HomeMy WebLinkAbout1991-004057 - add/remodel PERMIT :� �� � ���� �
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._ CiTY OF ORONO PERMIT TYPE: � �� ���. s�
1335 Brown Rd. South • P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 ._,;;;:,� .���,��_�_;�,�,;;�;i� ,�,;�ate Issued: �
(612) 473-7357 - �
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APPLICANTPERMIT SIGNATURE J7!%� -�SSUEU BY:SIGNATURE ....�J;i._���i
, CHSCR OFFFORSOFF�CyIUSE ONLYOF P�FtHITS
� /�/ :�'..�tt-w�/� � �-�PID: ::3- � �3 3 c:r� !L�
ADDRES S OR LEGAL: ���� � �� ���
DESCRIPTI ON OF WORS: ��1���� ���^^'a�-
---- , -------------------------
ZONING REVIEW BY: / V �� DATE APPROVED:
BIIII,DING REVIEW BY: ��,,� �lvw�--- _ DA'I'E APPROVED: ► J- �-°I �
-------------------�---------------------------------------------------
FEES TO BE CHARG�• Misc. Fees Calculated By:
pERMIT Yes I/ No
PLAN REVIEW Yes +� No SEWER CONNECTION
STATE SIIRC3ARGE Yes �No WATER CONNECTION
INVESTIGATION FEE Yes No�� PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTfiER (saecify)
------------------------------------------------
2.pu=Nr CgECg L ST Zonin_ Distric;.:
Fire Depart:nen Post Of�ice: Scn 1 Dis�ric�:
Lot Area: Width: ` Depth
!
Survey Submitt d: Yes No � Date f Survey:
Prc�osed Setb cks
Front ( ke ) % Rign Side :
Rear ( S reet) : �r Le�t Side :
Adjacen Stru tures : � We�� an�:
Building fie� Qht: ef. figt.
' eak Hgt.
� I
Avg. Setbac : Lot Co erage:
EX1S�� -�J Pi'o CSeQ
� -�_--���-.
Hardcover: 0-75 '
r
7 -250 '
2 0-500 '
50 -1000 ' i
Hardcove Variance R qu ' ed: Ye N Date of C uncil Approval:
Grading: Staff Aapro al Date: By: Coun il Approval Date:
Septic: taff Approva ate: BY�
- Zoning F�le • r Resol �ion � • Res �Iution Date:__
REMARSS (in house) :
. . -_ -,
BIIILDING RESTIEW CHLCK LIST � ,
�C. �� �`3 CONSTRIICTION TYPE: .�--
Sq Footage $ Per Sq Ftg
Bas er�e^.t x —
lst Floor X _
2nd Floor X
Garage X =
X
TOTAL
Estimated Constrnction Value: $ 8 a'�
�s
red: Work Requiring Separate Permits:
Iaspections Requi pl�bing Grading/Fil.Iing
Site Mechanical Fire
Footing Se��-ic Water Connection
MTaming - ` geWe� Connec�ion
- Mire�lace
Insulation (Masonry ) Other
_�Wall Board �Mfg. � Well State Permit
�F'na=
l ..lectrical (State Permit
Otner ------------------------
RBMAFtRS (IN HOIISE) :
-----------------------------------
R�,'VIEW BY OTHERS: DATE:
Access : �xis�_:.Q New
Access Ap�rova�: Date Bv'
--------------------------------
RBM�RRS (TO B$ NOZ'BD ON PERMST) :
, ' CITY OF ORONO - BIIILDING PERMIT APPLICATION i
Total Fee: $ �4� /� � Date Received: ��' 7" �/
` - - Date Agproved: //
Lntered By: /� ,
Permit#: ��-5�
AT•T' INFORMATION 1KIIST B$ SIIBMITTED IN FDI,L_BBFORE PLAN REVIEW WI7�L BE STARTED I
--------------------------------------- ---------------------I--
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR �
JOB SITE ADDRESS: 30g��C�mbST�O�U FcQ Ln�� ��b ZIP: 5535� _
(work) 379-33"f7
N�NSE OF OWNER: ���1 _�--�� PHONE: (h ome). �/73-D/4$I_
n � c�,6 . '
MAILING ADDRESS: 3d$S S��6���'K�-� CITY: L ZIP. S,s-3S� '
CONTRACTOR:J C�b���S �'���'��'��' �N�' PHONE: �l�d-�7�� I
MAILING ADDRESS: �lOs C� Y�U 1`� CITY' ✓n�"� ZIP� S 36`
�'YPB OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration�_ Renovate Land Alteration I
PROPOSED WORR (describe in detail) : Q�„�,RR,�ab,N h Bb��oDm l c.oS6T a„oc-�-S iN a"'d S7�Y I
STORIES:�_,_SQ. FEET OF EACH FLOOR:
NO. OF BBDROOMS: GARAG$ STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ $Oc�.�
I hereby apply for a building permit and I acknowledge that the informatil�lon
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 agFroved plan. i
APPLICANT'S SIGNATORE: r. d Qo.��,= �� �.� DATE: 11-�-4 I �
(Please fill out the reverse side of this form) �
�.� .. :
CIT�of O]E�ONO
Post Office Box 66•Cryatal Bay,Minnesota 55323•Municipal Offices
•.
� _ � � 4� On the North Shore of Lake Minrcetorcka
DATA PRIVACY ADVI_SQR7C -- -
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 confidentia3 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 Ioca3 , state or
federal agencies to the extent necessary to process the permit or
�icense.
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.
• _�,� . .-�------------ ------�
F�t � Middle � Last
�c�SS �..� 1Rc� l9 - ----_ . ... ._ ._
�Address
V`�a+a,,ui �. JY�n? SS36� -- - -- --- -
City State Z1p
�y�a.- 5"1 tS _ . . . _
-- �---.. .._.. ._.-_-- ---
Phone
I understand my rights as stated above.
� ---.. .------�----
..__.._..__.._. .--�-----._
Signature
BU[LI31NG&ZONING—473-7357 • ADMINISTRATIOIV&FINANCE—473-7358 • PUBLIC WORKS—473•7359
ASSESSII G
DATE TIME
CITY OF ORONO CALLED IN ��� `a–
INSPECTION NOTICE SCHEDULED l I- l3-9/ a% 3d
PERMIT NO. �U�� COMPLETED � �� ��� 2� �
ADDRESS O -� ��^--
OWNER CONTR. �� ���
TELEPHONE NO. � ��- `5���`�
�- ES IPTION
�
11 MECHANICAL RI 16 WELLTEST PUMP
11 MECHANICAL FINAL 18 EXCAV/GFIADINGIFILLING
Q 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 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 PROGRESS
� 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:
a L��ul� s �=�.�
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0
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GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
L�CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContracto n e:
inspector. �"� ���� -
White Copyllnspector's File Canary CopylSite Notice
• , ' _
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I��ffT��l������ �� ��������� �E������
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R�prawed Addresses S�all Be Displayed,
plainly Visible And Legible From The
Street Fronting The Property _.
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_���ti-\ �=Z _ , ; ��s"-�M =',-�• APPR01"ED ti'lITH CC�f�,�ccCl'lO;vS AS NOT...
[] NO7 AP�ROVED — CORR�CT & RESUBMI
7hese Comments are for your informatton. All work sha!1 `nf
� ' in fWl cornpllance tivith all apptica�la buNdJng & zarriRg
� �'ROVIDE SMOKE DETEC"T�R� outrements includ�ng ite�n, not s�eciticalty noted in th!-� ys,
� i'''����s FOI2 ENTIRE BItILDING KEEF THIS PLAN SET O(�! SiTE AT AL� 7�f,"v1
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