HomeMy WebLinkAbout1993-005112 - tearoff reroof ; PEI�MIT �
CITY OF ORONO PE�RMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 �"�t���--��`�•`�t=
Orono, Minnesota 55356-0815 Permit Number: _,{}�� �•�
(612) 473-7357 Date Issued: t�c�t��;j��;�;
SITE ADDRESS:
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APPLICA PERMITEE SIGNATURE ISSUED BY:SIGNATURE ..������
� CITY OF ORONO - BIIILDING PER�IIT APPLICATION
Total Fee: $ �; �,� `��.�
Date Received:
Date Approved:
� Entered By: ��� - - Permit tt: �-> //.� .
AI�I, INFORMATION MIIST BS SIIBMITTED IN FDLL BEFORE PLAN RE57IEW WILL B$ STARTED
(See Check-off List EncZosed)
-------------------------------------------
THE APPLICANT IS: (circl.e one) OWNER or CONTRACTOR
� JOB SITE ADDRSSS: �� t� c7Y1�'�� l ,lv1 1. 11� ZIP: ��J �� I
(wo rk)���' I ����
NAML OF OWNER' �`�l�.v"T � 1 ' i f���� T�(�K�i� PHONE: (home) 't���`-� ��vJ
MATLING �,nnx�ss: 2��� c��v� ���,� �z cz�: w-a�.�7_�T!� _ zzP: � �i �
l ,� i PHONE: ��
CONTRACTOR: � �("Y�/1� ��t ���
MAILING ADDRESS: CITY:��' � ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITYs ZIP-
NAME: REGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move �
Demo Remodel/Alteration Renovate_�� Land Alteration
PROPOSED WORR (describe in detail) : `�
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STORIES: SQ. FEET OF EACH FLOOR=
NO_ OF BEDROOMS: GARAGE ST�I�S: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �j�� ��1
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 Buil.ding 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 with the app roved plan. �
p�ppZ,ICANT'S SIGNATIIRE
� , � �j��� � DATE: "� �� /�_
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CITY of OR�l�'O
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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� � � � On the North Shore of Lake Minn.etonka
. 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 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 local , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii ac��or.
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.
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First Middle Last
2/ �� e�,�,r � �vr ,��
Address
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City State Zip
��U ���� �
Phone
I understand my rights as stated above.
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Signature . •
BUILDING&ZONING—473•7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
4
ATE TIME
CITY OF ORONO CALLED IN / 7��-3
INSPECTION NOTICE SCHEDULED -�/i�/i 3 �G ' 3 <�
PERMIT NO. �// � COMPLETED , �.� �
ADDRESS � 5 �' �� >- .i�_ ��r �
OWNER ��C-=� CONTR.
TELEPHONE NO. '� 7� ' / J C��
� DESCRIPTION _.-'�'_�/r��.r�
� Ot FOOTING 1 ECHANICAL RI 16 WELL TEST PUMP
Q 2 FRAMI� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE FEMOVAL
Z
Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINA� 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:
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� �1,WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �❑ CORRECT WORK&PROCEED r �SSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Con a r site:
Inspector. �
White Copyllnspector File Ca�ary CopylSite Notice