HomeMy WebLinkAbout1993-005097 - replace siding � PEI�MIT
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CITY OF ORONO � PE�RMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: �'�-�I�-�-t�''��'
Orono, Minnesota 55356-0815 t"-'�`-'==�7
(612) 473-7357 Date Issued: #���.�,:_;,,,�:Y;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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CONTRACTOR: — A�=f�1 i c�n t- — `�T . i_I C:.OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C��� 1
/
CSTY 8F�NO - BIIIZDING PERMIT APPI,ICATION
Total Fee: $ y.3� � v Date Received:
Date Approved: _
' Entered By: ,� '1/� ,h 0 q �
Permit�:
AI,I. INFORMATION MIIST BS SIIBMITTED IN FIILL B��� P�N �v=� �� B$ STARTED
(See Check-off List EncI.osed)
--------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
� JOB SITE ADDRSSS: ��02� !I/Dr�� lrfrm ///�� ' D ZIP:
(work)
NAME OF OWNER: ' � PHONE: (home) _
M�ILING ADDRESS: CITY: ZIP:
�L� S' � � .� � � P$o�: �'�,���ys 8�60
CONTRACTOR: 2 PS
MAII�ING ADDRESS: / �� CITY: �� Is 4 r/� ZIP: ��y/•Z
STATE LICENSE: #����7�
ARCHITECT/ENGINEER: PHONE:
MAII,ING ADDR$SS: CITY: ZIP:
N�: REGISTF2ATION A
TYPE OF WORR: New
Addition Accessory Structure Move �
Demo Remodel/Alteration Renovate Land Alteration
.
PROPOSED WORK (describe in detail) : a ��
�,�.�� � ��� S, '� / �
STORIES: I S - OF �� �'�R"
NO. OF BBDROOMS: GARAGE STI�LLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ / / �� ��
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 Wi�hathI
ordinances and codes of the City and with the State Building Code;
understand this is not a permit and work is not to start without a permit; and
that the work will be in accordance with the approved plan. •
APPLICANT'S SIGNATDRE: DATE: y��7�
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CITY o� ORON�
_ Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� . � � On the North Shore of Lake Minnetonka
. . DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "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 wi13. 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, s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to procsss this application or
permit.
CC �r �
First Middle ast
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Address
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City State Zip
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Phone
I understa d my ri as stated above.
C
Si ature •
BUILDING&ZONING—473-7357 • ADMINISTRATiON&FINANCE—473•7358 � PUBLIC WORKS—473-7359
ASSESSING
�
DATE TIME
CITY OF ORONO CALLED IN 1���-9 3
INSPECTION NOTIC�E �/ SCHEDULED �/-�9 ��%""'
PERMIT NO. ��' � / COMPLETED �( � 1I
ADDRESS I'T�� ���C`� C�.'���
OWNER (�(,�.�� GC%t.v���:.�- CONTR. ��"�� �
TELEPHONE NO. �`f� ���' �
� DESCRIPTION !�-e����-�'
� o` INSIICAT� 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING• 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 ON 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z04 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 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED
W� � ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED u ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. " PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContr or o site:
Inspector.
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