HomeMy WebLinkAbout1988-000713 - new gable roof PERMIT
G��`' �JF ORONO PERMIT TYPE:
1; ��n Rd. South • P.O. Box 66 Permit Number: E;i.l I LD i NG
C� � �y, Minnesota 55323 Date Issued:
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SITE ADDRESS: � �
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E��.�i 1��i i a� W�_�rk: TYF�e �iE–�;+����tF
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FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT/PER EE SIGNATURE ISSUE BY. SIGNATURE
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INSPECTION RECORD
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: E�tj I La I NG
(612) 473-7357 (lC,�tj7 f:�
SITE ADDRESS: ��� �'���� ���f�F APPLICANT: {'4i�'��`'�
I��i�MIT Sl����� a�; �, �- `� -�-�#�K:��w1�v
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CITY OF ORONO - BQILDING PERMIT APPLICATION
��_.`� Fee a $ �' �� Date Received: .
/ .
, Date Approved:
Permit#: � �.� Project#:
Building Permit Application Requirements:
1. Building permit application - to be filled out completely and signed
2. 2 sets of constructian plans to include the following:
a) Floor plans ;
b) Footing and foundation plan;
c) Elevations (of all sides) ;
d) Wall sections and cross sections;
e) Details - stairs and any special connections.
3. Certificate of survey with location of existing and proposed
structures including hardcover calculations and grading and drainage
plans as required.
4. Energy calculations - form provided.
5. �eptic report and design if required.
t�BOV$ INF'OFtMAT'ION MOST BE SDBMITi'SD IN FOLL BSFORE PLAN REVIEW WILL BE STARTRD �
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THE APPLICANT IS: (circie one) OWNER or CONTRACTOR
JOB SITE ADDRESS: l 7U(� ./�,�,.LE.I�� ��'u�.�-t ZIP: S.S 3 �I l
X pROP�RTY IDffi�1TIFIGATION NO. : '
(work) y`� - -�3 �
NAME OF OWNER: ���h�..u��c�, �-c�,C,�s-�.;�- PHONS: (home)� 7 (o (o C 3 O
MAILING ADDRSSS: 1 '�1�0 ��v,�-c.r.a �,J�,t-� CITY:�,�._; �u. C:��C�, ZIP: 5.5 3��1 � .
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CONTRACTOR: PHONE:
ILING ADDRESS: CITY: �IF:
._,CHI TECT: PHOY�IE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF i�]ORR: New Addition Accessory St�ucture Move
Demo� Remodel/Alteration_� Renovate Land Alteration
PROPOS$D OSE (de�cribe in detail) : �� � ' A �n,c �`�.
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;�.2�-� C�Cz 1 4�,�
.�.� � ;7
STORIES: SQ. FEET OF $ACH FLOOR:
NO. �F BFD�OO1�sSe GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATIOP (ezcluding land) : $ /��('}O . C�G
I hereby apply for a building permit and I acknowledge that the information
abave is cQmplete 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
understanc� this is not a permit and work is not ta start without a permit; and
that tY�ie work will be in accorda approved plara.
APPLICI4NT'S SIGNATtJR$: DATE: � � �/
(Please f i 1 u ` e ,,rev e side of thi s f orm)
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� � y ",'� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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' o m o,Ai�, ,;� On the North Shore of Lake Minnetonka
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DATA__PRIVACY ADVISORY
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 wi11 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 �icense.
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 license requires Council action
to approve, some information may become public.
5. You have certain righ�.s 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 ' ghts as stated above.
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Signature
BUIL[31NG.Q ZONING—473-7357 • ADMINISTRATION 1&F[NANCE—473-7358 • PUBLIC WORKS—473•7359
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Date Issued: n�i�/R� Permit to be mailed:
Permit No. : 03-025-88 or picked up:�_
CITY OF ORONO
_ � � P.O. Box 66, Crystal Bay. MN 55323
'' Notice shall be given to the police department prior to burning- 544-9511.
Expires after 30 days from date issued.
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O P $ N B D R N I N G P $ R M I T
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. S I TE ADDRES S: �� UZQ �n 0 DATE:� - � '�� ' � �
' 'L �w�e�e n /L-/ .
� Name: i 1 �� U '� � Phone�T ��- -��� �� i h) (o)
: Mai ing ddress j/1Q p 5.�?�� �F_J��,��. ���� City:�i� Zip:��_�' �J�
� Agent (if applicable) : __
FOR THE PURPOSE OF BURNING �,�� S �j
i This application for open burning will be accomplished in accordance with
� the conditions listed. The recipient of the permit shaZ I comply with al 1
other state and local laws regarding open burning including obtaining the
required permits. (NOT$: More than 5 times per year (for all
� orqanizations and individuals regardless of tau statns) will be charged a
� $100.00 annual fee. )
�
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; Signa ure
� Approved by: Inspected by:
; �
Date: 3- �- S j'
i
! Inspectors Comments:
�
( Fire Department Long Lake Maple Plain Mound Wayzata
�
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i The Fire Departmen must sign this burning permit if they will be doing the
! burning for the applicant.
; _ .
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; Fire Department
YHB FOLLOwIlf6 Is8M8 are to be completed befoz�e the inapector arrives (If inspector bas to
re-inspect site bacanse itess vere not co�aplwte, tbeze vi 11 b� a $20.00 charqe per re-
inspection):
j1. Street address must be poste8 and visible from the street
; 2. Burn pile must be stacked at burn site meetinq the follovinq:
- Minimum 50' from buildings
; - �ood and paper products only
- 8' maximum diameter, 4 hiqh maximwa
3. If piles are not easily foun8 and no one aill be home, you must draw a map on back
side of permit application locatfnq the burn pile.
4. If these conditions are not met, the permit Nill be denied and you may not apply for
another permit for 30 days.
5. Read 811 conditione on backside of permit before burninq. Violations of these
' conditions may result in the iesuance of citations and perenit may be revoked.
ALL SITSS WILL BB IHSPBCTED before issnance of bnrninq per�it, subject to
� avai labf 1 f ty of staf f ti�e.
DATE _ TIME
CITY OF ORONO CALLED IN '��a��� �� 3��"�'
INSPECTION NOTICE CHEDULED y�� � � 3�"'�.'
PERMIT NO. �7 r`3 ��PLETED �"�� �a 7•�
AD D R ESS � � b� ����-�{-�-�- '� '
OWNER CONTR.
TELEPHONE O. � � �� �3a
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
�S FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� 0 INSULATION O MECHANICAL ❑ LAKESHORE/WETLANDS
� O WALL BO. ❑ WATER HOOKUP O LICENSING
Llr ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS ❑ SEWER HOOKUP � FOLLOWUP
� ❑ DEMOL. ❑ SEPTIC INSTALL. � SEPTIC FINAL
O ❑ FIRE PREV. O SEPTIC MAINT. O FIREPLACE/WOOD BURNER
Z ❑ WELL TEST PUMP ❑
= COMMENTS:
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W ❑ WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
Q O CORRECT WORK 8 PROCEED
U ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CA�L INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on ite
Inspector � �' 413-7357
White/Inspector's File Canary/Site Notice