HomeMy WebLinkAbout1992-004343 - re-roof�' PERMIT
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�_+� � � �� ����� PERMIT TYPE: t� INC;
1335 Brown Rd. South • P.O. Box 66 Permit Number: �jt)�.��.�
�rystal Bay, Minnesota 55323 Date Issued: t7�/��t/�=�i
;612) 473-7357
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CN}?Fi'TF3 -L�H��F'iE ��=�t���I#�lC; & EX�:E 1471_=�1�4 D�IRYEL� WILLIL:
:;��;�ir i��i�TH '�Hi�hE DR '�7��� �HADYWi�ti►D RD
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s:51�:� 471—'�i�4
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APPLICANT/PERMITEE SIGN URE tSSUED BY:SIGNAT RE
CITY OF ORONO - BUILDING PERMIT APPLICATION
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Total Fee: $ Date Received:
Date Approved:
Entered By:
Permit#: �� �
AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLIGANT IS: (circle one) OWNER or CONTRACTOR
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JOB SITE ADDRSSS: �� S � cI c��t; � c� ZIP=
(work)
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NAI�? OF OWNER: (,� , r �; ��` � ��. PHONE: (home)
MAILING ADDRESS:�-'�-7c^-.�' .�(��- �I�, i�-a�, � ��CITY: ���'1i.)c� ZIP:
CONTRACTOR: � o`� >o � - � ,r_:'t_ ' PHONE: L��/� �/.��- ��
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MAILING ADDRESS: -�'�'�{� /U, ���� � .�/f� u � CITY: �r L:_ �<_� ZIP:
STATE LICENSE: # �L��-=;��
ARCHITECT/ENGINEER: PH��=
MAILING ADDRSSS: CITY: ZIP:
Np,Mg: REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : -�� / r��^� T T T� �c��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRUCTION VALIIATION (excluding Iand) : $ ��c-�� —
I hereby apply tor 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
understand this is not a permit and work is not to start without a permit; and
that the work wiI 1 be in accordance with the approved p an.
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APPLICANT'S SIGNATURE:/'� � _�__._.___ DATE: ,_�� /�- �.�--.
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minn�ota 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 furnish will 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 other local , s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Council act�on
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature .
BUILDING&ZOIYING—473-7357 • ADMINISTRATION 8c FINA�ICE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
DATE „ TIME
CITY OF ORONO CALLED IN � ���I � �- ''���'�
INSPECTION NOTIC SCHEDULEO �'-��� -��� �
PERMIT NO. � � ( COMPLETED � � � �
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ADDRESS �� 7�`_% � `��<_ �L��-c--�.�__ � .�
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OWNER '�'��_'�.�e_. CONTR. —'� 1�s`'�.,� �� ^_� , .��
TELEPHONENO. �-� � -i�_�C `�
� DESCRIPTION /�u'_ ��,"���
� 01 FOOTING 11 M ,HANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q� 05 FINAL! 13 METER SETITURN ON 17 SITE INSPECTION
Z �,
� 07DEM0—SITE 14 SEWER HOOK•UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 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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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� �CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the xt inspection 24 hours in advance.475-7357
Owner/Contr or site:
Inspector.
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