HomeMy WebLinkAbout1992-004284 - reroof �. PERMIT
' CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �iCi����.��
Crystal Bay, Minnesota 55323 Date Issued: t}4f�7/��
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: ;����; p��TEFF�,{
�?'�� ��HADYWt�f��D RD
i��i�1'ai± MN 5�:3:31
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P N /PERMITEE StGNATURE ISSUED BY:SIGNATURE -�./
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� CITY OF ORONO - BIIILDING PERMIT APPLICATION 2�� o
Total Fee: $ ��: 3� Date Received:
Date Approved:
Entered By: ,�°%� permit#: �,��'y
AT•T• INFORMATION M�ST BS SIIBI�IITTED IN FDLL BEFORE PI,AN REV IEW WILL B$ STARTED •
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: ;:l �`�/.7 �/7.4�N .c/C) )Y� � ZIP: �� � / - --_
(work) `l �3
NA1�IIr OF OWNER: . ,c.�� �T�1�/h � PHONE: (home) `T 7��s <�7
MAILING ADDRESS: c� CITY: ZIP:
CONTRAC'1'OR: �� �c 1 l,.Q.� PHONE:
1KAILING ADDR$SS: CITY: ZIP:
STATS LICENSB: #
ARCHITBCT/ENGINEER: �U�� PHONE:
MAII,ING ADDRBSS: CITY: ZIP:
NAME: REGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move �
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �F=- -�S� �..Q �2��
�
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF BEDROOMS: GAR�iGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALIIATION (eacluding Iand) : $ C_��
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
understand this is not a permit and work is not to start without a permit; and
that the work will be in ac dance with the approved plan. •
APPLICANT'S SIGNATORE � - ' -- DATE: -'
�
�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
•
� � � � On the North Shore of Lake Minnetonka
DATA PRNACY 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 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 wi3.1 be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusa3 may require that
the City deny the permit or Iicense.
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 Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to process this appl.ication or
permit.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
✓
DATE TIME
CITY OF ORONO CAILED IN
INSPECTION NO I E SCHEDULED `�'Z7-�i2 � ��
PERMIT N0. ���� COMPLETED u ��
ADDRESS Z� S� S wo c11
OWNER � s CONTR. �w�-�
TELEPHONE NO.
� DESCRIPTION �o v`
� 01 FOOTING 11 MECHANICAL RI 16 WEILTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: `��-�r
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor n site:
Inspector.
White Copyllns ector's File Canary Copy/Site Notice