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HomeMy WebLinkAbout1991-003510 - remove/install bath PERMIT CITY OF ORONO PERMIT TYPE: �,�;I� G��� 1335 Brown Rd. South • P.O. Box 66 Permit Number: i�i�:.;;L i� Crystal Bay, Minnesota 55323 Date Issued: �y� i�y;_;;_�� (612) 473-7357 SITE ADDRESS: �,�.i �f'r'�T�EW���713 �D L:�V ��. � . r�. : _.�.-3 i_;-y=:-�;:�:-������� DESCRIPTION: E1G�l�_�Y�J�1 S�t==4 t=kf...L_ ��I—!�!P'�F EU1 �.��11'1�� �'?��'fitl'�• �j'�'�% :_;�=—i-ifli'l�:i�i I�ifJ��. E�ui 1di i��� ��:�7-�:: Ty�°�. �;�;.i��tv�i�E:��;=:�'°�a iC:�EL � � � ��� �, � � ��� �� �r ���G�� �"" �,��'��st'� a'��Al� ,. � �.�' ay; ,� �,.. �'� Nn�^�W�.� . � r � ga f '�m; r � � � �' �' '� a��r'k� *� �G�� r f��`us�'�� ^� �n "�a'"�. x t�,�a�'k.' $�r� �"'�'',� � ', �,v,���'-e„�`� �,��,�'�? �� , ���.��:� �`. Y � i��°r1fi���"�r�fi�?w�� Y���-, � N�l'�yYS� ��y�y � :`� � �"'�Y "`�` �'#$, t . d . �»"`�r �'�*,��H z �f;.�+�`� �.�t�: �� ��y�, ��rl4ar ��r° � �' � ;.r� t �"/ s � �},',, w,� y �" hd r,f�"� �� %ur.��'rr,�,� yJ % � < �, ;� � x � ''�Y vr h���� � �� ` �� �:�a � �� i•77'r t(C �"f�'�s u�'r , i �� L•t� r vi ���Surtti � u ��,r ��pa �� � ` � � 7'e}i�AgYiJyt•yC� r'�uC7!'�' � � � p � � - - � .y � uw �;�A 1 if��:}ifiv#LT' Ll / 14L ( '��j� �� MYl y^-�`°. 1J1.l.L�'V rv � N.�r;,,. i �.�,J�lr��r���'�"� �� .µ��_� �� ,� �. �� il.e i.� i i'i.�vt i t't���.:Ji.%i%W V � REMARKS: `.1 "'-" `."'' C��'���� � ���;":.� �_�}�c7r i_T�,�;��,� �� . J1i.4L1! ! !1 fl7f1 ! ie3fs,{s,:i -:�r�i =rei i 1 9 �{�"J ' TYiVn�V'l.� �•VV,! t1V! 111 �lU FEE SUMMARY: :`=:'V�f'�� �'i iLt_��i.i i��.� �'.�1��. �;t_;r.-1 a��s� F�� �1�14 .cai� =:ur t hai���e ______ _��'..��m T��t�l F�e �15t�.y= CONTRACTOR: OWNER: -- ApP2icant. -- �:�;EAT I t�tE E��.}I L.GEf;'�. I lwlC: 1�I.::r.::;�.:�:_: F'�;�:iFT FAT 1�4S F'Ej iiVY �A _ ���� htYRTLEW���JG �:+� ��?_�f�{�_�t�;�# i`�I� ��4�.7 t��nf..��i_� hltd ����'�1 ..., -..-r-: t,r;l',:_':l 4.LI.'�!-t r'�?5 � •;. :3 ,•_:-.:_;=,._ _; �__. � 1 s_ � . . .� --- ------' !�'"`s�� �i�.i�,)�fl':��.tl!`�f��) �'"{�i"4�.:.��F� i1?"_i_Ei)t_:��j :� �'�P.!F}T.��:�.i's_li'4 � �_� 4'i3-=4F�.G ��!�__�1�_t'4i_ 1�lt"'"�C'4�_I4-i:}��}`�2��_• _+f�`�_•i�" 1�"_V F-�S��iJ 4�it..]i'+�1:•�� i �_{ j-jl_{ ;-i!_�_ �a1{..�f`lf'•. 1 I`� =��i fl 1�_ : ,�I�?�!-�L�i'-i��i=:� i,V 1 1 :"f i^�t!L_ t_;T T'p ���� _ �-:r - T t..,-�a�;-.r--. —r- t -.� �r '` h • � �' fi; .{'��7 r` r��3 1 7�Vi-i ��:_:�J� n�`_ _t 1#�'iC�.ti_iti i �� ty r1�_f���_� i_.ij��l.J!i4H��l�.G._� Fi{`3i._: „.i o-� i�_ ;I� �•y}.�`'+{�'d�'.�_ _. 1?-! C. � i._�. 1. . � f/ i , ,. X����d�_— - ✓ /�� !"i , . �� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUflE CITY OF ORONO - BDILDING PERMIT APPLICATION , Total Fee: $ / _i�C . :� `� Date Received: / - �� `%1 I , Date Approved: Entered .By: c:��-� � Permit#: � S/ C- i � i ' ALL INFORMATION 1KDST BE SiTBMITTED IN FDLL BEFORE PLAN REVIEW WILL BE STARTED ' ------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: � � �� ��',��/��'�1��CU-z`�-��--�1 ZIP: �� ��l � (work) NAML OF OWNER: �,�,�� �j �� ��- PHONE: (home)y ' -C��'7 MAILING ADDRESS: �' �C�� ����.Y..e��c,C�-c�-o-z� CITY: C��.�y,.,��n;- ZIP:���`1 _ �� � r� CONTRACTOR: ��L.����-�-� a���� PHONE: � 7 3 ' �C� S 3 ... MAILING ADDRESS: ��' ��( � I CITY:�;'�c��, _ ,� Z IP: ��:3�� � TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration� Renovate�� Land Alteration PROPOSED WORR (describe in detail) : i( .�Q�cl�c a�<--�--�� ��-� ��� .�i 1���-�C�'`� r��_-�'�'-_` �`�/-�L-cx_-�l -f-tt:.�t c-�S--�-�rr-�t��' Y STORIES:_�� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �,<, ESTIMATED CONSTROCTION VALDATION (excluding land) : $ �,,� ;����� � 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 ti ordinances and codes of the City and with the State Building Code; that understand this is not a Fermit and work is not to start without a permit; a that the work will be in accordance with the approved plan. �-�--��s�--�t_-�,-., ��-c_ ��-�-u-�-Z= - APPLICANT'S SIGNATIIRE: �� ;�%-��iZ�t.�� DATE: � �T (Please i 1 out the reverse side of this form) Y..v R ����� x���j, y���:ti � 'LA .l J��y M� ��i'_�ay.u�� .t�y'�Y�.I�.o'4 iy,F'��(Y �i1 ._����:��� s���:� CITY of ORON� :r� �..� �;���;� �' ���9 ,�s'��� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices �;`�.,. '�.'?,w�.';;;'+�, }���:,�z '"t, ' � �,..�; ,e� _ � ' � On the North Shore of Lake Minnetonka DAT�_ 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 f rom 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 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 local , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense 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. /� - ,� � h � i �7-� � !-� r= � S �' "�� -- - --- - � ��,��, o. _ , First Middle Last ,. 1 �-{.?�S � � �� y C:! �- cL _ � �-�-�-- --_.. _ , . . _. . .__: ..__..`. �.._- - - ---- -�----- --_�._ ..__. _ .----- - Address �� �� � (� � n I �'/��� 5 .> 3 � =/ ���1_�-n�4.----�� �. ._.__ -�--- -- -- -- . -- --..__. -.--_---__ - ----- .-�----..._ City State Zip �-(� =�� �� � � 5:'� _ _ - --- - _...__-- -- - Phone I understand my rights as stated above. - -- _1't� :r�--` .. --- __� �—�_� ----_.__.._._..._. ..-------_ __- --- ---� - Si na ure BUILBING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING � DATE TIME CITY OF ORONO CALLED IN '� �y/ INSPECTION NOTICE SCHEDULED � � C� `9/ -,� PERMIT NO. �-S�U COMPLETED �'6 �`�'i� Z,'� ADDRESS �OU %y�4��-�•-��-� OWNER _/`��c''�J��- CONTR. ����Z(-e- ��-��v TELEPHONE NO. �7 3 �" -3 �'� 3 � DESCRIPTION � <\�].� 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 I ATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 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 � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � � a � c.�.r i^-�b"�-J � � � a , l<- � � � 0 � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O C7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �C�TATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cali for the next inspection 24 hours in advance.47�73�J7 OwnerlContractor o si : Inspector. � White Copyllnspector's File Canary CopylSite Notice