HomeMy WebLinkAbout1992-004441 - re-side PEIZMI'T
CITY OF ORONO ' � �ERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'���j�����'
Permit Number: t it,q.�.s��.
Crystal Bay, Minnesota 55323 Date Issued: t��.i��,l'�i
(612) 473-7357
SITE ADDRESS:
4:�:;�� td���iTH '=�H3�RE DR
L`=�V
� F'. I .�!. : ��7-11�—:�_:—��'—i�'t•L�.
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: - Af��1 i c ant. -
'-�T�EL���W D�it 1��LA��
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APPLIC PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDI�IG PER�SIT APPLICATION
� •
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Total Fee: $ l� ��� 7 �i Date Received:
Date Approved:
Entered By: ��� permit�: �� �� �"/�
AT•T• INFORMATION MIIST BE SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off ' st Enclosed)
---------------------------------- - ---------------------------------------
THE APPI,ICANT IS: (circle one) OWNER r CONTRACTOR
JOB SITE ADDRRSS: � N • �C.c� � ZIP: 5 uJ3 C� `�
(wo rk) y j 5 -�/L J Z_
N�ML OF OWNER: c�c,c -7 f�'Jt � PHONE: (home) y7 Z. - `�6 U 8
MAII,ING ADDRESS: �� .� i, /�S 1.�,�-c ��:_, CITY: /1��.,�,�� ZIP: :s S�.�G �
CONTRACTOR: G �/ � PH��'
I�iAILING ADDRESS: CITY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: /��� ci -. PH��'
�.�SAILING ADDRESS: CITY: ZIP:
N�g: REGISTRATION �
TYPE OF WORR: New Addition Accessor Structure riove
Demo Remodel/Alteration Renovate� Land Alteration
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PROPOSED WORR (describe in detail) : �Cv✓L '. ��Q ✓� �ti � � �-�
-� L, ��:� L � ��� ;� i� � e�Q . �,, Nta
J� �:.�h S�.e.,�f�✓c� � �;,-��c� �,.� d'S
«n ,�- � �� :�
STORIES:�_ SQ. FEBT OF EACH FZOOR: /Z ���i �
NO. OF BEDROOMSs 3 GARAGE STALLS: ATT. 2� DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ � � Q� S
I hereby appl.y for a building permit and I acknowledge 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 wil 1 be in dance with the approved plan. �
APPLICANT'S SIGNA7.'IIRE: � DATE: � � � ' C�'
a �
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Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
0
s ' s • On the North Shore of Lake Minnetonka
DATA PRIVAC7C ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Iike 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 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 Iicense requires Council act�on
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
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Phone
I un nd my rights s stated above.
Signa ure � •
BUILDING&ZONING-473-7357 • ADMINISTRATIO[Y&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
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DATpE p TIME
CITY OF ORONO CALLED IN • — U �/
INSPECTION NOTICE , . scHEou�E� �,� /D•�.j �
PERMIT NO. ��y� COMPIETED �
ADDRESS � ��3 o Z2.�-� � �i�.
OWNER ,�[-�'-�� CONTR. ``
TELEPHONENO. `� �� �����
� DESCRIPTION ,��x'��� 1 �CL�-�-�l�Z.�
� 01 FOOTING 11 MEC ANI AL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 INAL 13 METER SETITURN ON 17 SiTE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PFIOGRESS
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 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d I�,WORK SATISFACTORY:PROCEED .- PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O/Il CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -� pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ir�pection 24 hours in advance.473-73�J7
OwnerlContr c on ite;
Inspector.
White Copyllnspector's File 1 Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC scHEou�Eo �—
PERMIT NO. �M�ET�q� �
ADDRESS ���� f�-,/ r�[ -S _n���e _ �I �
OWNER��� � ,� CONTR.
TELEPHONE NO.
� DESCRIPTION /�� ��CY`�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WA L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
5 FIN 14 SEWER HOOK-UP 06 PROGRESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
D COMMENTS:
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� WORK SATISFACTORY:PROCEED , JECT COMPLETE
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� ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS.
INSPECTOR WILL REfURN ❑ PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
Owner/Con t n s' :
Inspecto
White Copy/lnspector's File Canary CopylSite Notice