HomeMy WebLinkAbout1990-003148 - reroof shed dormer PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �'`-�I�����'��
Crystal Bay, Minnesota 55323 Date Issued: "t���1�3}
(612) 473-7357 C�t/4.���I:.=�ta
SITE ADDRESS:
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� + URE ISSUE Y:SIGNATURE
CITY OF ORONO - BIIILDING P8RIKIT APPLICATION
Total Fee: $ �' ��� Date Received:
Date Approved:
Entered By: �
. Permit#: �
ALI� INFORMATION 1KIIST B$ S�BIKITTED IN FDI,L Bffi�OR$ PLAN RSVZEW WILL BB STAR�
THE APPLICANT IS: (circle one) OWNER o CT
JOB SITE ADDRESS: ��� S Cc9c9� a�,0 ZIP: ��' �Q/
(work)
NAME OF OWN$R: �Il,/L 5 1L�� /� PHONS: (home)
MAII.ING ADDRESS: CITY: ZIP:
CONTRACTOR: �►�. �G`lU�j0y PHONE:�Z3 � �SrS��
MAILING ADDRESS: 2o'�v �Q�l�T�S �VE CITY:_��t� ZIP: J�� 3
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : lV��F ���,YA lr-� � I`� ��'
��.� �����
STORIES: SQ. FEST OF EACH FLOOR:
NO. OF BBDROOMS: GARAGE STALLS: ATT. DET.
Qo
BSTIMATSD CONSTRIICTION VALIIATION (exclnding land) : $ ���
I hereby apply for a building permit and I acknowledge that the informatio:
above is complete and accurate; that the work will be in conformance with thE
ordinances and cvdes of the City and with the State Building Code; that :.
understand this is not a permit and work is not to start without a permit; anc:
that the work will be in accordance with the approved plan.
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APPLICA�iT'S SIGNATOR$: 1 ` DAT13: O � (n^
_ _:., _.
(Please fi the reverse side of this .form)
�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minneeota 55323•Municipal Offices
•
• . � o On the North Shore of Lake Minnetonka
D�l�� �.'R�V�CY �V��QR�L
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 license.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
�icense.
4. If your requested permit or license 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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Phone •
I understand my rights as stated above.
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Signature~
BUILDIIVG k ZONING—473-7357 • ADMIIVISTRATION dt FINANCE-4734358 � PUBLIC WORKS-4�3-7359 _
_ A3SESSING .
�
L ' DATE � TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ry SCHEDULED �)i 7 0 ��
PERMIT NO. b COMPL ED M �
ADDRESS
OWNER ►'t���� NTR. v�/l.�m�
TELEPHONE NO. �� �-�S S�"
j, ❑ FOOTING ❑ MECHANICAL RI ❑SITE WELL
~ ❑ FRAMING ❑ MECHANICAL FINAL ❑WELLTEST PUMP
�
Q ❑ INSULATION ❑ FIREPIACENVOOD BURNER ❑ EXCAVIGRADING/FILLING
y ❑WALL BD. O WATER HOOK-UP ❑ LAKESHORENVETLANDS
Z �FINAL J���cSD� ❑MEfER SEfITURN ON ❑TREE REMOVAL
Q ❑DEMO—SITE ❑SEWER HOOK-UP ❑SITE INSPECTION
�
❑ DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
v
W C PLUMBING RI ❑SEPTIC INSTALL. O COMPLAINT
_ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
� COMMENTS: C��S1't�Y'� [��-rT�/ l.c� / �r �� � p�.P
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W ORK SATISFACTORY:PHOCEED �PHOTO TAKEN
� CORRECT WORK 8�PROCEED ❑CITATION ISSUED
W
OO ❑CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
V BEFORE C�/ERING ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL REfURN
PERMANENT
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANCaE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr r site:
Inspector.
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