HomeMy WebLinkAbout1991-003858 - re-roof/replace window � _A PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'�f��'��_�`��'
Permit Number: t�'t�.:=�.�,=�
Crystal Bay, Minnesota 55323 Date issued: C3i/�:;C1r_-��.
(612) 473-7357
SITE ADDRESS:
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CONTRACTOR: -- R�=���1 I������ -- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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� CITY OF ORONO - BIIILDING PERMIT APPLICATION '
Total Fee: S � l�'� Date Received:
� Date Approved: ' -
Entered By:
Permit#:
ALL INFORMATION IrIDST BE SIIBMITTED IN FDLL B$FORE PLAN REVIEW WILL BE STARTED
--------------------------------------------------------------------------------
T� APPLICANT IS: (circle one) OWNER or CONTRACTOR �
JOB SITE ADDRESS: ��O 6 �J 'v a��� ZIP: �3�ti �
(work)
N�ME OF OWNER: ��%+��`- C��t+`�`�`� PHONE: (home)L}'"t� --Svd,S
MAILING ADDRESS: S��� CITY: �20�� ZIP: ��`t I
CONTRACTOR: t �V�c�•�IYL�il�•'tsU I�� PHONE:
MAILING ADDRESS: ��Z� v�`� W'' CITY:jµo��`��Q, M� Z IP: S�S 3 3
�'YPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration_� Renovate Land Alteration
PROPOSED WORR (describe in detail) : 1��08� �6U�?i4 51�E� C?�' k1a�^�- A,N�
Gt�.a�� �oct�-t�- v�i�o,+�S'
STORIES: I + ?s _SQ. FEET OF EACH FLOOR: "-
NO. OF BSDROO1rIS:�_ GARAG$ STALLS: ATT. X DET.
ESTIMAT� CONSTRIICTION VALIIATION (eaclnding land) : $ �J2-r e�• O v
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 aF�roved plan.
APPLICANT'S SIGNATQRE: � DATE: � -�b� I
(Please fill out the reverse side of this form)
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. '�, .A ORONO
CITY of
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
•.
o � • • ' On the North Shore of Lake Minnetonka
DA�� PRIVACY AD_��QR�C -
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 inf ormation you f urni sh wi I i be used to determine your
� qualification for the permit or Iicense requested.
2. You may refuse to supp3.y data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights 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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First Middle Last
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Address
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City State Zip
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Phone
I understand my rights as stated above.
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Signature
BUILDING&ZONING—473-735 i • ADMINISTRA770N&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSI\G
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE ���j SCHEDULED -�3 (4 : �
PERMIT NO. COMPLETED
ADDRESS 7�7J � �G� �
OWNER ��� CONTR. r� �-��ti1��-�s�Q
TELEPHONE NO. ��� ��r a� l f/o.`c� nGta� )
� DESCRIPTION "" l'p a��/z--
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAI FINAL 18 EXCAVIGHADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TRE
Q 05 FINAL 13 METER SET(fURN ON 7 SITE INSPECTION
� 07 DEMO-SITE 14 SEWER HOOK-UP
`� 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTO TO MEEi YOU:_YES_N
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� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC41/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
ownenco�trayt�r o�'site:
Inspector: ��. ��
White CopyAnspector's Flls Canary CopylSib NoNcs,
DATE TIME
CITY OF ORONO CALLED IN �-�'J —�/ ����
INSPECTION NOT C��S� SCHEDULED `� /U '�1/ �-
PERMIT NO. COMPLETED lI ' ((
ADDRESS � �
OWNER�� J CONTR. �
TELEPHONENO. `� 7`� - `[�s � �i '��
� DESCRIPTION ,�'�,c-�-�.-�( � �-Y�a--J�e-,��-c-c�n�-�-�"
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
Q03 INSULATION 2M25'WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 ALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINA
? OWNER/CONTRACTOR TO MEET YOU:_YES�NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r 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.473-7357
OwnerlContra o ite:
Inspector.
White Copyflnspector's Flle Canary Copy/Site Notice