HomeMy WebLinkAbout1991-003907 - re-roof addition �, PERMIT
� EIfiY OF ORONO PERMIT TYPE: �;����� ���
1335 Brown Rd. South • P.O. Box 66 Permit Number: i jt�:<<'--�f��
Crystal Bay, Minnesota 55323 Date Issued: i.���/�'F�1'�=�1
(612) 473-7357
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. � CITY OF ORONO - BIIII.DING PFR1�iIT APPLICATION
Total Fee: $ � � � �� Date Received:
' - -. Date Approved:
Entered By:
Permi t#:���D�
ALL INFORMATZON MIIST B$ SIIBMITTED IN FULL BBFORE PLAN REVIEW WILL BE STARTED
----------------------------------------------------------
THE APPLICANT IS: � (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: �S�O J 6�� ��' N - . 1` � ZIP:
(work)
N��ME OF OWNER: J a�Q S � t�P r vt�`� PHONE: (home) LI 7` 'l Z �t�a..-
MAILING ADDR$SS: S `L �-�P CITY: ��0 I� � ZIP: �.�.�.��
CONTRACTOR: w t°5� �U'h�'� C Q`�S�• �o PHONE: S � �` � � 3�
MAILING ADDRESS: S I ( L� ;��, /a„ !L CITY: �-tP l S ZIP: S S y 3O
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detai 1) : ��'0.�' -a �t •f- �e r e�Q� a c�c�������1�
STORIES:�__SQ. FEET OF EACH FLOOR: / y� a ����
NO. OF BSDROOMS: � GARAG$ STALLS:
ATT. DET. �
ESTIMAT� CONSTRIICTION VALIIATION (exclnding land) : $ ��s G` 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 Fermit and work is not to start without a permit; and
that the work will be in accordance with the ap�roved plan.
' Z'ORE: � � I✓�' DATE: � �� G �
APtLICANT S SIGNA
(Please fill out the reverse side of this form)
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, �� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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��_ � �, A� ' On the North Shore of Lake Minneton.ka
DATA__PRIy_ACY ADV_I_SORY
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 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 Iicense.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
�icense.
4. If your requested permit or license requires Council action
tc approve, some ir_f ormation may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
g. you•- 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
� z �^ ° 7 � - --- -- ---
Phone
I understand my rights as stated above.
, �
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Signature
BUILDING&ZONING—473-i 357 • ADMINiSTRATlOti&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSI\G
DAT TIME
CITY OF ORONO CALLED IN � g� ��a.�i�..
INSPECTION NOTICE SCHEDULED '30-9!
PERMIT NO. �9° 7 COMPLETED /L �
ADDRESS S� �
OWNER �CONTR.
TELEPHONE NO. �7�0 - i a9a--
� DESCRIPTION�p /�e-a�
� 01 FOOTING 1 ECHANICAL RI 18 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
$ 04 WA BD. 12 WATER HOOK-UP 34 TREE REMOVAL
FINAL 13 METER SETlfURN 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
v 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� 1MORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECObERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 twurs in advarx:e.473-7357
OwnerlContract
Inspector. �
White CapyAnspector's Canery CopylSiM NoUcs