HomeMy WebLinkAbout1993-005033 - tear-off/re-roof � p��$.MIT �
CITY OF ORONO PEl�MIT TYPE: ��'•_�TLC}I��i�
2750 Kelley Parkway • P.O. Box 815 PermitNumber: "t��`='�=��_
Orono, Minnesota 55356-0815 ����t��,f'�=;
(612) 473-7357 Date Issued:
SITE ADDRESS: �_,�� _�;�������;_+;_�� �:�
�°_:�
F' . ? .P�. : i 7—;. ��—:�:_,—:�'d—i�{yi;�
DESCRIPTION: ����:,�..r}F�'lR�_��=�4=#F
E,uil=�ii-��� �`ei'CiiZ�• �Y��� °=��—�1Dai�iEt1;=�:��.:_
����i l��i; �-t� W������:: Ty��� F;E--F�+:a:�F
REMARKS:
4iT; :;� u��:n'�S�
�ii3n�ir� u��itra�.
iri�#%t:�itt�.1 �
1a71d1VVVVV
FEE SUMMARY: � �r a J _ -J_ fV�f{�uL�' �+�•vv
J�L:_�-�TI��#+i �'.� i�ir., �,
.�t:'t`�,..,.,tv� �
E��s� ��� ���. .iiy t:� �fA� �..�'
����.��'��SCiI''��' !'li�`�� � •li tl�
_��_�?#3 �•ri��.r_ e� � 'rv,v
�V _��._..---- - - ii'r.`r.i,iiT1T—ie�iiifili. i�u3ti
T���t��l . ►�� ��.�., �r��
�i�iwl�f�� i•�i��� t'�rf�f T��tlaijr
n�:.v�v i.. i vi +iv• v
�J}Tf VVJ>lt�J
CONTRACTOR: �1�lER: � ^�
�.,r.,e�,n.�,_; `:;H�C�'�W�+��� �'�5:1'�i
-� ��� 5 ;:,:r-:---.-•->_�..:r-�: �: - - -i =•�-�_;�_ •��: - - - F,=,-:. ;�. _ _ _
'�1=`?:=rti i==i��:i ��i���� rj�=;'�:��'�� Ta=� u��{ :�#_3_ 3:�l��:;�'�:; Z t�� ::�,=:�T����' +�:���;�1�'I_��i��#�=� W i TH �!L {=I Tl� i i�=
.. . . _ :.,�.., , F.:,. _._.__. . _ __ .
-i � 3 I`i ..�_• :.-.,2"'� :.:� � rt"!"�: i 3 f:; � lt.=�1�t !F• '''j F ! �} l.i it J%, c:;�{,��� ��``;�-�`.� ._�
!_� ,-._}��+_r +_+i tL�Z i�Fi���..�i:_--' h:".`;_ '-- . �t . _ �_��' : . .i�i�''.._.•_ _, t i i�•_ J.��. �.��7 :. _. ._ •_ �.�1_.. �_ � '-
L , �
c� ��
APPUCANT/PERMITE NATURE ISSUED BY:SIGNATURE �/CJ
. � �
CITY OF ORONO - BUILDING PERMST APPLICATION
� '/� C'�� Date Received:
Total Fee: $ / �r �
Date Approved:
;
� Entered By: �c�1i�' �� �")�j
Permit tt: �' -
AT•T• INFORMATION MDST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�71EW WILL BB STARTED
(See Check-off List Enclosed)
-------------------------------------------
THE APPLICANT IS: (circle one) ���NER�r CONTRACTOR
. ,-
� JOB SITE ADDRBSS: �� ���2��� ��� ' ,:� � � ��� � � ����� ZIP:
(work)
,, ,
���- �� � c,c (� G ' PHONE: (home)
NAML OF OWNER: �
� � C� CITY: ./�f' �c i�7��,-' �;" � ZIP: �'��� (
MATI�ING ADDRESS: �`� - C�' '� = � I
CONTRACTOR: �� � •� •��'� �� C� l� G( �C-� ti � PHONE:
MATLING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: /�'�-�� '�`�' PHONE: �
MAIZING ADDRESS: CITY: ZIP:
N�: REGISTRATION n
TYPE OF WORR: New Addition Accessory Structure Move �
Demo Remodel/Alteration Renovate /\_ Land Alteration
T
PROPOSED WORR (describe in detail) : f�( < �� � r�
STORIES:�_ SQ• �T OF EACH FLOOR z ��� ��°/' /r G �'-'�:
NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET.
� . c c
ESTIMATED CONSTRUCTION VALIIATION (ezcluding Iand1 : $ ���(' f"
I hereby apply for a building permit and I acknowledge that the information
above is compl.ete 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 accordance with the app roved plan. �
� r-� . �
/ -�
APPI�ICANT'S SIGNATIIRE- �_/" �'� ,`'` i`.�C � DATE: ��" � �
_ � � .
_ "``,��. �
^::Y CI'��i' o� OR�I�O
�
t.. µs
i Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
•
� . � o On the North Sh.ore 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 wil3 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 Iicense.
3. The information may be shared with ot�o esscthe ermit or
federal agencies to the extent necessary to p P
license.
4. If your requested permit or Iicense requires Councii act�or.
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 procass this application or
permit.
��� .�j��L i�c I C �-
�` �` � � Last
First Middle
;' : _" =� ) ._c t�`-= � C �fi_
Address
�(-� l< �� 1 � ( � l�7>L -= j�, `� �
City State Zip
� -���� c : J��� — � .�c_- l
Phone
I understand my rights as stated above.
�l "�
/ � '
<<-`�� ���' `'-�'�' �`,
Signature . �
BUILD[NG&ZONING—473-7357 • ADMINISTRATION&FINANCE--373•7358 � PUBLIC WORKS —473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � �—�2' � ��
PERMIT NO. COMPLETED �'� � �'��
ADDRESS ! 2S 51.�'-�0��,��v�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(fURN ON �j'b SITE INSPECTION
� 07 DEMO—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
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS: ���'o�' i�v���ect i::�
�
W
�
0 0l= /S L��,ewc,
� �r c t N S C�Ic-cJ r N5 (�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ❑WORKSATISFACTOFIY:PROCEED C PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR -` CITATION ISSUED
❑ INSPECTION FIEQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor t _
Inspector.
W ite Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED l� -�3 =% �`�-`�
PERMIT NO. �JC_%�� COMPLETED
ADDRESS �S ' �' �'�'�?��! (�/��'� ��'
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WA�L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERlCONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
� /)
� �
a �'. `--����` �� �� O � �Z��_J
�
J �`
O , Q -
� .�Ll l` n f�-� c) ( �
O
�
W
�
Q
�
Z
W
�
W
�
�
a
W ❑WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOF REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,�, pHOTOTAKEN
INSPECTOR WILL RETURN
C' CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor o s' : ' _
Inspector. � � '� - -- -
White Copyllnspector's File Canary CopylSite Notice