HomeMy WebLinkAbout1990-003146 - tear-off/re-roof PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: ��`�������'
Crystal Bay, Minnesota 55323 Date Issued: �������-������
(612) 473-7357
SITE ADDRESS:
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APPLICANT,PER E IGNATURE SSUED BY:SIGNATURE
CITY OF ORONO - BIIILDING PERMIT APPLICATION
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Total Fee: $ � �. �� Date Received: � C/
Date Approved:
Entered By:
Permit#: v�� �"� �
AI�L INFORMATION MIIST B$ SDBMITTED IN FQLL B$FORE P7�AN RAVIEW WILL BE STARTSD
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITS ADDRESS: ,j � �J ZIP: S—��cJ�
(work)
NAME OF OWNER: ���� �vr/y�i,�- PHONE: (home)�-7/� 7'z �Q
MAILING ADDRESS: o�C�����/ �� CITY: li(�J�Zl�� ZIP:�-�1/
CONTRACTOR: � PHONE: �7' -���7
MAILING ADDRESS: ��Ss��L_�F>i'S� CITY: �� � ZIP:����_
^_�_
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �� i�<7.�.¢�� ,��"�Cl/
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STORIES: _SQ. FEBT OF EACH FI.00R:
NO. OF BBDROOIKS: GARAGE STALLS: ATT. DET.
[Q�
ESTIMATSD CONSTRIICTION VALIIATIOI� (eaclndinq land) : $ -
I hereby apply for a building permit and I ar,knowledge that the informatior.
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; anc.
that the work will be in accordance with the approved plan.
,
APPLICANT'S SIGIQA . DATE:
�
- � : : (Pleas fill out th verse side of this form) -
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CITY of URONO
Post Office Box 66•Cryatal Bay.Minneaota 55323•Municipal Uffices
•
� _ � � On the North Shore of Lake Minneton.ka
DA����R�VAC�.�,�Y�����
In accordance with M.S. 15.165, "Rights of subjects of data", we
would 2ike 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 suppZy 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 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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First Middle Last
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Address
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City State Zlp
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Phone � �
I und an y rights as stated ove. -
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Si re
_ .. _ , � . _ _ _
_ _ - � PUBLIC WORKS—473-7359 ._ '--.
BUILDING�ZONING—473-7357 • ADMINISTRATION dt FINANCE-473 7358
A3SESSING —
�D� �� TIME
CiTY OF ORONO � CALLED IN
INSPECTION NO CE SCHEDULED � //�00
PERMIT NO. � COMPLETED H
ADDRESS ��s
OWNER� �°�^�-6?iJ CONTR.
TELEPHONE NO. �7�—SS �
�`, ❑ FOOTING ❑MECHANICAL RI ❑SITE WELL
~ lING ❑MECHANICAL FINAL ❑WELLTEST PUMP
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Q ❑ INSULATION ❑ FIREPLACFJWOOD BURNER ❑ EXCAV/GRADINGIFILLING
y ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESHORENVETLANDS
Z ❑ FINAL�� 0 METER SETlfURN ON ❑TREE REMOVAL
Q ❑ DEMO—SITE ❑SEWER HOOK-UP �SITE INSPECTION
�
J 0 DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
� ❑PLUMBtNG RI ❑SEPTIC INSTALL ❑COMPLAINT
_ ❑PLUMBING FINAL S PTIC FINAL O FOLLOW-UP
Z COMMENTS: � � �
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W WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
� CORRECT WORK 8 PROCEED ❑CITATION ISSUED
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0 ❑CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
V BEFORE COVERING ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR PERMANENT
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra o�ite:
Inspector.
White Copyllnspector's File Canary CopylSlte Notice