HomeMy WebLinkAbout1991-003812 - tear-off/re-roof �, PERMIT
CITY OF ORONO PERMIT TYPE: �:�j���j���
1335 Brown Rd. South • P.O. Box 66 Permit Number: ���r�����t'�`
C�ystal Bay, Minnesota 55323 Date Issued: ����j��'���
(612) 473-7357
� SITE ADDRESS:
1:=:�:}� r.TH az1E t�1
•�'Ei
F'. I .td. � z�,—�. 1;�;—:�:�:—L;�#.—���:�i��
DESCRIPTION: ���J
TEt`��—�=�f�f=��'n�_�'
�ui It�i}i�� F'ei'fitl�• Ty}-��= '_��'—;�u�i/�Et1�����
�-,: _�-.
��i.:!I 1 i�i)!� w��1'`t;: f y�,� �t f=.`.t11_f i iF-
f 7 i�I4 r1fi15�71 #
1�J1 1VVV V
;j:�1 �j�f�' �37.C'Jjj
� r �� � p� � 1'�'��{! i/ fY-
, r ,�H�� � 5 . � ��. " � i,•:tc.c.� �v
� ��`�,��u _ `�,��� ��" � �,��a���� �� ;;� L•�N '7.1�
' � � �� ������k ��;�������"��"�"� �r���� �,'�E�C�� ''L���j 3�y�.�5
'��'��i ��� ����1��'l�M� [ a*�� �., t�,pq�yqf� ,��� l .�+� � lLLiL11�� �171Yt��� I4i1
�,�� � < ��� , �` �� ��� �r ����vc?4 �;t��� ,�G'� ���:13
,� � �, �� ��� � ,
� �, �� � �'���M�l^�u���"�� a� t�7il�Ir.f
���,� � ��,���� �d,�t ��.
�+����" ,���r�; ti.: � �.
�+�^ ,
44 $ � � �� `H�/ 4 ��NI ..
y w y�
y' '� i�',�/4 Rd 3�4 J (.y �n . "F 6�,.
���y� q�
d� M1N.�� d ����9C�,�, .��: � .�`'�2 �
�'��� � k � ��� �* ,� �`�°`�� �a
;� �,r� ,�,r���
REMARKS:
FEE SUMMARY:
VFiL!14TIi=�I�� �,ra., :;�,i�
�tt5� F�� �d::;7 . i1�_�
'-=:U1'��")ctl"�C ___—__ _��:Z.��..;�:
T���t•�1 ��e �4�.�.. f:�.
CO TOR• __ (���I ic�tit- __ 0����.
���:i�::. FhE�-H f;���►<<�I h�€C; t:t� ���:�7�.�'� �� �_�� Ms��;`{
��:�;�t`� :;NELL I td�; t�VE 1:_s;� ��TH {�VE t�i
tiIl4f�cr`3�'I.�LI:�. �f�l 5r,•.�l.t3�. L►_1P�EG L`rtk,�' (�I�f ��,_;�,�.
+',f_,1.�:=.f i.::.�—���.=�� [�J:�—i=��::�'�
�.. _,. � sr,:�-.'..r��:'T;r.!r-r�: t rr:r�r�.• _ T . .�...... .._ I--_ ------�� .------._. -----__.
t _f. . I �" (s} s• kd1 h T =.r:?':;rr" y- �
! f'F!m L�t�?L,rF.=r�._�!�,�ty�i r ,-e_'.('•.�:r•F T+;i- %iF�,:_�� _, :"`t..�l i! : ����_i�� i #_ }'1Y�}r�..0 ��"� : � T �—�,r�:;�{� ;,• �-:��
. ' � . C F`•.Li''•i._ !�'il'I"1_ ��.LLIL:���. •� '
:_��"`i=�� �i' i i_�� �-ti`�;.J �-#..7�•:ri=::�_ ; S_� i.}2.t �-�L_i_ V,��_S:':i�: T t'� t:!_i;'' �;t_. I T .�
' I s� ��1'�:: ( � li=�I�ai �� ,�i Ti�-i s�;L� �_� i'i' ��;;:
+ r ih?•:'r. �,��.,i _, [� .. r:.� . .. . . .. T;t _ .... ..� . _._.�... _ �
�»f�i�_+��i�_� �,if,��J.!'�f41��..•�"_�'� tievl+ �� �Y1 � G:. %[t- }'f!iyI'4E._.�_i?�-i �.t�.�.=_�.)3���� 4...I..�=iL f13.�,ia.tlj,F:�}•!�?'� E '— -
� �
APPLI /PE ITEE SIGNATURE ISSUED BY:SIGNATURE
� w'
CITY OF ORONO - BIIILDING PERI�IIT APPLICATION
Total Fee: $ ��'e � � Date Received: � ' ��� � l
Date Approved:
Entered By: R �,
Permit#: U �
ALL INFORMATION MOST Bl3 SDBIKITTED IN FDLL BSFORE PI�AN REVIEW Ti�ILL BB STARTSD
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITS ADDRESS: I � o� C O�NT�1 Q� � � ZIP: S S 3 S�
(work)
N1�ME OF OWNER: / ",A/Z`�/ �U�1y T�� PHONF.: (home) �/7 3 -6 d.99
MAILING ADDRESS: 5'�"° CITY: U'�� �� ZIP: S�3 S�
CONTRACTOR: ( ?1/��2Lo o,� - �RI.�/c�a /te�/=•••�G� Co,aP PHONE: �d-�` '-7 / 2-�'
MAILING ADDRESS: � 3v `1 S^�u'-'^'� �� CITY: � �L-S ZIP: SS`'�o''�
TYP$ OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOS$D WORR (describe in detail) : ��+� �F�` ��� R�'��°�=
5T��1' 2��s ,4...q 2 F�o o� �`h-T lL�aF s
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOI�IS: GARAGE STALI.S: ATT. DET.
$STIMATSD CONSTRIICTION VALIIATION (exclnding land) : $ sy, 3 �t
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 germit and work is not to start without a permit; and
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �l1� DATE: 7( J'1-�I9 (
(Pleas 1 ou e reverse side of this form)
,w �
�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Off'icea
•
o _ � • On the North Shore of Lake Minnetorcka
D�1�� ���� ���9�Y �
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
f rom 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 license.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
license.
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. '
�.$�r—'� � ��aa�------ --�
,_v6� ---�-T---`�-�------- --- - ---- � . ._.. ._.
.__ . .._�_._.__ --- -
First Middle Last
/ SC> >- /�A+�,K ci/��"�_.__. _.___. _-- .. _ _..----_ . .. ... ._.__
-----._. ._._...___.... .
Address
--�..��4.aTio .....____�'�r J_ ..._.._._._.__.M�.__.--- ------_-•sJ�I/.�------•-•---..._
City State Zip
y�� r�6�7
-- __.--.. .._.. ._._.. ...._
Phone
I understand my rights as stated above.
��
- - ..._. --------- -
ture
BUILi3ING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-�359
A3SESSING
c�a ���z
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED — �
PERMIT NO.� co LETED
ADDRESS � -
OWNER�!8r� � ''J CONTR.
TELEPHONE NO.
� DESCRIPTION�Sc� [lO
�y 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FFiAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 INAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
� �
d
W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins 24 hours in advance.473-7357
OwnerlCont n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice