HomeMy WebLinkAbout1992-004646 - administration bldg PE�MIT
CITY OF ORONO PERMIT TYPE: `;}j�� ;�y;��;
'1335 Brown Rd. South • P.O. Box 66 • Permit Number: t ii_��1;�,�.N.
Crystal Bay, Minnesota 55323 Date Issued: s �.i i i::;f�a�!
(612) 473-7357
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FEE SUMMARY:
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CONTRACTOR: - ��°F°? j c a3�+. - OWNER:
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
A _ . �� -
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� CITY of ORONO
Post Office Box 66•Crystal Bay,Minaesota 55323•Municipal Offices
•
� - � � On the North Shore of Lake Minnetonka
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "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:
l. 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 local, s�ate or
federal agencies to the extent necessary to process the permit or
Iicense. .
. 4. If your requested permit or Iicense requires Council act=on
� to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
Jo�� N �A� ���
First Middle Last
�J 2`J �• �'�'h S� •
Address
rnP�s rn �. ss �� d�
City State Zip
�J�J2.- 72�7�
Phone �
I understand my rights as stated above.
N_ � •
Signa e
11NG&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
SESSING
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-- FaFc OrF�C� US� ONLY
ADDRESS OR I.?G�I.: Z"7 ��/�� ��e(l�, PA-RKwA� PT�=
DyS�SPT20N OF WOR4: �l� ------------------------------------------
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DATE APPROPED: � "S �� �
BIIILDING REV'I�7 BYz --------------------------
��..5 TO BE C3ARG�� ----------M' Sc. �e=s Ca?c�s?ated 3v.
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Dat� or Counc_? Ap�roval:
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Wor� Re g Sepasate Permits:
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ATE TIME
CITY OF ORONO CALLED IN �� y
INSPECTION NOTICE � SCHEDULED
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PERMIT NO. COMPLETED �� �
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OWNER - CONTR. 2
TELEPHONE NO. '�? '� - ��-1��'�`�
� D PTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. i: PHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto n�i�e:
inspector. r U
White Copyllnspector's Fi e Canary CopylSite Notice
AT TIME
CITY OF ORONO CALLED IN 9�'
INSPECTION NOTICE scHEou�Eo �/ �
PERMIT NO. COMPLETED i 1•3�•4 Z A�'�-
ADDRESS ^ -�
OWNER CONTR.
TELEPHONE NO. _
� DESCRIPTION
� 01 FOOTING 1 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 1 �FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/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 O6 PROGRESS
`� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
4Qi 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
r
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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y COMMENTS: �
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O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract r on site:
Inspector.
White CopyllnspectoPs File Canary Copy/Site Notice