HomeMy WebLinkAbout1994-006484 - tearoff-reroof i � �ER IT
CIT�"OF ORONO PERMIT TYPE: _ .
2750 Kelley Parkway- P.O. Box 66 ���-s'=-����`�=�
Permit Number: :;-,,�,_;;�
Crystal Bay, Minnesota 55323 � '�-"- -_
(612) 473-7357 Date Issued: �_;:;:r;:;���:#r
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE I ISSUED BY:SIGNATURE ,(�
.- � ' � CITY OF ORONO - BIIII,DING PERMIT APPI�ICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: permittt: ���Y✓� �
AT•T. INgpRMATION MIIST B$ S� Che�ckD-offFListBEn�Close� �I� �� B$ STARTED
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TgE APPLICANT IS: (circle one) O��TNER or CONTRACTOR
JOB SITE ADDRSSS: ,'��`�� �`J�U�i�� -�+� - ZIP: -`�-S3y�
(work)
NAME OF OWNEK: Tl�-�Se PHONE: (home)
MAILING ADDRESS: !�-1 y.s .S<��>✓/��� � 1f CITY: �(/ /� ZIP: .��5�.3`/��
CONTRACTOR: � � ��l�/ Sn • PHONE: y7� �� 5
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MAILING ADDRESS: ���`� /�G��hc>v� �j�� CITY: /�1(C� S�G'r ZIP: �.����
STATE LICENSE: # �-�C'�� � y
ARCHITECT/ENGINEER: /�l/�� PHONE:
MAILING ADDRESS:
CITY: ZIP:
N�ME_ REGISTRATION �
TYPE OF WORR: New
Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED WORR (describe in detail) : ����
STORIES: SQ. FEET OF EACH FLOOR=
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRIICTION VALIIATION (ezcluding 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
understand this is not a permit and work is not to start without a permit; and
that the work wil 1 be in accordance wi h the apprvved plan.
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. � � � c DATE: �C ���
APPI.ICANT S SIGNATORE: iZC�Ge-
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`� = �� CITY of ORONO
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Post Office Box 66•Crystal Bay,Minnesota 55323•Mani�P����
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� . � � 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.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 other local , s�ate or
� federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense ublic res Councii ac��o%
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 process this application or
permit.
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First
Middle Last
;7�S"� /�f1 c-'l a,C�, �ia'
Address
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C'elSili�� ���
City
State Z1D
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Phone
I understand my rights �� stated above.
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S gnature
BUILDING&ZON[NG—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS —473-7359
ASSESSING
ATE TIME
CITY OF ORO O CALLED IN /° " D -S�
INSPECTION TICE p SCHEDULED - �� a •'.3a
PERMIT N0. � �a � COMPLETED �
ADDRESS �� �� ^ � �
OWNER /'7,Q-� CONTR. �
TELEPHONE NOt ��� '�a �-3
� DESCRIPTION �'e �
� 01 F 11 MECHANICAL 8 D(CAV1(iRADINQ/FIWNd
02 ING 13 MECHANICAL FINAL LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 1 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO PROGRESS
~ 07 DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT
J
�Q 07 DEM4—FINAL 15 SEPTIC INSTALL. 22 OLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FlNAL 35 ARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 OUNDATION HEMOVAL
Z OWNER/CONTRACTOR TO�MEET YOU:_YES_NO
� COMMENTS:
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d OP�WORKSATISFACTORY:PROCEQD �PROJECTCOMPLE
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� �❑ CORRECT WORK 8 PROCEED L ISSUE CERTIFICATE F OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPOR RY
� BEFORE COVERING PERMAN T
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSF�ECTOR ^ CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next insp�ction 24 hours in advance.47�73 7
OwnerlContractor si :
Inspector.
White Copyllnspector's Fide Canary CopylSite Notice
DA E TIME
CITY OF ORONO CALLED IN
INSPECTION NOYICE SCHEDULED �i �
PERMIT NO. COMPLETED '�'� �
ADDRESS /5� •
OWN ER��Q� CONTR.
TELEPHONE NO. �
� DESCRIPTION
� 01 FOOTINCi 11 ECHANICALRI 1 IXCAV/ORADIN�/FIWNQ
�Q 02 FRAMINO 13 MECHANICAL FINAL 1 LAI�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 1 SITE INSPECTION
Q �� 14 SEWER HOOK-UO PROGRESS
�
J ITE 27 SEPTIC MAINT. 21 OMPLAINT
W 07 DEM�FINAL 15 SEPTIC INSTALL 22 OLLOW-UP
Z 09 PIUMBIN(i RI 23 SEPTIC FINAL 35 ARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 OUNDATION REMOVAL
� OWNER/CONTRACTOR TO�MEET YOU:_YES_NO
� COMMENTS:
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Wd ORK SATISFACTORY:PROC�EED - PROJECT COMP TE
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� CORRECT WORK 8 PROCEE C ISSUE CERTIFIC E OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR EINSPECTION TEMP RARY
0 BEFORE COVERING ', PERM NENT
❑CORRECT UNSAFE CONDITIO�WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL REfUR
❑STOP ORDER POSTED.CALL I SPECTOR = CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473- 357
OwnedContra on 'te:
Inspector.
White Copyllnspecto�l's File Canary CopylSite Noti e
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