: - - _ _. _
� _ _�`;i i.:��'•;`:-'�t;�-- �';-d i i':?J
i' . � .�� . � �. !'—�. �. ,' .y: —%F 1"'.'�_�,_'1
DESCRIPTION:
. . �.., ,r,.;
F:;�=, _.L�{y s':�_t r s='}"•s,'tr i '�. € �r t��_•� �.i---i=��1i,,�i,t'�i%t:ii_�I,ir a
LJ���. k'.�Ta S i I�-� ;:�3°I�#�-. I t}-'t'�'' !'i'_.�=�.I.;„�t C
REMARKS:
FEE SUMMARY: , { . ._ _ }
liH1,_Lf3—[ i 3�_. . y�� "
3•:'�ft J
,_i%:l':�i'_ f'l�.'Y? '1 [ !)i�j
�•..i•.. . .. ..
'�i_.i q�}.3..1 Mi!"'iF.+ ;}. �.,.:_{
�
� �.: . .
..___..._..___�.�_..._._'..'Y'"'=.�.n'
f i..�i•i."�..4. �3-.�t e . .
'��5,•._�t_� , :!
CONTRACTOR: I OWNER: -------- ��-�.I. J.F,.-i;,�. --- - ---
I - ::.- _
-`�i�.i•i�'•�- :i�_f�`+�'j�__?s
�,,. " ' '._. _..(1��F�•�' � F"}.._ i.��4� (,t i
I� 'r�i f.t�:.�i"'� �i"'� i°�i.� - _ _i;'(i
�� ar/j f "' .Yi'.F.��"
� .. __..._. ._.___. _ _.._.__ ...__ __--___ . _ ......... _ __... .. .._ ... _.... ....... .. ....__._ ._._._. ...._._.'_--_ _ _.'__.__
j __ '..._ ..___�I
� jfv.:;• � ;_.. ��'. ... Ti`• !'::"'?':��* ' _ y'
��'�;:� _ aia�:.�'.�_�1'•.:3?`•f?~�.; #'ii�_S'�:ti_{,•��Y ...=�y3: 3`_'�� t � t�L_s'!{ t� . �i li } :>;;� • "T: _-:,-- • .—.;-.
- .. _ _. ' •.'�_�f. _ �� 1 �.. �! �-.� i E�� £�;3_j-�S_ ,�.isji:i'•.i.1�V�i��F� ;{
._ � _._. . r ' ' � �..,_; '�.��
y �`.._i• ^�^
-r�'t'_�,.1,i` %�.�L.F riS`.�j„f 1^iP1}"' I i{ i i:_F•i—i3...�. '�:'�_.�. � . r t� _��{f1�;.i �_.I^iia{�� rci'JS_. 7 �' i r �. ._ �.F ��7� i7'
t I_. L � F •f�r:. i.,� L 1 i-=. � �+:`•:. E?"1 i-[s»� !_ ; !
' ?�d t !� rii , .-, � .4�,1t �� .=�__ f_.' :_- _. . .. _ ....,_. .Lk`, . _ _ ./.._ . ._ . L� .e._. �._.���_ . _,. �
_ ._. _ _ ... .... .. . __ jwij�T- }rt'�iylt#T -�jr'F..
��n '
� �' ,�� _ ��
�v s���:,. �t� �—
IN SY��;'1'lUN K�(:UK1�
CITY OF ORONO PERMIT TYPE: �:� -� -,�-�
�T'
j_�:lj! I1jiVl'!
1335 Brown Rd.South•P.O. BOX 66 Permit Number: i;t�:'s��r;Si j ..
Crystal Bay, Minnesota 55323 . Date Issued: "�' = '��_�='
(612)473-7357
SITE ADDRESS: APPLICANT:
- - - -�,,,:
- - ��`� t='_ '_ _' -.:—••�;_::-- j_� .; :_
- .- •i-:°��Y�W� E�i�_. ._�a? �-�?_ = E �J t:••.� ,_t' t"�:�;'--'-`
i:..`3 - - -
PE[�,MIT,�UBTYgPE• TYPE OF WORK:
_��"";,-!�}Lrti�•i1=1�i� l11�'" �?.� �+i'..`.._
• �� • �•
n`i-p�''i i i'r,ii I i`r'.�.iii i-1 `t, ,�I_iiw
�i`•3�:�(_
� � •-r• .i:-� w� •-- : i �-_�, . i,-• - - -�a �-F�-•r- s - - -• � i�_,� t-R�_::-•�-�-r �
:.� � ,�. ,.fi _. �
. . - ,� r
i—ti i �,�`�.:�r��,.E, } �i_,S€:�.- i•11 t:_.i �.�.. '_•r-ii._�!'_�? .�'� i-i�_f�it`4�� ��� t-i�l'r't�l�fE:r , �T i'?i,'` t..i-#FZe i j°t�.._,j �;��-. r t_�._�t r,�,7
��`i r'-� ':i�'�j:_�j'F i_ _�!_I�.f`� � !._�{_i:: �JI��E f i'II� ;=i'•'.���t 1'=;�`_� ,1 i{�� ��.'#�t�_�s�s ��'��� i4{; I ;� .t'.�� �;i� i_�� ��_t��= .
� - . . I
CITY OF ORONO - BIIII.DING PERM.ZT �iPPI.IC�TION
- , , --,
Total Fee: $ � l " Dat� Rec=ived:
Date A��roved:
Entered By: ;
,
Pe�it�: � �i ��� /
�I,I, I:vFORMAT20N IrSIIST B$ SaBMIT'�ED IN FQ�L BBFORE PL�N REVIEW WII,Z BE STARTED
------------------------------------------------------------------------------
T� APPI��G�T IS: (circle one) OWNE. or CONT�AC'"CR
�JOB SITE ADDRESS: � � � ��_��������J,1�� ���� ZIP: � � � ���
(worx) J �� 5�
Nr� OF OWN�R: C��•' � . � - PHONE: (hcme) L � �
� � � y
MAZI,ING ADDR$SS: .5.5 c_ C�TY: l/�'��� i7j�/%�_ ZIP:`7�3 !
�
CONTR.ACTOR: PHONE:
- - -
MAILING ADDRESS: - CITY: ZIP: _
T�'P� OF WORX: New addi��.on �cc�ssor� St�sc�sre Move
Demo Remodel/Alterat�.on_�L Renovate Land .'-�1��'_"3t10II
,l' . ,,� C:' -,,.
PROPOSED WORR (describ�e in detail) : ` ' � � - �
� � � � � � �-j� � i
� ^ � � �`--
� �
STORIES:�_ SQ. FEET OF EACH FIAOR:
NO. OF B$DRQO1rLS: I G�RAG$ ST�ZS: ATT._L DET.
ESTSMATED CONSTRUCTION �ALIIATIOA (eaclnding land) : $ `l �t� . �C' _
r hereby aFply for a building permit and I acknowledge that the informatic
above is complete and accurate; that the work will be in conformance with tr
v.rdinances and codes of the City and with the State Building Code; that
understand this is not a Fermit and work is not to stast without a permit; ar.
that tne work will be in accordance with the approved plan.
. �_ �
, �� �, / � // �� �
:�PPI.ICAI�7T'S SIG�iATIIRE: ,' ' Z � '�,� - :.�A2'E: ' < r
(Please fill out the- everse �ide of this form)
4
�
����' �� (���i�T�
9/ Post Office Box 66•Crystal Bay,:4linnesota a-i323•Mnaicipal Offic�s
�
�- � . � �, On the North Shore of Lake Minnetonka
DATA_PRI4ACY ADVISORY
In accordance with M.S. 15.I65 , "Rights of subjects of data", we
wouid Iike to inform you that your request for a permit or �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:
1. The information you furnish will be used to deter:nine your
quaZification for the permit or Iicense 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 Iocal. , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense 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 ful.l name, and date of birth are required to process
this application or permit.
.
�
� . �
.
.>_ '� _. ___ -- .._.----�-�.----�--- ----- - ----.�_._ �a� _�1�_�------- -
irst Middle �
� � - -��- 13 �.� --- - _l � -
_ ___
Address �
, �-- _
` ----
` ` -. --
_---�- - -
� � � %l�____. . __.----- - _-- ----
.2 .�- -�1�._� ----- --- -------� _. .
City State Zip
�� �� '_ ��1 � ----- --
Phone
I understand my rights as stated abone.
�
� i , �� j ^�
y �
^ ,
. ,
----. ._-�.- �-----
,�(.� " .__._.----- �--
� � _. .._,�.
ignature , �
r
BUILDING dt ZONING—473-7357 • ADMINISTRATION�FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
5
DATE TIME
ITY OF ORONO CALLED IN ���/ �O
INSPECTION NOTICE SCHEDULED "'
PERMIT NO. �..X�, MPLETED � l ���
ADDRESS
OWNER v /� o CONTR.
TELEPHONE NO.
❑ FOOTING 0 PLUMBING RI 4 7� _ �`4'`"O' S�TE INSPECTION
O FRAMING O PLUMBING FINAI ❑ EXCAV./GRADING/FIILING
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. O WATER HOOKUP ❑ LICENSING
W ❑ FINAL � METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOWUP
y ❑ OEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ,�/FI PLACE/W QD BURNER
� WELL TEST PUMP �d
�
= COMMENTS: �%� G��"Gt �,�C- �
�-.
J
Q
i �/V A��- � �AO I� � 1 r� �• I� -�
J
z ���P.2
0
�
a �.�,A c�a,\( m.2 l��,F1u2� i�v�
o �,����-_ t�-E-�-��-QI�_
�
�
0
�
W
�
Q
�
z
W
�
W
�
j
d
W
�
W WORK SATISFACTORY: PROCEED O PHOTO TAKEN
� ❑ CORRECT WORK 8 PROCEED
O
C.1 ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CALL INSPECTOR.
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. site
I nspector 473'7351
White/Inspec 's File Canary/Site Notice
�� � ��Y/ /
DATE IME
CITY OF ORONO CALLED IN � ����� a' �"
INSPECTION N ICE SCHEDULED ��� 1G��.
PERMIT NO. U COMPLETED
ADDRESS 3� � c � _
OWNER � � � � CON R. �
TELEPHONE NO. - S
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING O PLUMBING FINAL O EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ WATER HOOKUP ❑ LICENSING
� O FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. � SEPTIC MAINT. ` ❑„FIREPIACE/WOOD BURNER
Z ❑ WELL TEST PUMP �pI
/�
= C O M M E N TS: :/�i .�.Q--�-�-�.._c.- �
�_
J
W � ' �
= 1`.�._i ZE i�n�1 ��, �`���:F �1 c_�v��=-
J
Z
�
�
�
a .��L�LL '����`. ��S..�c�-���,tiv
�
�
O
�
�
O
�
W �
�
Q
�
Z
W
�
W
�
j
d
W
�
W � WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
Q ❑ CORRECT WORK 8 PROCEED
C� ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVEF7ING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
O STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIpED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector ���� �_g���� 473'7351
White/inspector's File Canary/Site Notice
CDA E � �. TIME
CITY OF ORONO CALLED IN ' �� �
INSPECTION NOTICE SCHEDULED - - � , �7�,
PERMIT NO. I�s01 COMPLETED y'(�
ADDRESS �^� U Y �
OWNER � (� � CONTR.
TELEPHONE NO.
C FOOTING ^ PLUMBING RI C FIRE PREV.
>.
� C FRAMING �. PLUMBING FINAL ❑ FIRE SUPRESSION SYS.
� �- INSULATION G MECHANICALRI C EXCAV/GRADING/FILLING
y C WALL BD. �: MECHANICAL FINAL G LAKESHORE/WETLANDS
� [= FINAL � FIREPLACE/WOOD BURNER ❑TREE REMOVAL
Q C DEMO—SITE C WATER HOOK-UP ❑ KENNEL LICENSE
� ❑ DEMO—FINAL C METER SET/TURN ON ❑ SITE INSPECTION
v L SEWER HOOK-UP ❑ PROGRESS
_ �' SEPTIC MAINT. ❑ COMPLAINT
v C SEPTIC INSTALL. C FOLLOW-UP
� G SEPTIC FINAL
O G SITE WELL
� ��WELLTEST PUMP
0. COMMENTS: � ' 1
�
�
O
a //
� -- � UJ/LaC'✓L ��� �I.RrE9 C;OF6tiv r p N�JZ/1
o J
W
�
Q ' � F-' _ �12R1�
�
2
W
�
W
�
�
a
W C-WORK SATISFACTORY:PROCEED C PHOTO TAKEN
�
WO C;CORRECT WORK 8 PROCEED C CITATION ISSUED
p �: CORRECT WORK,CALL FOR REINSPECTION �_ ISSUE CERTIFICATE OF OCCUPANCY
V BEFORECOVERING TEMPORARY
C CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR
-' INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract r on site:
Inspector.
White Cop Inspector's File Canary CopylSite Notice
i�
; .� L �TE TIME
CITY OF ORONO GALIED IN � '
INSPECTION NC��OTICE SCHEDULED �' � " ���
PERMIT NO.�%a�.'� COMPLETED ��� �- � � Z- ���j
/ + n
ADDRESS � , � F -JJ ! ,
OWNER - CONTR. .
TELEPHONE NO. ` '" - '�
❑ FOOTING O PLUMBING RI ❑ SITE INSPECTION
❑ FFIAMING ❑ PLUMBING fINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION O MECHANICAI C LAKESHORE/WETLANDS
� ❑ WALL BD. O WATER HOOKUP ❑ LICENSING
W ❑ FINAL O METER SET/TURN ON ❑ COMPLAINT
� � PROGRESS ❑ SEWER HOOKUP O FOLLOW-UP
� O �EMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELI TEST PUMP ❑
Q COMMENTS:
_
�-.
J
Q
W
Z
r
Q '�
Z /� ,!�
� "_ ���� !�(,�a� 1�'S �/'ti � S��E��t�ia�
�
y _ �f�, 1�- �t Ls' �f v ��a�-tif�t-. �
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d ,
W
�
W RK SATISFACTORY:PROCEED O PHOTO TAKEN
CORRECT WORK 8 PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS INSPECTOR WILL RETURN.
� STOPORDER POSTED.CALLINSPECTOR.
❑ �NSPECTION FiEOUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on�site
,
Inspector c° �'� -- -�' 473-7357
White llnspector's File Canary/Site Notice