HomeMy WebLinkAbout1991-003711 - 2nd layer shingles PERMIT
� � �' OF ORONO PERMIT TYPE: �f
3rown Rd. South • P.O. Box 66 Permit Number: ��;'y�;�]1���'
,I Bay, Minnesota 55323 Date Issued: t_j��•-,r;;_��
(e���� 473-7357 ''
SITE ADDRESS:
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CONTRACTOR: -- �1���1 i�ai�t� -- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BIIII,DING PERI�IIT APPLICATION
, . �
Total Fee: $ Date Received:
Date Approved:
Entered By:
Permit#:
AT•T• INFORMATION IYIDST B$ SIIBMITTED Ild FIII.L BBFOR$ PLAN REVIEW i�TILL BE STARTED
--------------------------------------------------------------------------------
THS APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: � � I � S �/-Kc�Z �f�ce ZIP: �S"3(�`-�
(work)
N� OF OWNER: ���r ,'cc` a � � roe'����w�I�ef�PHONE: (home) `�7/- 7/7/
MAILING ADDRESS: f � I � 5(�ru�� Y� f�r�CI'1'Y: �.�d�--o ZIP: S� �G `�
CONTRACTOR: �Jc��� � �' �o�' PHONE: `�7�-J�3 3
MAILING ADDRESS: �-O � vab� no�p �-�� CITY: �o��� �S� �� ZIP: 5�5�3 /
TYP$ OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �bd��,,,� �1 „Lrl �y �.- �.:«�. 1
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BBDROOMS: GARAG?� STALLS: ATT. DET.
ESTIMATSD CONSTRDCTION VALIIATION (exclndinq land): $ � �Od
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 approved plan.
APPLICA1�iT'S SIGNATQRE: , � �-�i • DATE: s -a �-9�
(Pleas 11 out the reverse side of this form)
a _ •
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- c ITY o� oRONo
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Oftioes
•
� _ � � On the North Shore of Lake Minnetonka
D�1�� _���� AD��OR� �
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 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 inf ormation 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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Address
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City State Zip
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Phone
I understand my rights as stated above.
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BUILBING&ZONING-473•7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
� DATE TIME
CITY OF ORONO CALLED IN �� '�'
INSPECTION NOTICE SCHEDULED /�Js�, J
PERMIT NO. COMPLEfED p �l
ADDRESS �
OWNER� CONTR.
TELEPHONE NO. `7 7� '" a a�' 3
,
� DESCRIPTION
� 01 FOOTING 11 M HANICA RI 18 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL F�NAL 18 EXCAV/CaRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q FIN l 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 D MO—SITE 14 SEWER HOOK-UP 06 PHOGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOUV-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� �WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� RRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� GORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspectbn 24 hours in advance.473-7357
Ovmed site•
Inspector:
WhNe CopyA Rle Canary Capy/.�,iM NoNw
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE , �`' ° scHE�u�E� � .f��c�0
PERMIT N0. > cOMP ETED /O�-�O
ADDRESS � S . E
OWNER CONTR. t"✓�
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24/25 WOOD BUFINER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q �NAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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W� t7 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor n site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
AT TIME
CITY OF ORONO CALLEO IN �I I
INSPECTION NOTICE 7J! SCHEDULED
PERMIT NO. � COMPLETED �l
ADDRESS
OWNER r Q�✓ CONTR. �✓ Y1C� T�"'
TELEPHONE N0. ��I�-' ��-3 3
� DESCRIPTION � �l�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q FINAL 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FI
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
y COMM NTS:
a �t�'✓'P��i�r� � �I1 .
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL RETUHN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call fw the next inspection 24 hours in advance.473-7357
OwnedContractor
Inspector.
wi,iu coprno.�on Fi� Canary CopylSits Notic�