HomeMy WebLinkAbout1994-006633 - tear-off/re-roof i� , PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 � -��k�;:vt_;
Crystal Br�Minnesota 55323 Permit Number: v '. _-_' _
(612) 473 ,357 Date Issued:
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- ��:�=_�°= }�=}'�3� —
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�APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
� ' CITY OF ORONO - B�ILDING PERMIT A.PPLICATION
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Total Fee: $ Date Received:
Date Approved:
�ntered By: �
Permit�:
A7,T• INFORMATION MIIST BS SIIBMIT'�� IN FIILL BEFORE PLAN REVIEW WILL BS STARTED
(See Check-off List Enclosed)
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'�SE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDR$SS: � 1 �� � ����' B„��`���` ZIP:
(work)
N�ME OF OWNER� F-.� � T'��.3 ��v`�$`'^�� � PHONE: (home) ��� C����
MAII�ING ADDRESS: "�, L1�� 1 �'�:�""►� �� �''�� CITY: ".`�:�,� � ���� ZIP: �� �,�� � t
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CONTRACTOR: '�jv+„� � �=- PHONE:
MAILING ADDRESS: CITY: ZIP:
�TATS LICENSE: ,�
RCHITECT/ENGINEER: �,1 � h� � . PH�NE:
f.AILING ADDRSSS: CITY: ZIP:
;�g: R.BGISTRATION n
`I'YPE OF WORR: New Addition Accessory Struciure Move
Demo Remodel/Alteration� Renovate Land Alteration
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PROPOSF.D WORK (describe in ���detail) : �'�� ��� �r'�� ' � '��������TM��
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STORI$S: � SQ. FE$T OF EACH �LOOR:
NO. OF BSDROOMS:� GARAGS STALLS: ATT. DET.
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ESTIMATED CONSTRIICTION VALIIATIoN (eaclnding land) : $ � �- ► �..) '`�:- k��
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; a d
that the work wil 1 be in accordance with the approved plan. �
�, �i ,�"� $ � � ��,
APPLICANT'S SIGNATIIRE:�.� �°:��'�� �.,�;;; `�, ��I '*c''s�����^`� °� DATE: �
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CITY o� ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Mnnicipal 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
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 Iicense 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 3.oca1, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or l.icense requires Counci3. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review privat�
data on yourself.
6. Your fu1.I name is required to process this application or
permit.
1�01,..« �b � '�-�..,��+D+�'��... S 1�j�V ���
First Middle La
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Address
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City State Zip
,� �
Phone
I understand my rights as stated above.
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Signature ,
BUILDING&ZONING-473-7357 • ADMINISTRAT'ION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING -
;
513.04 RIGSTS OF SIIBJF•CTS OF DATA � -
gubdivision L Type of data- The rights of individuels on whom the data is .
stored or to be stored shall be as set forth in this section.
. Subd, 2. Information requirea to be given in���' An.individual asked to
� ' su 1 rivate or confidential data concerning BmWi�in th� collecting stat age�,
PP Y P
purpose and intended use of the requested dat v refuse or is 1ega11Y
political subdivision, or statewide system; (b� �oWnr�onsequence arising from his
required to supply the requested date; (�) �Y
su 1 'ng or refusing to supply private or confidentiel data; and (d) the identity of
PP Yl state or federal law to receive the data. This.
other persons or entities authorized by p �vesti ative data,
requirement shall not apply when an individual is esked to su ply g
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ms lert taX re°und instructio uinsteadhos
subdivision in the individuel income tax or r�
on those orms. . - --- - - � ,
Subd. 3.
Access to data by in�vidu8l- UPon request to e responsible
authority, an individuel shall be informed�he bliC hp=vateeor eonfidential.e IIpon his
individuels; and Whether it is classified p � ublic data on
turther request, an inaividusl who Is the subject of Se to himrlande if he desires, shall
individuals shall be shown the date withou�fan�y ��a. �ter an individual ,has been
6 e i n formed of the content and meaning t� �� need not be �isclosed to
shown the private date and informed of its uLen�a��on pursuant to this section is
him for six months thereafter unless e �SP
ending or additional data on the individuel h� 8teeor pu�lic dataruponarequest by
' P require the
responsible authority shall provide eopies The responsible aut�rgy maY �n the
the individuel subject of the data• certif n , and comp g
requesting person to pay the actual costs of malang,
eopies. ssible, with any re9uest
The responsible authority shall comply immediatelY, if P°
made pursuant to this subdivision, or within five days of the date of the request,
excluding Saturdays, Sundays and legal holidays, if immediate compliance is not
ossible. If he cannot comply with the request �t�within which tohcomPlY W�h the
p have en additional five ys
individual, and may
request, exeluding Saturdays, SundeYS and legal holidays•
g�� e�. proced�e when data is not accurste or complete. An individuei m8Y
himself. To
contest the accuracy or completeness of public oinri�t� the�responslble authority
exercise this right, an individusl shall notify �ible authority shall within 30
describing the nature of the disagreemenL The respo
days either: (a) correct the data f ound t� be inae a8tae incl��ng Pee�Pl�� namedt by
notify past recipients of inaccurate or incomple �
the individusl; or (b) notify the individuel tl�at��u�,�s�tementof disagreem nt is
Data in dispute shall be disclosed only if the mdi
• included with the disclosed data. � 8ppealed pursuent to the �
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
DATE TIME
CITY OF ORONO CALLED IN " ��/�`�
INSPECTION NOTIC � �3 SCHEDULED ���<�- '�
PERMIT N0. COMPLETED U 'IF
ADDRESS -5��%.� °�-�-��2�Y fv�✓�=�
OWNER__cf��,e-L� CONTR. `'
TELEPHONE NO. ��� � � � ��'� C �� �
� DESCRIPTION �{� ! - ���l C_ ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINd
Q �Q2 FRAMI Gj� 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS
� �CATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED
W - PROJECTCOMPLETE
� '❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� J�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� � BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. -- pH0T0 TAKEN
�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
CJ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.47�73�J7
OwnerlContrac o site:
Inspector. �_
White Copylinspecta's File Canary CopylSite Notice
�
DAT TIM
CITY OF ORONO CALLED IN .,f�I/•� :'��"1
INSPECTION NOT C SCHEDULED /�/S�gS • ls
PERMIT N0. � 33 COMPLETED � �_
ADDRESS ! �S
OWNER CONTR.
TELEPHONE NO. � 7�" �S��
� DESCRIPTION
� 01 TING 11 MECHANICAL RI 18IXCAV/GRADINC3/FIWNQ
F
�Q 02 FRAMING * 13 MECHANICAI FINAI 19 LAI�SHORE/WETIANDS
Q 03 IN ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
2
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
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� ❑ CORRECT WORK 8 PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFOFiECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL REfURN -
O STOP ORDER POSTEO.CALL INSPECTOR '= CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContractor on ite:
Inspector.
White Copy/inspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN //'/3�-�`f
INSPECTION NOTICE �/ SCHEDULED //— /S� � - 3 �
PERMIT NO. `� ��'`��COMPLETED
ADDRESS_� 1�� rdjdti�:-,-� ��L
OWNER 7� hti�.��✓ CONTR.
TELEPHONE NO. `/�7�" ��'`f� �7�— D rI/�-.�
� DESCRIPTION _ �2t-��,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADINC3/FILLINQ
y 02 FRAMII�?C^i ` 13 MECHANICAL FINAL 19 LAF�SHORE/WETLANDS
Q 0 U TI N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 7 SITE INSPECTIO�1';
Q — —
= O5 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEM�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINd FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '�' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor o
Inspector.
White Copylinspector's File Canary CopylSite Notice
f�
CITY OF ORONO CALLED IN � �� �� ��-T���
INSPECTION NOTIC SCHEDULED � -o?�-,�S : t�
PERMIT NO. �� 3 3 COMPLETED t( .�_
ADDRESS �� �l �5 �it���� �,
OWNER f'�/Lc,�-P��� CONTR.
TELEPHONE NO. � 7 / "0 � `�� � � �� �U �� 3
�
� DESCRIPTION ,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� -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 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMEN S:
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p �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContra e:
Inspector.
Whlte Copyilnspector's File Canary CopylSite Notice