HomeMy WebLinkAbout1991-003627 - interior remodel ���1VV�I�
CITY OF ORONO ! � �ERMIT TYPE:
1335 Brown Rd. South • P.O �c;x �� �� �'t`��•`"�`k��`��
ermit Number: z���_.i�.:�i
Crystal Bay, Minnesota 55323 Date Issued: +���1 s�%'��.
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPI_IC PERMITEE StGNATURE ISSUED BY:SIGNATURE C ,��j-�
1 + � �-
CITY OF OROPO - BOILDING PERIKIT APPI.ICATIOP
Total Fee: $ /. �� � Date Received: �-�a - 9/
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�" Date Approved:
Entered By s ,�fi/� �.
Permit#: :`� �o� ?
ALL INFORMATION 1KDST B$ SIIBMITTED IP FIILL BEFORE PLAN REVIEW WILL BE STARTED
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: ��2� /� cs�J� ���� ZIP: ����o�
(work)
Nl� OF OWNER: ����G �Z ��G���� PHONE: (home)
MAILING ADDRESS: ��7�� OU ��O(� CITY: (�I���� ZIP: �J� �
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CONTRACTOR: � � G�� PHONE: �� `��7
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MAILING ADDRESS: �'�!.!� CITY: ����L��/� ZIP: � `
TYPL OF WORR: New Addition Accessory Structure Move
Demo� Remodel/Alteration� Renovate Land Alteration
PROPOSED WORR (describe in detail) : �,�^ ���� ��'/� N�,�1 G����',��5
/
�/Vj�a��� 61�U ����G� 1����� `���% � 2/t� ��F�� ��/1
/ ���l��rvG r%Ul �f��.✓5 �
STORIES: �- SQ. FEET OF EACH FLOOR:�p 4O�
NO. OF BEDROO1rIS:� GARAG$ STALLS: ATT. � DET.
ESTIMATED CONSTRUCTION VALIIATION (exclnding laad): $ ,�j�D ��
I hereby apply for a building permit anc7 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 will be in accordance with the approved plan.
i��`i` c �G� '��
APPLICANT'S SIGNATORE: DATE:
lPlease fill out th everse side of this form)
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- CI'TI'of �RON�
Post O�ce Bog 66•Crystal Bay,Minnwota 55323•Mnnicipal O�c:es
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� _ � A On the North Shore of Lake Minreetonka
D1°�iA..�R�GY AD....�..�9�Y �
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:
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 ].icense.
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 ].icense 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.
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Address
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City State Zlp
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Phone
I understand my rights as stated above.
�
ignature
BUIL[3ING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC tNORKS—473-7359
ASSESSING
� DATE TIME
CITY OF ORONO CALLED IN y-��'`��
INSPECTION NOTICE SCHEDULED -//- 9 � '�—
PERMIT NO. 3!0� �I co PLEfED �f ''v
ADDRESS ��� 3 �� t�I/1-�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 1 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMIN 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
H 03 SULATION 2M25'WOOD BURNER/FIREPLACE 19 LAKESHORENIIETLANDS
Z LL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q F 13 METER SEf/TURN ON 17 SITE INSPECTION
h '07 DEMO-SITE 14 SEWER HOOK-UP O6 PROGRESS
'`r 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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tdy WORKSJITISFACTORY:PROCEED ❑PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V' BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra site:
Inspector. +
White Copyllnspect s Flle Canary CopyfSite Notice