HomeMy WebLinkAbout1992-004756 - fireplace chase only .
P�R�'IIT
CITY OF ORONO PERMIT TYPE: �;����C����7
1335 Brown Rd. South • P.O. Box 66 PermitNumber: t�t:z F7�r�,
Crystal Bay, Minnesota 55323 Date Issued: �. �.i i t:�/_�r;�
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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A LICANT%PERMITEE S NATURE ISSUED BY:SIGNATURE C�
'� � CITY OF ORONO - `BUII.DING PERMIT APPLICATION
Total Fee: $ Date Received:
; Date Approved:1Q•Z�i-�1�� (�Ce�-.,
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Entered By: � �`"
Permit tt: �f 7S�
AT•T. INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN RES7IEW WILI. B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------
THE APPLICANT IS: (circle one) O�dNER or CONTRACTOR
f���` ,�L
JOB SITE ADDRSSS:^��✓ ���'�C�C�/C/ �=-����- ZIP: J�� c�J ..
(work)
NAME QF OWNER• /i���%'� �j'�'J-1C PHONE: (home) 7 .l� -���
MATLING ADDRESS: �5 /v�i� CITY: ZIP:
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CONTRACTOR: ,�' �GC ��.j�%� ���'�'��,i�''� _ PHorr�: ���� —`��fi'� —
MAILING ADDRESS: <<��� ���.C'/`'�l cSv• CITY:/'ir� /� ZIP: ���y��°
STATE LICENSE: #
ARCHITECT/ENGINEER: PH��'
MAII,ING ADDRESS: CITYs ZIP-
NAME: R.EGISTRATION tt
TYPE OF WORR: New Additio� Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : /��«' �f�� �l���l�`f �N�I�
0�1� �',(t,c�P��C� t��+e2S
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALI.S: ATT. DET.
.-- f t,�_\,a�
,� j .
ESTIMATED CONSTRQCTION VALIIATION (excluding Iand) : $ ���%�"�""�
� 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 permit and work is not to start without a permit; and
that the work wil 1 be in accordance with th pp roved plan.
� � �
� APPLICANT'S SIGNATQRE: �
� DATE: �
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C ITY of ORUN
Post Office Box 66•Crystal Bay,Minnesota 55323•MuniciPal Offices
•
� � � � On the North Shore 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 departments may require
� you to furnish certain private or confidentia3. information.
You are notified that:
1. The information you furnish wi3.1 be used to determine your
qualification for the permit or license 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 , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council ac��or_
to approve, some information may become publ.ic.
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.
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First
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Address /1^
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City State
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P oh ne
I underst nd my r' hts as stated above.
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BUILDING&ZONiNG—473-7357
• ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
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� �D�A�T�E(� �C TIME
CITY OF ORONO CALLED IN �� �'
INSPECTION NOTICE SCHEDULED I I '�.lC /% �'
PERMIT NO. ?' 1�J �� OMPLETED �� K
ADDRESS �� >,-�C,<%�.,,� ,����
OWNER ,, <' �-- CONTR. /�-<-'c'-� �-��-<�-
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TELEPHONE NO. <� ��- S ` ;`� �� ,
� DESCRIPTION �:-�9�--���
ty� 0 11MECHANICALRI 16WELLTESTPUMP
� 02FRAMIN �'' �J.�� �r-� 11 MECHANICALFINAL 18EXCAV/GRADING/FILLING
� SULATION / 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
� 0 12 WATER HOOK-UP 34 TREE REMOVAL
Z ,
05 INAL ,�v'�,tiL,�-t�' 13 METER SET/TURN ON 17 SITE INSPECTION
� O—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContFa�r pr�site:
Inspector �- �'��'�'`O�
White Copyllnspector's File Canary Copy/Site Notice
✓'�
DATE TIME
CITY OF ORONO CALLED IN ����—�z
INSPECTION NOTICE SCHEDULED �/- 3�+ /`��'
P�RMIT NO. y�-�� COMPLETED �I' 3 ' `Z � =�
ADDRESS /b �� ������^ �'�-�'`�
OWNER �-�- CONTR. �-� ���� �/°p��
TELEPHONE NO. �� � �7�
� DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
� AMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� ULATION 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 O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 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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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. i-' PHOTO TAKEN
INSPECTOR W�LL RETURN
I__I CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor s' .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�C�'l (����I DATE TIME
CITY OF ORONO CALLED IN I I -S - �� �a � �v n�
INSPECTION NOTICE SCHEDULED / � - �� �� ��'z� �'''"`
PERMIT NO. �f�7��0 ✓ COMPLETED f 1-6 -�Z �� `�J
ADDRESS �I� l S � r /'�l���i� � /i !�T X%
OWNER ��lt �� �C1- CONTR. �
TELEPHONE NO. ���- S`�� 7
� DESCRIPTION
ltr 0 TING 11 MECHANICAL RI 16 WELLTEST PUMP
FRAMING 11 MECHA FINAL 18 EXCAVIGRADING/FILLING
� 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 O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINA�
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
C'CITATION ISSUED
� ❑$TOP ORDER POSTED.CALL INSPECTOR
'1�"�CECT�'RE�idfi�G.�F6ARRANGEACCESS.
�
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra o n 'te:
Inspector. '�' `—
White Copyllnspector's File Canary CopylSite Notice