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HomeMy WebLinkAbout1993-005619 - reroof ,, .� PERMIT L--�_ CITY OF ORONO PERMIT YPE: 2750 Kelley Parkway • P.O. Box 815 Permit Num er: �'�i�'--��'��` Orono, Minnesota 55356-0815 �'''�-'_' � (612) 473-7357 Date Issued: � 4��� c�.�::; SITE ADDRESS: 1'','�_� '�;*-�;'.31�``'����_j_��; :;`i; f t�F-+ . . {. . l`,; , , 1 i—.! � —.�._—i F'"t_)t_1.,:__ DESCRIPTION: FE�;i_ii iF E�ui l��i=��� �'�rn�i�• Ty��_ '=�F—�i1�aiR�i•1i�GL;� E��a� 1��it,�;; �i�_�;��:: '�'t•�:�� �;E—�l���=;� r•��"V i jC f f�rr r7�Fi t 4 I L! L'f L•lTLt �1�!!�'7/t}4(�L Ui��S4L 1V1tJ1VVVVV T�f � r v i vL,u �i .w° i tLii�L't•<�VV 1� REMARKS: y `1 `�`� /�'}'. I.ril�LVf-i, ;!_ 7�3�%t� r�Ci i;,yiir�"`�i rn�� �v�L� r�rc:v+:rFivt i,�%�r�i iIi%i �i%i����' i:i,•'c L'•�r� FEE SUMMARY: L •'�'-'t--'%:-'� j 3�_s;�t �i � =�.''i �'��'=' ��'t� �d�.;�, i_i!_'t . _ .... =��.���c h��~��� ----------�.�?� Tt�,'r�.rj i F��� �:�_=. ;�d CQNTRACTOR• — ��=���li=_����t. — =,�� . �I;�: , OWNER: �.:t_�i � �:f_���:_;�:��i��t:;"��I::�� 1�=r=,��:�.;�,:=.�; ,:°��s�, ����(`� � . f�.ki��. �.TH ��i ��;,i t,�.�`€H� 1'�?;�; °=;H�?s;�+,��_�3=+�7 �� I-;::i�='�-::I1`�l:�� ���,� cc•_;�•_; i;�c�:��€.i �� �,L-_���,� '? ��' t �.y _;''�_�-.�'�' ' _. _. _._. _. . ... ..._ . ._ .. .. _ _ _ _ ,c�.;�d--]�,���? ..._ . . .,,___,_ _ -�`� . _. . - �.- - - - - e ��i.:. �it'�al f-+ �� �-��'Ex_i"} ��F�T�F:''I �{Y '�.3}:�•' � i'. , s - "�"F..J�: -��ir„�:� „`� . _. .._. . ._. . . -• _. `'C:�..`i i.�_. _:;,;_:('',i i :_' ''t-;!''•.;�:. . ._ �'•'.�L:i 4�*3 �-i';€`;`,1 i - � 'wsi='i�.i.:i�' '�`:_i,' �1€''�E�' - t �=.: '±"! ;J=;3 - 1 � ! '��j�=ti' ;;,1 ';i-:�t; �-.r.:;-:: : . �.:• Y-� ` ' ; �'r �� _�.. � . �1 _ . .��_i;;•-. _ _ a i;.. .:� .•;T i a�'1_.i 6�i`���»__ {h!��� �-i� L` �L , i ji•- - ""�_'�'o-.t'� �L� y�t-.i,r:F 3.'.r���. - • -- } � ' ��.�'t�_S' 'i } . , h. .. ":.i�'i _ "'_'E_ i...l� '� . Y�'-.i ......._ i.�I... 4.� d. .. .! ._.•L•_� .ii1i., '._. i �'x . __ ... �'t_,ti3�'ui:,_ �_3';P'�� ... ���� _� � � . ;�,-ea•. 4� It : . . . � r� E;:� i3[ i� ` C. � ;, r r �r•-.t.;,. . , >�_.e.x_�,}.., ...� �,�_?#»1t� i�;.` : t_.F'.�.t•tr ;v 3 '- � _,_ .'. � �...� . � .��"�'� * // �� APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE /LL'� /��'-/ ` ' CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ 'Y-J� �� Date Received: Date Approved: Entered By: l'1✓ s, �� � c✓ Pel�ntit r. AT•T• INFORMATION MIIST BE SIIBMITTED IN FDLL BEFORE PLAN RES7IEW WILL B$ STARTED (See Chec}c-aff List Enclosed) ------------ ------------------------------------ - --------------------------- TgE APPLICANT IS: (circle one) Oi+TNER or CONTRACTOR� JOB SITE ADDKRSS: � y �� 5h«�`�u%���� ��� ZIP' (work) �� PHONE: (home) � 7/-7� �"7 N� OF OWNER: ///�i r ��� �-f'cL-c.?�-1 +-L i MAILING ADDR.ESS: l �'I 7� S�ia.4,. u,�c��2.� CITY: �l�'��i?.Q IG�/"'i'�%f�ZIP: CONTRACTOR:�_� ��f'1 S�iPL �� - PHONE: �� 3 - 3�� � , 7�71T1�p �+ ^ 7 / � c cz�: i�p -; ���i1 zzP: .-'3� MAII�ING []i/LS�i+SJ� /��- / �' �1• n ��T11 �— STATE LICENSE: � 3 9�G � ���3�' _ 3�3 ARCHITECT/ENGINEER: ��2 L2-C.� � ,�� �� PHONE: �I j�?,- 7l.�`� MAILING ADDR.ESS: CITY: ZIP: NAME: R.EGISTRATION n TYPE OF WORR: New Additian Accessory Structure Move Demo Remodel/Alteration Renovate Z,and Alteration PROPOSED WORR (describe in detail) : �-�: �Zc G7� f`t-� �a-�� � " ' "� � � STORIES:�_ SQ• FEET OF EACH FLOOR: /Z NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � g �7 l . �-`�- 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 wi�ha�hl ordinances and codes of the City and with the State Building Code; understand this is not a permit and work is not to start without a permit; and that the work will be in accordance wit,�,i the approved plan. � ,.� ,��� '' � ����'�-�� APPLICANT'S SIGNATURE: `��� (2��- � _ DATE: C� 4- � ` RONO CITY of O 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. 2, "Rights of subjects of data", we would 3ike 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 f t or li ensebreque tea, determine your qualification for the perm 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 federaI. agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Councii. action to approve, some information may become public. 5. You have certain rights under M.S., 13.04 to review priva�e data on yourself. 6. Your full name is required to procsss this application or permit. 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—473-7359 ASSESSING