HomeMy WebLinkAbout1988-001016 - add/remodel 1
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�335 Brown Rd.South•P.O.BOX 66 Permit Number: �-}t?���4=�� �
�rystal Bay, Minnesota 55323 Date Issued: �-j'!���-�:�-��=�
612)473-7357
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� �'��'����'"' ` Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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� �'° ''�`'� On the North Shore of Lake Minnetonka
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DATA__PRIVACY ADVISORY
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:
l. The information you furnish will be used to determine your
qualification for the permit or license reguested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
Iicens�.
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 fu11 name, and date of birth are required to process
this application or permit.
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City State Zip
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I understand my rights as stated above.
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ignature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINAIVCE—473•7358 • PUBLIC WORKS—473-7359
A3SESSING
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Total Fee: $ Date Received: �������
Date Approved:
Permit#: / ��� Project#:
Building Permit Application Requirements:
1. Building permit application - to be filled out completely and signed
2. 2 sets of construction plans to include the following:
a) Floor plans;
b) Footing and foundation plan;
c) Elevations (of all sides) ;
d) WaII sections and cross sections;
e) Details - stairs and any special connections.
3. Certificate of survey with location of existing and proposed
structures including hardcover calculations and grading and drainage
plans as required.
4. Energy calculations - form provided.
5. Septic report and design if required.
ABOVE INFORMATION MOST BE SOBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
----------------------------------- - ------
THE APPLICANT IS: (circle one) OWNE or CONTRACTOR
JOB S I TE ADDRES S: ��J�,� � /�c C� /�{v C. �l��e ��� Z I P: �� ��/
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PROPffitTY IDffiJTIFICATION NO. : � � � ���
��/�S l� � �7` �l C-r c cs�'�"e c E•�' �
�/� , / � (work) � 7�3-i5�� �
NAME OF OWNSR: /�(c c'_�u c/ -{- /�.c�cl��. S- �c�c�c� a f'� PHONE: (home) 4 7!- 7(915-
MAILING ADDRESS:��S�1� �l.�C c� C' CITY�it-�4.L ---�� ZIP:�-�S� Y �
CONTRACTOR: ����� � tCc�/ �• �ul C�,.yo�-� PHONE: � 7l��Co,1� �`�`,�,4'_
MAILING ADDRESS: �tiv►�� - ��j� �� CITY: ZIP:
ARCHITECT: � � PHONE:
MAILING ADDRESS: � r CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate X Land Alteration
-7T-
PROPOSSD USE (describe in detail) : � /���,� C,J ���,/� � �d /' �C �ac��� C��Z,Q
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STORI$S: SQ. FEST OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMAT$D CONSTROCTION VALOATION (excluding land) : $ ��� �G • t�l�
I hereby apply for a building permit and I acknowledg� 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 will be in a�cordance with the approved pZan.
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APPLICANT�S SIGNATU���.���j:�J r��/,I6� � ,/ � "!��
• ��.i�o��JGI-GGrk�Z � DATE: �
(Please' £ill out the reverse side of this form) '
� DA E TIME
CITY OF ORONO CALLED IN J
INSPECTION NOTICE SCHEDULED ���
PERMIT NO. (DIIo COMPLETEO —7 �� ' �7
ADDRESS � �
OWNER CONTR. �m��
TELEPHONE NO.
❑ FOOTINC'i ❑ PLUMBING RI ❑ SITE INSPECTION
�RAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� O INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� O WALL BD. ❑ WATER HOOKUP � LICENSING
LV ❑ FINAL O METER SET/TURN ON O COMPLAINT
� ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP
y ❑ DEMOL. O SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP O
= COMMENTS:
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Q O CORRECT WORK 8 PROCEED
C��ORRECT WORK CALL FOR REINSPECTION
� ❑ CORRECT UNSAFE CONDITION WITHIN URS.INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector � 473-7357
White/Inspector's File Canary/Site Notice
ATE TIME
CITY OF ORONO CALLED IN � = �
INSPECTION NOTICE SCHEDULED -' a' �
PERMIT NO. COMPLETED �'�1 'Z�v "��S �.��
ADDRESS �� > �!�_' �- Ls-��''iC- J'ri�
OWNER _ ,.,C�(_.t.�/1 , ;� t:tYa �7`;CfiONTR,
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
O FRAMING ❑ PLUMBING FINAL O EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ MECHANICAI O LAKESHORE/WETLANDS
� O WALL BD. � WATER HOOKUP ❑ LICENSING
lt� ❑ FINAL O METER SET/TURN ON ❑ COMPLAINT
� O PROGRESS ❑ SEWER HOOKUP O FOLLOWUP
� ❑ DEMOL. ❑ SEPTIC INSTALL. O SEPTIC FINAL
Q ❑ FIRE PREV. O SEPTIC MAINT. O FIREPLACE/WOOD BURNER
� WELI TEST PUMP ) , l ❑
Q COMMENTS: �� � r+t �" !N� '�1���w� -
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V ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
� STOP ORDER POSTED.CALLINSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
cali for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector � 473-7357
White/Inspector's File Canary/Site Notice
� • „DA� `� � TIME
CITY OF ORONO CALLE�J IN /(J � �
INSPECTION NOTICE J�/ f_ SCHEDULED � ��l��� ��.
PERMIT NO. � C`� COMPLETED (��� ��' �v
ADDRESS �� ( � Y� C�'"� �
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
� FRAMING ❑ PLUMBING FINA� ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL B /�, 1C O— WATER HOOKUP ❑ LICENSING
� � FINAL ��/tCl(�c�—�.� METER SET/TURN ON ❑ COMPLAINT
Q ❑ PROGRESS O SEWER HOOKUP O FOLLOWUP
� ❑ OEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
Z O WELL TEST PUMP ❑
Q COMMENTS:
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� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
� STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
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I nspector 473-7357
White/Inspecto File CanarylSite Notice