HomeMy WebLinkAbout1993-005525 - reroof/tearoff �, PEI�MIT
� �I�'Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: �:��F�-'-3=�'���
Orono, Minnesota 55356-0815 �:it;�;�'?+�
(612) 473-7357 Date Issued: i
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SITE ADDRESS: �zo y
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DESCRIPTION:
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REMARKS: " �� -�
FEE SUMMARY: "
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APP I ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �4 ,
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Y ` CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ �-�� •�� � Date Received:
Date Approved:
Entered By: �"/i ,5-��S
Permit tt:
AI.I, Ir7FpRMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN RE�71E�+�1 S^1ILI. BE STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) (_O��TNE�or CONTRACTOR
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JOB SITE ADDRRSS: ��� :' ' c ' ."� ZIP: �7
(work) � ; i � ����.,�'
' ' ,%'y'� � ��� ""� ��/1, � PHONE: (home) ' � �% " �,J,��_
NAML OF OWNER: �����-�i � � � � �
MATLING ADDRESS: �� ��l R � u% � % /�C-'� CITY: �'' ,� -•. _C ZIP: `> 5 ��/'�
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CONTRACTOR: pH���
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE:, �
ARCHITECT/ENGINEER: PH��'
MAILING ADDRESS: CITY: ZIP:
NAME� REGISTRATION ,ur
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TYPE OF WORR: New Addition Accessory Structure � Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : l u� - z_ � + ;���� �z��� ✓�_��.��, ��� �� �`�4�����'�
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STORIES:�_ SQ• FEBT OF EAGH FLOOR: � �(�C�� �� �� O��
NO. OF BEDROOMS: GARAGE STALLSL�•'ATT. DET.�y_
, ��. :� P�:��_��
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � ���� 1 �� ��`� = ,�
I hereby apply for a building permit and I acknowledge that th � information
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; and
that the work will be in accordance with the approved plan. :
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APPLICANT'S SIGNATIIRE: j���� �`'�; - �, �r,`` "� � DATE: �
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- �,�,r�;.; Post Office Box 66•Crystal Bay, Minnesota 55323•Muniripal Offices
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� _ � � 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 pe�q i�e
Iicense from the City of Orono or any of its departments may
you to furnish certain private or confidential information.
You are notified that:
l. The information you furnish wil.l be used to determine your
qualification for the permit or Iicense 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 oth��r e scthe permit or
federal agencies to the extent necessary to p
Iicense.
4. If your requested permit or 3icense u�qic res Councii ac�ior.
to approve, some information may become p
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6, Your full name is required to proc�ss this application or
permit.
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Mic�dle � Las}t
First i �
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Add ess
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City State Z1p �
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Phone
I understand my rights as stated above.
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S i atur�- "� �
•� • PUBLIC WORKS —473-7359
BUILDING&ZONING—473-7357 � ADMINISTRATION&FINANCE—473-7358
ASSESSING
TE TIME
CITY OF ORONO CALLED IN �� /.L�93
INSPECTIAN NOTICE SCHEDULED / � 9
PERMIT NO. ��a S COMPLETED _� _�
ADDRESS
OWNER CONTR._�,��
TELEPHONENO. '�i�7/ - (��'.�S
� DESCRIPTION��� ��.,�
� 01 FOOTING 1 M ANICAL I 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FIL�ING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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� 0�IIF�D D. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� —SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
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= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �WORKSATISFACTORY:PROCEED PROJECT COMPLETE
� 1❑CORRECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOAARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal!for the next inspection 24 hours in advance.473-73�J7
OwnerlContr o�ite:
Inspector.
White Copyllnspector's Fi Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �� SCHEDULED l�—�-a 3 �'�'���
PERMIT NO. S� � C MPLETED r�_ �_
ADDRESS � � U>
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �Gl Q, � ` f�c� �
� 01 FOOTING 11 MEC ANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z �ALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q NAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN
INSPECTOR WILL RETURN r CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contracto e:
Inspector. �
White Copyllnspector's Canary CopylSits Notice