HomeMy WebLinkAbout1990-003275 - tear off ��IIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �;;���_�;�����
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 t'i`'}'`'.�1�`
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SITE ADDRESS:
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� f' i.,,�i. 'F�RMITE_ESIGNATURE ISSUEDBY:SIGNATURE ��-�
CITY OF ORONO - BOILDING PERMIT APPLICATION
Total Fee: $ / �� 3 � ,�� Date Received:
Q � Date Approved:
Entered By: ��U
Permit#: ��? �
ALL INFORMATION MOST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: �/ U � 1/1//��/1;/��y ZIP:
(work)
NAME OF OWNER: �U��� � ''����! ��fi�� ' (.���1�L 2-1� PHONE: (h ome)
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MAILING ADDRESS: 1'`�� � /'' /%�/,�,�;,� CITY: ZIP:
CONTRACTOR: ��/ L U CG'�,����1�����I �,��!'�� . PHONE: �������;?.
MAILING ADDRESS: ,����� ��,�i���� ��" CITY: ��/�� . ZIP: - ��,Z
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �Z�,�r� i-
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VAI�IIATION (exclnding land) : $����) �-
I hereby apply for a building permit and I acknowledge that the informat_
above is complete and accurate; that the work will be in conformance with �
ordinances and codes of the City and with the State Building Code; tha
understand this is not a �ermit and work is not to start without a permit;
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATQRE: � 4� �� .. DAT$: � _
` (Please fill t the reverse side of this form)
, , _
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r•� ` - �I�Y of ORON�
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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; o _ � A On the North Shore of Lake Minnetonka
� DATA_PRNACY 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:
l. The information you furnish will be used to• determine your
qualification for the permit or Iicense requested.
2. You may refuse to supp3.y 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
license.
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 yourself .
6. Your full name, and date of birth are required to process
this application or permit.
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I understand my rights as stated above.
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Signa e
BUILDiNG&ZONING—473•7357 • ADMINISTRATION�FINANCE—473-7358 _ • PUBLIC WORKS—473-7359_-'=:
A3SESSING
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CITY OF ORONO CALLED IN /�� ��
INSPECTION NOTICE.�(� SCHEDULED �8 rS � I � /h--
PERMITNO. ��cr� /v COMPLETED /n�lR-�4� � D
ADDRESS ��
OWNER ONTR. '
TELEPHONE PVO. I � �C�' C�� �
j; C FOOTING ❑ MECHANICALRI ❑ SITEWELL
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O C WALL BD. ❑WATER HOOK-UP C LAKESHOREIWETLANDS
Z �FINAL ❑ MEfER SETlTURN ON ❑TREE REMOVAL
Q f�DEMO—SITE ❑ SEWER HOOK-UP ❑ SITE INSPECTION
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� G DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
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`Q C PLUMBING RI �SEPTIC INSTALL ❑COMPLAINT
_ ❑ PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOLLOW-UP
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INSPECTOR WILL RETURN
PERMANENT
[;STOP ORDER POSTED.CALL INSPECTOR
f:': INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr or o.r�site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ^�
PERMIT N0. COMPLETED
ADDRESS /v
OWNER�/ CONTR.
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TELEPHONE NO.
� DESCRIPTION ���- �- �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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0 FINA � 14 SEWER HOOK-UP 06 PROGRESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBWG FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR �.� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins 4 hours in advance.473�73
Owner/Con ctor o sit .
Inspecto
White Copyllnspector's File anary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED �
ADDRESS �1(.l>D
OWNER CONTR �
TELEPHONE NO.
f" FOOTING PLUMBING RI � FIRE PREV.
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{� C FRAMING C PLUMBING FINAL ❑ FIRESUPRESSION SYS.
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� ❑ FINAL �; FIREPLACE/WOOD BURNER ❑TREE REMOVAL
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� C DEMO—FINAL C METER SET/TURN ON ❑ SITE INSPECTION
� ❑ SEWER HOOK-UP ❑ PROGRESS
_ ❑ SEPTIC MAINT. C COMPLAINT
J C� SEPTIC INSTALL. C FOLLOW-UP
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V BEFORECOVERING TEMPORARY
C CORRECT UNSAFE CONDITION WITHIN HOURS. pERMANENT
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice