HomeMy WebLinkAbout1991-004036 - reroof/tearoff r PERMIT
�'. ���� �F ��0�� PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 E�#�T L�I PJ�;
Permit Number: t�{:}����_;=�
Crystal Bay, Minnesota 55323 Date Issued: f�_3/�:::::%'�1
(612) 473-7357
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: -- A����1 i c ant- -- OWNER:
IlI�"�•T'EELL �"3Ef1HL�"1 .��l.��.LT��% CjE_3._r`iNE�� C)AVIU
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
+ , CITY OF ORONO - BIIILDING PERMIT APPLICATION
V
Total Fee: $ Date Received:
� - - Date Approved:
Entered By: , /,`
Permit#: �2J � �
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ALL INFORMATION IriOST BE SUBMITTED IN FIILL BEFORE PLP,N REVIEW WILL BE STARTED
------------------------------------
THE APPLICANT IS: (circle one) OWNER or ONTRACTOR�
JOB SITE ADDRESS: "���',5 •�1����'l �`�i'�1i� 'P`-�-� ZIP:
i �T' ►ti h�i o.,-�R L (work) �f 7/- O/ 1 )
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N1�ME OF OWNER: ���f� Or Tl•}� L.r�t+L-�`_� PHONE: (home) �
MAILING ADDRESS: CITY: ('}�i>►�!? ZIP:
�l��G 1'V� �TCHr t,� � � � C I
CONTRACTOR: � v PHONE: 4 7 `
MAILING ADDRESS: �' .> >5 H�L S;�_/�'!� /� °�� CITY: v�L� �' '`'��� , r'1' N ZIP: �S� 36 y
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �Ei'Y� L � � � j-r� �'���'``��-� � ,• ! � ���fi L`-
�r t,.� ��f� �Nr- L�S � r� ���4 i�n rJ��J r� t-1 N D �s a�M� �e�� �S� ,�r�..� S �� �r
�V k��� �r•� °�7 s-1 i,�. /�/t..�.� c�t c 7T��►'LS ,h �►� t���,...� N S��2' �t 7 S _
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGB STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ ������• `��
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 with the
ordinances and codes of the City and with the State Building Code; that I
°inderstand this is not a �ermit and work is not to start without a permit; and
that the work will be in accordance with the aFFroved p lan.
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�APPLICANT'S SIGNATORE:' • �X 1�- �,��", �'�"`��/ DATE: � � � '>> .. "/ I
lPlease fill out the reverse side of this form)
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CITY of O�.iO
• Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•.
� � � � e `� On the North Shore of Lake Minnetonka
DATA_ �R�VACY ADVIS�RY
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 Iocal , 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 inf ormation 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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I understand my rights as stated above.
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Signature
BUtLD[NG&ZONING-473-7357 • ADMINISTRATION&FINANCE-473•7358 • PUBLIC WORKS-473-7359
ASSESSI\G
</ DATE �TU)A�
CIn OF ORONO CALLEO IN ��--9--�-� ��,J
INSPECTION NOTIC SCHEDULED •'3 �
PERMIT NO. � 3 � PLETED �(
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ADDRESS
OWNER CO TR. �
TELEPHONE NO. `� �� - a 7 a 7
� DESCRIPTION
� ��� 11 HANICALRI 18WELLTESTPUMP
Q FRAMIN 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 I LATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z�04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlfURN ON 17 SITE INSPECTION
�,07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBiNG RI 15 SEPTIC INSTALL 22 FOLLOW-UP
J 10 PLUMBINCa FINAL 23 SEPTIC FINAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� �VYORK SATISFACTORY:PROCEED ❑ PFiOJECT COMPLETE
W ❑CORRECT NfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Csil for the next inspection 24 hours in advance.473-7357
ite:
inspector.
White CopyA Flk Canary Copy/SiN Nodce
DAT TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE � 1� 3� SCHEDULED �i - �-2- � � �
PERMIT NO. 7 COMPLETEO �I �
ADDRESS� y .� ��`r..��
OWNER 1Z.-E�cz�,u_ CONTR. ,ti:.���� ��(� r��
TELEPHONE NO.___ � 7 v��- a 7a �
� DESCRIPTION —
� 01 FOOTING 11 MECHANIC RI 16 WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125''WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
05 INAL 13 METER SETITURN ON 17 SITE INSPECTION
� —SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�O
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
iNSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContracto n site:
Inspector.
White Copyllnspector's F e Canary CopylSite Notice