HomeMy WebLinkAbout1993-005125 - replace siding PERMIT L/
CITY OF ORONO PERMIT TYPE: f T
2750 Kelley Parkway - P.O. Box 815 Permit Number- C.
Orono. Minnesota 55356-0815
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(612) 473-7357 Date Issued.-
SITE ADDRESS:
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CONTRACTOR: OWNER:
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APPLICANT/UXMITEE SIGNATURE ISSUED BY:SIGNATURE,16�
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: Permit#: J/r'3 Sr
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-------------------------------------
THE APPLICANT IS: (circle fo�n�e) OWNER or CONTRACTOR
JOB SITE ADDRESS: 3 `(o 3 O ` - ar+k e �-Vt OL ZIP
(work)
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NAME OF OWNER: IT� Q S v C U r �t PHONE: (home) 7
MAILING ADDRESS: ste 'Q' CITY: ZIP:
CONTRACTOR: PHONE
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MATTING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/AlterationRenovate Land Alteration
PROPOSED WORK (describe in detail) : t_V_Jbi G C e- �1" ` (11
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2,S_00
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 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.
APPLICANT'S SIGNATURE:
DATE:
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CITY of
ORONO
Post Office.Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
® _ • On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 21 "Rights of subjectt or
Of
data", we would like to inform you that your request for a p
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 license.
3. The information may be shared withtoot local,
permit or
state or
federal agencies to the extent necessary process
license.
4. If your requestedanon may become public.res Council action
to approve, some information
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.
6 vr� evi
First
Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7 35 9
ASSESSING
PATE, TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED —e4-11015u
PERMIT NO. _522.§_ COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. 4-I/-0f3 J
DESCRIPTION
0 11 MECHANICAL RI 16 WELLTEST PUMP
0=FRAMING 11 MECHANICAL FINAL 18 EXCAWGRADING/FILLING
ON 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
Z 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAI NT 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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LmORKSATISFACTORY.PROCEED ❑PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
V 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 net inspection 24 hours in advance.473-7357
OwnedContta o on s te:
Inspector.
White Copynnapeotor's Ful Canary Copy0te Notice
DAT �9 TIME
CITY OF ORONO CALLED IN fl)/��
INSPECTION NOTICE SCHEDULED /D//S/�i3
PERMIT NO. �I]A COMPLETED �/ Y
v
ADDRESS
OWNER CONTR. v�
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 M HANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
O
Z
04.WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
�05FIN 13 METER SET/TURN ON 17 SITE INSPECTION
—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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►uuWORK SATISFACTORY:PROCEED 17, PROJECTCOMPLETE
W ❑CORRECT WORK R PROCEED I-1 ISSUE CERTIFICATE OF OCCUPANCY
00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
El STOP ORDER POSTED.CALL INSPECTOR !
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac r 4 site:
Inspector. v
White Copyllnspec is File Canary Copy/Site Notice