HomeMy WebLinkAbout1994-006321 - re-roof/tearoff -�'''� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: -�'�`'��='=;�`'"='
Orono, Minnesota 55356-0815 '-''-}�=�='�V�
(612) 473-7357 Date Issued: �j},+;��,� �,�,;f
SITE ADDRESS:
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CONTRACTOR: OWNER: -- - . , _��:�;�;;. --
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APPLICAN ERMIT SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO - BIIII�DING PER�iIT APPLIC�TION
�� � Date Received:
Total Fee: S �� -
Date A��roved: '
Entered Bv: '� - Permit� �i� �'� - _-
BEFORE PLAN REVIEW WILL BE Sg���
nr.r• INgpRriATION MIIST BS(SUBMC TTED � �`t Enclosed) �
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--'----- � CONT_QACTOR
Tgg p,ppI,ICANT IS: circle one) OT�TNER
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-���� ���^�lc�'� ZIP: _55 �� �
JOB SITE ADDR.BSS: 1 �
(work)
t�t��c��w �tJr� l s� PHONE: (home) �-/�/"�S�_��
NAME OF OWNER: -�;' � ZIP: ��5" ��� `�
.,��, CITY: rr'��'��:��,,,�,
MATZ,ING ADDRESS: i��� S�1 f� � �
PHONE-
CONTRAC'rOR:
CSTY: ZIP:
MATT=NG ADDR.ESS:
ST�TE LIC._.�NSE: �
PHONE:
ARCHITECT/ENGINEER:
C=�: ZIP:
MAZI.ING ADDR.ESS:
REGSSZRATION �
NAME:
Addition Accessor�y/ Structure biove
TYPE OF wORR- New Renovate V Land Alteration
D�o Re..*nodel/Alteration
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PROPOSLD WORK (describe in detail) -
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STORIES: S4- FEET aF EACH FLOOR�
NO_ OF BEDROOMS:
�GE STA7,T,S: ATT. DET.
EST3I�iATED CDNSTRIICTSON VALIIAT20N (eacluding 1and� ' $ " " -
I hereby apply for a building permit and I acknowledge that the informati-on
aDove is complete and accurate; that the work will be in conform C dewith th=
Lh the State Building e�it; and
ordinances and codes of e�itia d work is not to start without a p
understand thi.s is not a p •
that the wor}c wiil be in accordance with the approved pla.n. - -
� � f � �'�r DATE: �C - I�U� ���/�
APPLICANT`S S2GNATUFtE: ,1 � -'
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Post Office Box 66'Cr5'stal Bay, ��o�5��•M�ap���
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Qn the North Shore of Lake Minneton a
• - • •
DATA PRNACY ��SORY
Subd. 2 , "Rights of subjects of
ou that your request for a permit or
Ins,,�e wouldnlike1to nform3yo � require
data", o= Orono or any of its departments may
license from the Ci�Y rivate or coniidential in=ormation.
you to furnish certain p
You are notified that:
1, The information you furnish wiZl be used to determine your
cualificat=-on for the per:nit or license requested•
2. You may
refuse to supoly data, but rerusal may require that
tne City deny the permit or license.
be snared with oth�=" local , s�ate or
3. The information may to process the permit or
f ederal agencies to the extent necessary
license.
Iicense reQuires Councii ac�'-or
�_ li your recuested pe'-�n1t or -
`o aporove, some in�ormat-on may
become publ.ic.
J�
You have certain rights under M.S. 13.0a to rev_ew private
data on yourselz. ,
�,
6 . your full name is required �o proc�ss this apol�ca�_or. or
pe,-.nit.
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Address �
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City
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Phone
I understand my rights^ as stated above.
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Signature �
� pDMINISTRATZOH&FINANCE—473-7358
• PUBLIC WORKS —473-7359
BUILDING&ZONING—473-7357
ASSESSING
J
ATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ' �
PERMIT NO. COMPLET �l a'1
ADDRESS
OWNE CONTR. ..���
� TELEPHONE O. y7�-l�.37J �
� DESCRIPTION ✓t'Q��
� 01 G 1 ECHANICALRI 16WELLTESTPUMP
02 AMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
LATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETffURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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d NORK SATISFACTORY:PROCEED ❑ PROJECT COMPIETE
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTIOM TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
iNSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ction 24 hours in advance.473-7357
OwnerlContracto o ite
Inspector. �
White Copyllnspector's File Canary CopylSiM Notice