HomeMy WebLinkAbout1992-004632 - reside house PERMIT
CITY OF ORONO PERMIT TYPE: _P U IL Q It t--J!G
1335 Brown Rd. South - P.O. Box 66Permit Number:
Crystal Bay, Minnesota 55323 Date Issued.-
(612) 473-7357
SITE ADDRESS: -R
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: F{-I PP 1 C 6 I.
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47'1"' G,
THE UNDER-':_-'IGNED HEREBY REQUE,::,1T.':_.' PERM ISST I-IN TO MAK C THE REAL !MPRCVEMENTS
SPEC:IFIED AW) AGREE.cl, TAI CC., ALL WARk.` IN CL-IMPLIANC:E
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CIRONO ORDINANCES AND STATE OF tJTUILDING CADE REQ,!_ IREr,1ENTj-, .
NNE-Sli H B
AP A�NTIPER ),_57 ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PEI;U41T APPLICATION
$ { �j d'� Date Received: ?�/S
otal Fee: �- �Sa--
Date Aonroved:
.:iteredBy Per_mr it 4: =3�
:LL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
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TE APPLICANT IS: circle one ) tdN or CONTRACTOR
mac; ZIP:
OB SITE ADDRESS:-
(work)
DDRESS: (work)
;AME OF OWNER:
PHONE: (home) Y �l �2c3G
AILING ADDRESS: 3 2UC7rYLCyica�, ��*-� CITY: ZIP:
_'ONTRACTOR: 0J) �/V U 'V✓l S'S'A�f PHONE:
AILING ADDRESS: C9 Q /?l%`' doff gt G'k CITY: M 0 (f At/) ZIP:
;STATE LICENSE: T
: BCHITECT/ENGINEER: PHONE:
_AILING ADDRESS: CITY: ZIP:
AI _ REGISTRATION
YPE OF WORK: New Addition Accessory Structure clove
Demo Remodel/Alteration__ Renovate Land Alteration
ROPOSED WORK (describe in detail)-4 cc-
TORIES: SQ. FEET OF EACH FLOOR:
+O. OF BEDROOMS:_ GARAGE STALLS: ATT. DET.
STIMATED CONSTRUCTION VALUATION (excluding land) :
hereby apply for a building permit and I ackncwledge that the information
bove is complete and accurate; that the work will be in conformance with the
rdinances and codes of the City and with the State Building Code; that I
aderstand this is not a permit and work is not to start without a permit; and
zat the work will be in accordance with the approved plan.
',PPLICANT'S SIGNATURE:
i
CITY ®f ORONO
Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
0
On the North Shore of Lake Minnetonka
DATA PRIVACY 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 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 license requires Council action
to approve, some information may become pu-lic.
5 . You have certain rights under M.S. 1-3 -041- to review private
data on yourself.
6 . Your full name is required to process this application or
permit.
First Middle Las=
`6CNM!✓iTWrAh . " F
Address
City 1` State Zip
Phone
I understand my rights as stated above.
Signatuz<
BUILDING& ZONING -473.7357 • ADMINISTRATION&FINANCE- 473-73533 • PUBLIC WORKS -473-7359
ASSESSING
v
TE TIME
CITY OF ORONO CALLED IN -z-
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED 'I
ADDRESS
OWNERIn- CONTR.
TELEPHONE NO.
DESCRIPTION Svdzrw
01 FOOTING 1 ECHANICAL RI 16 WELL TEST PUMP
02
Q AMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q05 FINAL' 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAI NT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
T 10 PLUMBING FINAL 23 SEPTIC FINAL
J
OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENT
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W WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
c 7 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/ContrTr oh site:
Inspector. v
White Copy/Inspector's File Canary Copy/Site Notice