HomeMy WebLinkAbout1991-003631 - addition-no permit DATE TIME
CITY OF ORONO CALLED IN r( �
INSPECTION NOTICE SCHEDULED
PERMIT NO. � �co PLET � � �
ADDRESS ( � ����
OWNER CONTR.
TELEPHONE NO.
j; �� FOOT�NG ❑ MECHANICAL RI ❑ SITE WELL
~ ❑ FRAMING ❑ MECHANICALFINAL ❑WELLTESTPUMP
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Z ❑ FINAL ❑ METER SETlTURN ON ❑T E REMOVAL
Q ❑ DEMO—SITE ❑ SEWER HOOK-UP SITE INSPECTION
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lQ l] PLUMBING RI ❑ SEPTIC INSTALL. ❑COMPLAINT
= r! PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
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INSPECTOR WILL REfURN
PERMANENT
STOP ORDER POSTED.CALL INSPECTOR
i ' INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr r site:
Inspector. �
White Copyllnspect r's File Canary CopylSite Notice
PERMIT
r``'_����Y OF ORONO PERMIT TYPE:
�::�35 Brown Rd. South • P.O. Box 66 �������y��`�'�
Permit Number: ;�;_l:::�,:_�
Crystal Bay, Minnesota 55323 Date Issued: t_;�J� � ;__;�
(612) 473-7357
SITE ADDRESS:
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APPLICANT PERMITEE SIGNATU E ISSUED BY:SIGNATURE
�- - CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ ��J `�� Date Received:
Date Approved:
Entered By: '
Permi t#: �� �� �
ALL INFORMATION I�OST BE SIIBMITTED IN FIILL BEFORS PLAN REVIEW WILL BE STARTED
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: 3 1 f � � � /-� � �f � ZIP: 5 5 3 5 6
(work)
N1�ME OF OWNER: I ' PHONE: (home) � 3 6 y `� 5
MAILING ADDRESS: J �, � CITY: �-Y�- ZIP: `j�3 5� - e j a �
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CONTRACTOR: PHONE: y y p " Q � 'S�
MAILING ADDRESS: � � � rj �, , J� bfi.,P G�� CITY: 1,, ZIP: S 5� � �'' O� �f�
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
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PROPOSED WORR (describe in detail) :
!/ �.tU- �� , , N�e,(rl`- �,�i.P����o
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS:_� GARAGE STALLS: ATT. DET.�
� s'� �' 3� OOQ oe
ESTIMATED CONSTRDCTION VALIIATION (excluding land) : $ .
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City and with the State Building Code; that I
understand this is not a �ermit and work is not to start without a permit; and
that the work will be in accordance with the ap�roved plan.
APPLICANT'S SIGNATQRE: DATE: � II
(Please fi out the reverse side of this form)
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�����•��r���-� C ITY of UR�NO
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�:�'� �,�y'' Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officee
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��"�" On the North Shore of Lake Minnetonka
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DATA_ PRIVACY AD_V_ISORY '
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 Iicense
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 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 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.
sc a T1� �' � y � N��� solV_._._ _ -
First Mid le Last
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Address
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City State Zlp
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Phone
I understand my rights as stated above.
Signature
BUILD�NG&ZONING—473•735 i • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSIIG
ATE , TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE . �� SCHEDULED `-�
PERMIT NO. �� COMPLETED (4 i���
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ADDRESS '7�l� _-P�,%��,T� �� � ,�-�
OWNER �'`I l�iCY�'-i_��'?-Y1 CONTR.
TELEPHONE NO. LI ��I" `�� �% �
� DESCRIPTION _ �,!i� i��I C��; t_•_�� i����
��OTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 F AMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y INSULATION 24I25 WOOD BUFNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J �ING FINAL 23 SEPT C FINAL
�L OWNEH/ ONTHACTOR TO MEET YOU: YES_NO
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� BEFORE COVERING
PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WIIL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIREO.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnedContractor on site:
Inspector. �
White Copyllnspector's File Canary Copy/Sfte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE „ , �� SCHEDULED
PERMIT NO. ' `���-'i c P�ErEo �j _�
ADDRESS ��
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y �SUTATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z4 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PFiOGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�' BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra tor p�site:
Inspector. �
White Copyllnspec or's File Canary CopylSite Notice