HomeMy WebLinkAbout1995-007222 - overlay/re-roof PE��l�1IT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ _�:, ::°:; ;
Crystal Bay, Minnesota 55323 Permit Number: - `.:
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(612) 473-7357 Date Issued: .-: :-:-, -:-
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- . . : : :. _ _... .: --
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ANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - �I�NG PERMIT APPLICATION
Total Fee: $ /�` � b Date Received:
Date Approved:
Entered By: ��� � permitA: �� '� �
ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off List Enclosed) �
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THE APPLICANT IS: (circle one) O��INER or CONTRACTOR
JOB SITE ADDRSSS: '� `��/" � S/�Q/ll1Cli�[,t ��' ZIP: ��-� ��
(work) �}7/- �4SS' �
x� oF owr�x: �/�1a ��� �`/� T/���/� PHorrs: (home) �7/- 5�7t
MAILING ADDRESS: �.d � �S c,� Lf'7 � CITY: s/��li�� �9/r ZIP: S-�,� 8 `�
CONTRI�CTOR: �6 � �U����.1'�•� PHONE: '���'� � � 7 �
IKAILING ADDRI�SS: Z S 2 6 (�/�J�G �f _ CITY: `+�/�Y���'¢ Z IP: �-r-3 �/
STATE LICENSE: # /'� 6�'��
ARCHITECT/ENGINEER: /�� PHONE:
MAILING ADDRESS:
CITY: ZIP:
NAME: REGISTRATION �
TYPE OF WORR: New Addition Accessor Structure
Move �
Demo Remodel/Alteration Renovate� Land Alteration
PROPOSED WORR (describe in detail) : J�Q�a� fi
STORIES: � SQ. FEBT OF EACH FLOOR= �O Q�
NO. OF BBDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ -��� � . � o
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 will be in accordance with the approved plan.
DATE: 8 .� %�
APPLICANT'S SIGNATUREa
�r►. �
` ONO
CITY of 4R
Post Office Box 66•Crystal Bay,Minnesota 553?3•Municipal Offices
�
� � � � On the North Shore of Lake Minnetonka
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 wi31 be used to determine your
qualification for the permit or license requested.
1 data, but refusal may require that
2. You may refuse to supp y
the City deny the permit or license.
3. The information may be shared with ot�ocesscthe permit or
federal agencies to the extent necessary to p
license.
4. If your requested permit or Iicense requires Councii actior.
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 ful.l name is required to proc�ss this application or
permit.
��a�y,�1 � �/�.���
First Middle ' Last
.3 � 5' � S'.S/6/z�t �i�� ��-
Address
�iS�Y-�.97'� �'n i� �S 3 S'�
City State Zip
�7/-- 8�S 6�
Phone
I understand my rights as stated above.
. �� �
S ure
BUILDING&ZONING—473-7357 • ADMINISTRATIOIY&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN S''/�—qS
INSPECTION NOTjCE SCHEDULED -`,�'-IS"
PERMIT NO. �''�� � COMPLETED � �
ADDRESS �yy� ��'�-r�c.-c�-
OWNER //�'�'t ��'���►''� CONTR. �
TELEPHONE NO. `� �/ - .5�--5 S-�
�
� DESCRIPTION ��-— /f-�'-s'�
� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FI_� 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN
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
OwnerlContrac r s :
Inspector.
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