HomeMy WebLinkAbout1993-004978 - tile roof repair .� PERMIT �
� CITY OF ORONO PERMIT TYPE: r .
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1335 Brown Rd. South • P.O. Box 66 Permit Number: �;�a�=��__
Crystal Bay, Minnesota 55323 Date Issued: - -
(612) 473-7357 `r:�''E yi���;:V'
SITE ADDRESS:
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APPLICAN /PERMITEE SIGNATURE ISSUED 9Y:SIGNATURE ��
� `� CITY OF ORONO - BIIIZDING PERMIT APPLTCATION �
Date Received:
Total Fee: $
Date Approved:
� Entered By: .�C��J Permit�: 7'���
AT•T• INFORMATION MUST B$ SIIBMITTED IN FiJLL BEFORESeI�N �vI� �I`I' B$ STARTED
(See Check-off List __________________
------------- � :
------------------------------- �
�gE p�ppI,ICANT IS: (circle one) 0��7NER or CONTRACTOR �53 '
� JOB SITE ADDRSSS:
�o�0 5�0,�1���� ZZP: � -
(work)
`� psoxE: (home) y73-///.3 �
N� OF OWNER: R�GI�Sb 1'�l
MAII�ING ADDRESS: ad�� v/'(l�le� l!�-t °�- CITY: �201�'!7 ZIP: �.5'c3c1�
� PsoxE: �B I �-� Y/
CONTRACTOR: -S h'�S �� �
MATI�ING ADDRSSS:
�'jyl Gt� �d � ci�: � D��K 7�rr zzp: s�sy��
STATE LICENSE: # �Oa ��6�
PHONE: .
ARCHITECT/ENGINEERs
MAILING ADDRESS:
CITY: ZIP:
REGISTFt�TION u
NAME:
Accesso Structure Move �
TYPE OF WORR: New Addition � Land Alteration
Demo Remodel/Alteration Renovat �_
�rj 0�/h��
PROPOSED WORK (describe i.n detail) : DO
� /���/��
STORIES: SQ. FEET OF EACH F'L�R:
NO. OF BEDROOMS:
GARAGE STALI.S: ATT. DET.
N pALIIATION (eacluding land) : $ ���
ESTIMATED CONSTRIICTIO
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 wi�hathI
ordinances and codes of the City and with the State BuiI.ding Co ermit; and
understand this is not a permit and work is not to start without a p
that the work will be i nc wit the approved plan.
DATE: ���/ �
APPI�ICANT'S SIGNATIIRE:
� hr �
� � NO
CI'TY of ORO
Post Office Box 66•Crystal Bay,Minnesota 55323�11�SuniciPal Offices
•
� � � � On the North Shore of Lake Minnetonka
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of sub ermit or
data", we would like to inform you that your request for a P re uire
license from the City af Orono or any of its departments may q
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 Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council 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.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature • �
BUILDING&ZONING-473-7357
• ADMINISTRATION&FINANCE-473•7358 • PUBLIC WORKS-473-7359
ASSESSING
�_3 s�� TIME
CITY OF ORONO CALLED IN
INSPECTION NO I E SCHEDULED /�:30
PERMIT NO. �7� COMPLETED '�1-
ADDRESS �
OWNE CONTR.
TELEPHONE NO. DD�-�.�4��
� DESCRIPTION,,,L��1G,�
� 01 FOOTING ECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WAL�BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING FI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBWG FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra r o site:
Inspector.
White Copyllns r's File Canary Copy/Ske Notice