HomeMy WebLinkAbout1990-003393 - add/remodel �;,,� _
PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �'����-���'��'
Crystal Bay, Minnesota 55323 Date Issued: "`��'�'��-
(612) 473-7357 � � +�}1�'��-�
SITE ADDRESS:
��Sr�� LYD I AF.D �iVE
�--�=
F'. I .f`v'. � :�t 3-11 i—:t:�,—� 1—C;t;��
DESCRIPTION:
E:�.ii l!�ii�� F`ei'�Ef.E l• i ;�F'� :��F-r�s�.��iREI'�itC���
E�Z.,II. ii��i�� V�+JI't�. �}(�'� .'�`.E"'tl�_t�_i;-
{rl�e� Lff� Lfifiv7f�r�r
�i�'�tn�'iy� v�ra[i�L
�iJ.l J1 L�1.�V V�Y A
. e�'1 � �f! �
a.: i�.L 41t +.'�.'a W
�i i•1':+i ti r jj
- i tiCr��.�L�� �1
.. . � � t'.!. 1.71.tf aW
{� w^
. . f..•t lL(rl\ ?L �1�t a Jy
.. i'��CG'�LZ7T�'J�"!l7��!Y f C Q�
REMARKS: ►.t::u::�;:� i','.�'� ,4v}� T��:�?
. f3 r.►T ;�
. 11:\.•.t!/V
FEE SUMMARY:
V�l_UATIf:�sJ �r��C�
Gct�� �C� �:;;�3 .fiii
'•��Lil'+�'lcti'�F' ----_�� �_}_�.L�rC)
� !i I 1•C'{� � '�'�C �.+'7i._�{�F, �5t�
CONTRACTOR: __ pF,�,� i�;���# __ OWNER:
t�I��=�+TH :=�1—i��RE fit��i�F i P�� �� �ri t=E 1�?1'=�1��1 E!L I�►T Vr�LL �i
-��'_�'f � '���1� i..i�u I��-tha HV�
.;.__–�._ r��:���rH ��.H���;E Gf�; �,
c�E����v�� r�r-a ��_;�.� �.����tr�,�� r�r� ��_:=:�
� �_.i�.�:� �.z�—°�����. II
�
i Y. T..;..i;•.,T. 7;.'P': ? F P'r!'_�':1! �"�t":':i � '�� ( T'" 'Si:•r-... zf T�i 'f 7'" '3'�^ .. ,�
��"'i� :�p:�i 1L"!`�._�g;,;s�yr�1 --,�r;s�r;�r f;�_,'_�t_�:� � �� �-'�rz.�j'�`#a:, �,�%��4 i E_s �i-iF�..�_ �j-:� �+;`i-iL_ .L�i�'"��°1��t���"'r{`•.� � _
_�'-��_�� �f�" :::.{.,1 �EA3=� rlt�}i',s_'£"_�+ ��_� . '�_� [-it� ;.�11l::;�•. s:s� _�i�1 i��r ::�_:?'ir E_i�-1�•,'r�;= '#�1 ; �"'� =1�L t_•3. I Y S :t_
. : . ,,
,Vr-ar� - ,r.sh�::hi•.,f...i' ia4i_4 '•,•;_F�_I....' �I... {1 h.�...�.. "f"i:• .. 7 �: E'E5:"• " ' �." f'r�"•3 :�-,r� •Si—,-.
L :{�c��`�j{ %��lL.�1 l�EHi4�-e:.=� t-#l4�.J' w ?!-i 4 � (_iC �!3.�kl�e.=•��+_{f!-F f�'L_j 1!!.i 3 Ikt� t.�ii)� }"�r t�+t�,:c;�,:.�f�14 1 •_� . i
/// __..i
i / ./
/ ✓-' ` /'"
'`� v L"G�/-'��
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ �_,�U Date Received: �� �
' L Date Approved:
I Entered .By: l.�
Permit#:< <���
ALL INFORMATION MDST BE SIIBMITTED IN FiTLL BEFORE PLAN REVIEW WII,L BE STARTSD
' --------------------------------------------- -------------------------
THE APPLICANT IS: (circle one) OWNER o ONTRACTOR
5'�' ���--
JOB SITE ADDRESS: ZIP: �"�� � � -
(work)
NAN�: OF OWNER: �S ���/ ,}���o •� PHONE: (home)
MAILiNG ADDRESS:��.S�S" L Sr q(io r ci �tJ CiTY: �o�o rt.e ZIP:5�35 7
CONTRACTOR: o S o -e- o �... � / ' �O 1 PHONE: �j��_ �,i,�c/
MAILING ADDRESS: CITY: ,/Lf�.,U,..� �( ZIP: S`,�3�c/
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �.�,rco'� ��Q� /�o r c/ ro o �
� /c�..�rr -QR�sT/a� J
STORIES:�_ SQ. FEBT OF EACH FLOOR:
NO. OF BBDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALDATION (eaclnding land) : $ ��"Q "�
I hereby apply for a building permit and I acknowledge that the informatic
above is complete and accurate; that the work will be in conformance with tr
ordinances and codes of the City and with the State Building Code; that
understand this is not a �ermit and work is not to start without a permit; an
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATQRE: �� _ DATE: •-
�-� l�'�
(Please fill out the reverse side of this form)
�
, CITY of ORONO
�
iPost Office Box 66�Crystal Bay,Minnesota 55323•Municipal O�ice+
i �
� � _ � o On the North Shore of Lake Minnetonka
' D��� ���GY ���9R�
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 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 local , state or
federal agencies to the extent necessary to process the permit or
license.
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.
K 1 c 1��C'� 1� .���-����`�' --- - - -- -
First Middle Last
�� ��o r ��o t-2. ���" - - ------. _. ...... __ ___
Address
/�.�z v.� � �_.t-.� -��--3��'�.�_.------�--
City, State Zlp
� ��— ���� s — --- — --
Phone
I understand my rights as stated above.
-- _. ..--------__ .---� •------�----
ignaturey
BUILDiNG 8c ZONING-473-7357 • ADMIIVISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
A3SESSING
��
� � DATE TIME
�� CITY OF ORONO CALLED IN ,�/-/S- 9'O
INSPECTION NOTICE �3q3 SCHEDULED - = f�OZ�
PERMIT NO. � COMPLETED —� — �=��
ADDRESS �C��S GN G�ri�� C�
OWNER �:n 7�' CONTR. �o�✓�t� �or-�' ��
TELEPHONE N0. — 7n�� �
� DESCRIPTION /� e �
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOREJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE HEMOVAL
IN 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
r 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPT C FINAL
2 OWNER/CONTRACTOR TO MEET YOU:�YES_NO
y COMMENTS:
�
a a rd �Jer r�ecr.� �('U�t.
�
0
a
�
0
�
w
a�
Q
�
z
W
�
W
�
�
� �WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT 1NORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/ site:
inspector: ` �-
Whib CapyA Flk Canary Copy/Site Notks