Loading...
HomeMy WebLinkAbout1992-004660 - re-roof/overlay I'EFi�Ii�IT� � , CITY OF ORONO , PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 E��J I LG I�lC; Permit Number: ���y��,�,t f Crystal Bay, Minnesota 55323 , Date Issued: t�`��i��=�:� (612) 473-7357 SITE ADDRESS: F,� '=:TUE�E='= �AY RG N L':V �'. I . �I. = i r:�'—�11—;�—:�.—e yt����q. DESCRIPTION: C;�:—��rf�_�F:E��t�l�F;LA�' E:uil��i�4� �'��t,rr�it. Tv�=�� =_�—;�L,�i�;E���;��c� Bu?1��a�-�� �:j���r•€:: T y�_� F E—h����:iF � � � ����� ti �: ������ik �� �� ��,��w �`i � :- �a �+rwx���� � ,� � -� � ' ,�: �,��iF�� '` ,`� � � K� �o- 4 `� ��a�� - MJ�FN'��� ., `��°�M1.��r� �l 1 � ,P 4 #� �w d g 1���,i,� F�. r m�"�l� .A,' ��` P'"��'� '��v�� qs �,�r�f� ;r� �t& "��' i r f�„���i�����'�' �" �4,y"�'������° �� ��aVk �t rl�' G '� � �� � a �' �' �_ � ��'��. g�i� � �y,�„,'" x � � w �� �r � � ,��� „��,�������� � �;�r � ���� ���� �� � '�"" ' ������ t�:��v���fiE �t=��Cf _ ���� ,, � �������i,����� � ���` � � �.'s'�,s�Cft��'4� #� �,, � ��. ,� . . _ ;:t G�M �7.� f'%'}:�'%ttt s(}� �] . .. 1 i.tLi V V Y W 7r REMARKS: ' ' �,�1Ft��4': TL I T.5� t;��t�'F:�T—;��A�A� }`[!U #�'�;s`��� C;1;;1 ��G�.� T�t 1:5� .��:na iar FEE SUMMARY: �1(��.t l�j�'T i i}�J �S5() E�=tS� F�� �17 .i.ii i '��c.�i�cFrar��� ----------���i� T+��#•�1 �ee �1? . �,i) CONTRACTOR: ����� AF fi�,��:HARD F.� ���T��E�E�'r� E�AY FiCy t�! �iki��(�i� �� ��:�?S°� (;f.j,.•:�.l d i F�-F.�,;:_F� r______ _---_.._ _ _._ _ _ _ . _ _ _ -- ._ _ __ ..._._—_--- - -- _ ---- _- - - -.__ _.____ ____ _ . _--- _�-- E�� ;?:`a�}��=�!.��•��� 1���:���1' ����?'-#� - = �� � ; c � � � T.-; �r��°_.�_��a�� �r�► r��}::.� r�� �;��� �r•tt-��_v�r�rryz�_. � '-:F'E r:I�1 E:ti f:;rL�: c=:t���F�'�� Ta:i {i��� �?L� �?���i�t��: I I� �����I�::j' i:�;���I�'�_I f���t:E �.+i�E-.'. �LL �:I�Y ��ii= .� ;��������i r ;��:;:D I 1�!Hi�.��;_�'_; r"�l��f� '=�T('-�T�= =ti!�= t�l�a�iit;t:'==►��T�i �;!1 T�C I�#�; t:����C t�°��s�+?I�i�t��i�li''�� . ; � .� � -' _� � �� � APPLICANT/PER TEE SI URE ISSUED BY:SIGNATURE �—�/K� d � f CITY OF CRC2I0 - BUILDI�IG FER:�T A.PPLICATION � � Date Received: G'��� �/l �� 'otal Fee: $ � Date A�procec: vZtered ��: Per*nit r: :,�; _ r. =1,.L INFOR'+ir�TION MIIST BE SUBMITTED IN FULL BEFORE PI�AN REVIEW WZI..L BE STARTED (See Check-Qr"f List Enclosed) -------------------------------------------- -^HE A.PPLICANT I5 s (circle one ) OS�IER or CONTttACTOR ��B sz� �D�ass: ' - � ' � � /'� zzP: �S �-�' -%� ��� , 3�-�/8- a3 3S� ���'c� (work) l"1( �- �='G�/�. ,;�ME OF OWNER- ,��,� �� jJ'1E �-� y������ PHONE: (home) �7� ---�j/�.� :�AII,ING ADDRESS: � ` � `� CITY- / (C' '�) �' ZIP: .F .5 ��`�= /�� 7� .JNTRI�C�'CR: � � � S PHONE: :��I,ING P.DDRESS: CITY: ZIP: :'�A�E LIC�7SE: T /;) '�.RCHITECT/ENGINEER: PHONE: XAILING ADDRESS: CITY: ZIP: ,��: REGIST�TION T �'PE OF WORK: New Additiar. Accessory ructure r!ove Demo Re_nodel/Alteration Renovate� Land Alteration � �' �-� —� �2�? -�,� '_?OPOSED WORR (describe in detail) : ` - � '""ORIES: SQ. FEET OF EACH FZOOR: ;p_ pg gSDROOMS: G��RAGE STALI�S: ATT. DET. ��-��J= � h-?�-��`�"SS D ��n ;�T=MATED CONSTRIICTION VALIIATION (ezcluding I.and) : $ �:.: ,�� , hereby apply for a buil.ding per.nit and I ac?cncwledge that the information �ove is complete and accurate; that the work wil ? be in conforinance with the _-dinances and codes of the City and with the S�ate Building Code; t�at I aderstand this is not a permit and wor:c is not to start without a permit; and .Zat the work wi11 be in accordance with the aporoved plan. � /� , _ �-� � � 4; � � .,�PLICANT'S SIG�7ATIIRE: ��- r . c_ DATE: � � . � �.._' - - �. ��` ����" �� (����T� .� aa. Post OfSce Box 60•Crystal Bay, Minnesota 5�323•Municipal Qffices ,;: O1 � - � �� On the North Shore of Lake 11�finnetonka DATA PRSVACY ADVISORY In accordance with M.S. 13.04, Subd. 2 , "Rights of subjects of data", we would Iike 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 wiil be used to determine your quali�icatien for the per-.nit or I.icense recuested. 2. You r,tay refuse to supp?y data, but re_usal may require that the City deny the pe�-mit or license. 3 . The information may be snared with o�zer ioca? , s�a�e or federal agencies to the extent necessary to process tne permit or I.icense. a. If your requested per.�it or I.icense =ecuires Councii ac�io% to approve, some infor:nation may become pub�ic. 5 . You have certain rignts under M.S. 13 .C� to rev�ew griv��e data on yourself. 6 . Your fu1Z name is required to process this application or per:nit. ) � �/� � / �~ '�./�/ .Y�- �P�' � ''�i�-C� ,.�� Fi rgt Middle ,� Las� a / i /� � � �`-�� , ,�!� � � , , Addre �t/�S A 1 i� _�-�^ ��� , ` `�=' �� City State Zip ��� �O r � / �_,-�� Phone I und ,tand my rights as stated above. ;� , � , ��-�. '���� . ' �� i�/'�� �—�. Signature . � � ' ' Bl,'ILDfNG& ZOvI�G - -373-7357 • AD.tii1NISTRAT10Y g FI`+'��`iCE - 473-73=3 • PUBLIC�VORKS -473-73�9 ASSESS(N G