HomeMy WebLinkAbout1994-006338-issued under old PID#17-117-23-43-0088 ___ _ _ _ _
PE C �T
CITY OF ORONO PEFiMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ' ' Permit Number: �`'-�3�-=='��`��'
Orono, Minnesota 55356-0815 '�`�'_°=����=�
(612) 473-7357 Date Issued: ; , _„�
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - �L���� i L a��t. - OWNER:
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A I ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
�
CITY OF ORONO — BIIII.i. 7G PEP.MIT APPLICP,TION
�
k - � - Date Received:
� Total Fee: $ �
#. � Date A�proved: '
, --�ti�-: �/ � ,��1
, Entered Bv: Permit� �" , _ __
� BEFORE PLAN REV=EW WI� SE Sg���
; A7,T, INgpgMgTION MIIST BSC SUBI`'SC TT� �FL�`St Encl.osed)
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� APPLICANT I5: (
circle one) OS�TDIER or CONT.QACT
, �, ` � ZIP:
JOB SITE ADDRSSS:
(work)
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PHONE: (horae) �� -� ���� C�
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MATI,ING ADDRESS: ,
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�/,'' / // PHONE: l
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CONTRACTOR: �6 � ��'� � /� � —�
�� r�/� CSTY: ✓/C�-���'�✓�. ZIP: ���5 �c
MATZZNG ADDRESS_ �� �c� � �t �;�-
��� �% S� C�L�
STr�TE LSC--�NSE: ,''r `
PHONE-
ARCHZTECT/ENGINEER:
CITY: ZIP-
MATLING ADDRESS:
REGISTRATION z
NAME:
Accessory Structure NSove
TYPE OF WORR- New Addition Land Alteration
Demo Re_*nodel/Alteration
Renovate
�� �, �C',�'�1 —
Q�,
PROPOS� WORK (describe in detail) :
STORSES: SQ. FEET OF �� �'�R:
NO_ OF BEDROOMS: G�RAGE STAI.I'S: ATT. DET. ``f
_/
E
STIMA�ED CDNSTRIICTION VALIIATION (eacluding Ia.nd 1 : $ ( ��G�
I hereby apply for a building permit and I acknowledQe that the information
- that the work will be in conform code;a th th=
above is complete and accurate, and with the State Building e�it; and
� ordinances and codes of the City
understand this is not a permit and work is not to start without a p
� that the worlc wi11 be in accordan e with the approved pl�n. _ . �
? C��'�� � '`Y�
DATE:
APPI.ICANT'S SIGIIATUI2E:
_� _
`- � � ��'��' o� ���I�TO
M!
. Post Office Box 6b•Crystal Bay,Minnesota 55323•Municipal Offices
• -
On the North Shore of Lake Minneton a
• - • �
DATA PRIVACY AD�SORY
"Ri hts af subjects of
a Subd. 2. g ermit or
In accordance with M.S. 13-ou�tnat your request for a p
data" , We Would like to inform y of its departments may require
license from the City oi Orono or any
you to s"urnish certain private or confidential inrormation.
you are notified that:
1, The iniormation you furnish will be used to determine your
aualification for the pe'-�i` �r Zicense requested•
2. You may refuse to supply data, but refusal may require that
tne City deny the permit or license.
be snared with other 1oca1 , s�ate or
3 . The information may rocess the pe*-mi� or
f ederal agencies to the extent necessary to p
license.
d. �i your requested per:nit or
iicense requ�res Councii ac��on
+o zpprove, some inLormation may become public.
` You have certain rights under M.S. 13_Oa to rev�ew �riv��e
J �
data on yourself. ,
�- �ss tzis 3DD1-�cat_or. or
6 . Your full name is reauired �o proc_ -
pe�it.
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�Y� lf�� zzs�
First Middle
`�7-3 � � ���-,� ��t
_ � � �Address � /,� � �/� -�
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State
City
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�
Phone �
ri hts as stated '� ove.
I understand my 9 .
Signature
� ADMINISTRAT�ON&FiNANCE—-t73-�358
• PUBLIC WORKS—473-7359
BUILD[NG&ZO`lING—473-7357
ASSESSIN G
V
DATE TIME
CITY OF ORONO CALLED IN �' '�
INSPECTION N TICE SCHEDULED ,�-/�' ��-,
PERMIT NO. 33 � COMPLETED �_ �
ADDRESS � � ��-�-
OWNER Ca-� CONTR. l��Z-�'�
TELEPHONE NO. � 7�' � ����
� DESCRIPTION �L.Q -�
� 01 FOOTI-N-G�-�,,. 11 MECHAN AL RI 16 WELLTEST PUMP
02 FRAMING�� 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� SULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 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
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORKSATISFACTORY:PROCEED �-
W PROJECT COMPLETE
� 7 CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
W
O7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN `
❑STOP ORDER POSTED.CALL INSPECTOR �: CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne ' pe ion 24 hours in advance.47�7S�J7
OwnerlContractor
Inspector. -��
White Copy/lnspector's File Canary Copy/Site Notice