HomeMy WebLinkAbout1995-006779 - re-roof PERMIT
� �'�ITY OF ORONO PERMIT TYPE: : .. , �,_.
2750 Kelley Parkway- P.O. Box 66 ° � � � �-�
Permit Number: `="�'�_=�``��
Crystal Bay, Minnesota 55323 - _ - __
(612)473-7357 Date Issued:
SITE ADDRESS:
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APPLiGANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE .�j
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• CITY OF ORONO - BQILDING PER�iIT APPLICATION
Date Received:
Total Fee: $
Date Approved:
Entered By: ,C��� Permitn: /`J i
AT•T• INFORMATION MUST BE SIIBMITTED IN FULL BEFORE PLAN R.EVIEW WILZ BS STARTED
(See Check-aff List Enclosed)
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THE APPLICANT IS: (circle one) O��NER a�r CONTRACTOR
JOB SITE ADDRBSS: �� ��� � � ��'�� �'r � • i�<' � 4�'�� V" C� ZIP:
(work) ��S " `��c <, C
NAME OF OWNER: �;,-, Y _� _ r ,,. � - PHONE: (home) `� jS _ �S � `)
( '� " CITY:�1 ( � �'L; jjyZIP: � S ��l `�I �--_
M�IILING ADDRESS: � � �, �/ I �� ���t` �� ��-�.,�� � �
CONTRACTOR: `�� < �IG ���' . ��r r I�I � Li� ���� (�� �� ��� -
PHONE: • �� S�� i� ' S<< �
7 r"' cl�: ��., (�,. � � y_ zzP: � C- 'S �' 1
MAII�ING ADDRESS: / �,' S / `� � �' � � �^
STATE LICENSE: �
ARCHITECT/EN6INEER: PH���
MAILING ADDRESS:
CITY: ZIP:
N�_ REGISTRATION n
TYPE OF WORR: New Addition Accessory Structure
Move
Demo Remodel/Alteration __..-- Renovate Land Alteration
PROPOSED WORR (describe in detail) : � - � �+ y ��ir r C � � � �` ' �
� �� �. ��r ��� - ; � �� I � .; � S� ' '
STORIES:_�, S4. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRDCTION VALIIATIoN (ezcluding land) : $ ,LC `� �� C� r
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�ha�hl
ordinances and codes of the City and with the State Building Code,
lnderstand this is not a permit and work is not to start without a permit; and
hat the work will be in accordance with the approved plan. �
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�LICANT'S SIGNATURE: '' i� DATE:^ - �! �
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�'�"� H " s Post Office Box 66•Crystal Bay, Minnesota 55323•Municipai Offices
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• - e � �j µ� 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
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. 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 Iicense.
3. The information may be shared with ot rocesscthe permit or
federal agencies to the extent necessary to p
1.icense.
4. If your requested permit or Iicense requires Councis 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 proc�ss this application or
permit.
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City State Zip
L � L' `)� / � L � S —
Phone
I understand my rights as stated above.
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Signature
BUILDING&ZONING—473-7357 • ADMlNISTRATION&FINANCE —473-7358
• PUBLIC WORKS—473-7359
ASSESSIN G
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC�E/�/ SCHEDULED ��y'�� (� ��-
PERMIT N0. �� ! ! GI COMPLETED � `�
ADDRESS ��`f�5 ��'i�>r=-i�L,r�i� n���=Q
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� Ot FOOTINCi 11 MECHANICAL RI 18 EXCAV/GRADINd/FILLINQ
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
F` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION HEMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �'-�('�<:,��= ���'- C,=,= - l=c t�T /�ti�pi
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� �WORK SATISFACTORY:PROCEED
ROJECT COMPLETE
� L CORRECT WORK 8 PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor o te: 1 I
Inspector. �/
White Copy/lnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN %/ ..�/��
INSPECTION NOTICE SCHEDULED � �
PERMIT N0. ��"(��� COMPLETED fI`
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ADDR ESS_`�'����Zc 2�=�C.��-��L�:� �
OWNER ���/ CONTR.
TELEPHONE NO. `��� ' � 7�c'`�
� DESCRIPTION - � / } �
� 01 FOOTINO 1 MECHANICAL R 1 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREIWETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= FIN 14 SEWER HOOK-UP O6 PROGRESS
� M�SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 70 PLUMBINO FINAL 28 CEDAR SHINGLES 3fi FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED
W - PROJECTCOMPLETE
� L CORRECT WORK&PROCEED =. ISSUE CERTIFICATE OF OCCUPANCY
4 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OflDER POSTED.CALL INSPECTOR
= CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext i spection 24 hours in advance.473-7357
OwnerlContra r s e
Inspector. �
White Copyllnspector's File Canary CopylSite Notice