HomeMy WebLinkAbout1992-004575 - repair fire damage PERMIT
�' ��TY O� ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �'k����J���
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Crystal Bay, Minnesota 55323 Date Issued: i;:_;/f'=�f_�:�
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: �J1 GEN 3.f.�t
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FEE SUMMARY: '
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C�NTRACTOR: — �fip 1 i c�nt. — '=;T . L I�:. OWNER:
RC:��i I I��: 14_�7:���cji� ���si�:�:�:�:i y ��_���:�_; GAFiY
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APPLICANT/PERMI SIGNATURE ISSUED BY:SIGNATURE
� � CITY OF ORC:70 - BUILDING FERtiiIT APPLICt�TION
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Total Fee: $ Date Received:
Date A�oroved:
Entered By: Pe�-mit ;�•
AT•T• INFORMATION MIIST BE SUBMITTED IN FIILL BEFORE PI�AN REVIEW WII�I, BE STARTED
(See Check-aff List Enclosed)
--------------------------------------------
THE APPLICANT IS: (circle one) O��TiJER or CONTRACTOR
JOB SITE ADDR.$SS s ,�J< < ��'c� �'� � 1S ZIP:
� (work)
NAME OF OWNER: (`� V G C PHONE: (home)
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MAII�ING ADDRESS:��� �,�[7 .�% �h�` � . CITY: ZIP:
� ti � N �� PHorrE: � `� ��"� �=`'`% ��
CONTRACTOR., /�/�� �
:�iAII�ING ADDR.ESS: ����C�%(� � 'y.� ���Dt.r� CITY: -�.� ZIP: �' �
STATE LICENSE: _
ARCHITECT/ENGINEER: PHONE:
��+iAII.ING ADDRESS s CITY: ZIP-
NAME: REGISTRATION �
I�YPE OF WORR: New Addition Accessory Structure biove
Demo _ A�i.-on Renovate Land Alteration
PROPOSED WORR (describe in detail) - � � � �`-' �� �"'
�.�P� C'�,/� .�C ��`J � � U �'�� /fJ :i ����-�P
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STORIES: �....- SQ. FEST OF EACH FLOOR:
�7p. pg BEDROOMS-� C�AGE STALLS: ATT.� DET.
ESTIMATED CONSTRIICTION VALIIATION (excluding Iand) : $ � � f/��'�-
I hereby appiy for a buiiding permit and I acknowledge that the information
ibove is complete and accurate; that the work will be in conformance with the
�rdinances and codes of the City and with the State Buiiding Code; that I
.znderstand this is not a per:nit and work is not to start without a permit; and
�hat the work wi11 be in accordance with the approved plan. •
i�PPLICANT'S SIGNA -�� .� : DATE:
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- Post Office Box 66•Crystal Bay, Minnesota 5a323•Municipal Offices
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_ s - a �j On the North Slzore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
license from the City of Orono or any of its deoartments 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 rnay refuse to supply data, but refusal may reQuire that
the City deny the permit or license.
3. The information may be snared with other i.oca '_ , s�a�e or
federa� agencies to the extent necessary to process the permit or
I.icense.
4. If your requested permit or Iicense requires Councii ac��o%
to approve, some inrormation may become public.
5. You have certain rights under M.S. 13.0� to review Frivate
data on yourself.
6 . Your full name is required to process this application or
pe�-mit. �
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First Middle Las-
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Address
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City State Zip
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Phone
I derstand my rights as stated above.
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n ure .
BUILD1vG& ZONftiG — 473-7357 • AD,�tINISTRATIOV& FIVANCE —473-73�3 • PUBLIC�VORKS —473-73�9
ASSESSIN G
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DATE TIME
CITY OF ORONO CALLED IN �"" - ��-�
IPVSPECTION NOTICE � SCHEDULED �.�_ �•` 3 C
PERMIT NO. �S �S COMPIETED t�( _�z1
ADDRESS •� -�����v�r���
OWNER L r�-c--Q-v CONTR. /r_���.�: Cti��`�
TELEPHONE NO. �� 7 " � ,� �
� DESCRIPTION ���-t�. �� u-�-vL�a�r�
l� Ot FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
�
03 INSULATION 24l25 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
05 FH�'� 13 METER SET/TURN ON 17 SITE INSPECTION
� FilO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN 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.473-73�J7
OwnerlContra o ite:
Inspector. � ..
White Copyllnspector' File Canary Copy/Site Notice
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qATE TIME
CITY OF ORONO CALLED IN � � �� �� —
�-�- �;3 t�
INSPECTION NO��E � SCHEDULED �o ""��
PERMIT NO. `�� �'�� COMPLETED �� `1
ADDRESS�✓��� }'
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OWNER ��P��'-� _CONTR. ���� ''�"
TELEPHONE NO. '� % / � � ���' �`� _
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� DESCRIPTION �-`��-� �==�%�-�='-'��
� 01 FO�TING� 11 MECHANICALRI 16 WELLTESTPUMP
Q� 02 11MECHANICALFINAL 18EXCAV/GRADINGIFILLING
y� 031NSULATION � 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
J
Q OWNEHICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN �
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t i spection 24 hours in advance.473-7357
Owner►Contr r on it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice