HomeMy WebLinkAbout1994-006202 - tear-off/re-roof PEIZ�IIT
CITY QF ORONO E �� � "� PERMIT TYPE: ✓
2 7 5 0 K e l l e y P a r k w a y • P.O. B o x 8 1 5 ���j�{=j��'�?�-�
Orono, Minnesota 55356-0815 Permit Number: ;`a;_��,.�{}�,
(612) 473-7357 Date Issued: ;_��:,:;j,-��,�,�
SITE ADDRESS: �
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BIII"� PER�iZT A.PpZIC�TION
� Date Received:
Total. Fee: � -
Date A��roved: �
, � � � �
Entered Bv: Per_nit� � � _ __
p�Z INpORriATION MIIST BS SIIBMITZ'ED IP7 F1TLI. BEFORE PLAN REVIEW WIIS� B$ S��T�
(Se� Check-off List Encl.osed) __________
�� �,pL=�NT Ig: (circle one) Oj1NER or CONT_�ACTOR
JOB S
ITE ADDRSSS: I �! l l (/� / //�/ ��? "�v�� Z=P:
(work)
�ME OF OWNEft: �/��fU�/!/� //l /(/��%/ ���� _ PHONE: (horae)
N
CITY: ZIP:
MATLING ADDRESS: �
���. PHo�: ����� —
�I'�>, ,n �i1� _
CONTRACTOR: U ZIP: /�/.1/�
MATLZNG �D�SS: �i y;l UL ���� _ ��: 6�-�l
STATE I,ICENSE: T D�� / �/ ,
/� � PHONE=
ARCHZTECT/ENGINEER: /V
CSTY: ZIP:
MATZING ADDRESS:
REGISTRATION �
NAME:
Accessory Struct sre Move
TYPE OF WORR: New Addition Land Alteration
Demo
R�*nodel/Alteration Renovate
' detail) = �</ f 0� ��/C/ /'�� l� ��
PROPOSsD WORK (descrZbe in
STORZES: S4• PEET aF EgCS FLOOR: ��� "/�n '
�
NO_ OF BEDROOMS: G�,RAGE STALI�S: ATT. DET.
/,�, ��
ESTIMA�.ED CDNSTRIICTION VALIIATION (escludinq
land) : $ U
I hereby apply for a building p
ermit and I acknowledge that the information
above is complete and accurate; that the work will be in ��nfO� Code;a1that I
ordinances and codes of the City and with the State Building e�it; and
understand this is not a perniit and work is not to start without a p
that the work will be ia accordance with the approved p laa. _ . -
�/�� DATE s u /� /�
� _ ��`.�
APPI,ICANT S SIGNATURE'
��
` � ����' o� O���TO
Post Office Box 66•CrYstal Bay,Minnesota 55323•Muaicipai Offices
M �
� On the North Share of Lake Minnetorcka -
• ' • •
DATA PRIVACY ��SORY
� "Rights of subjects of
Subd. 2� ermit or
In accordance with M.S. 13•ou'that your request for a P uire
data", we would 3.ike to inform Y of its departments may req
licease from the City of Orono or any
Y
ou to furnish certain private or confidential information.
You are notified that:
The information you f urnish i ensebrequested, aetermine yaur
1• e-�-�nit or 1
qualification for the p uire that
refuse to supply data, but refusal may req
2, You may the permit or license.
the City deny
be snared with other local, s�ate or
3. The information may
rocess the permit or
f ederal agencies to the extent necessary to p
?icense.
a If our requested permit or Iicense r�eQUC res Councii a��=°r
y become p
to aporove, some information may
- You have certain rights under M.S. 13.04 to review priva�e
�.
data on yourself.
6.
Your full name is required to process this appZication or
per,nit. ��
'n� �e �
�vv' � �� Middle Last
First
� �� ��L �
Address ��
/l�///// `"��"' �`/� Z ip
State
Ci�y �
� ��-- ��il .
Phone
I un rstand mY rights as stated abone•
Signature
. • PUBLIC WORiCS-473-7359
BUILD[NG&ZONING-4'13-�357 • ADMINISTRATION&FINANCE-473-7358
ASSESSIN G
ATE TIME
CITY OF ORONO CALLED IN �'i
INSPECTION NOTICE SCHEDULED `1 %� =0c�
PERMIT NO. `�-L COMPLE � � �_
ADDRESS � � �-4 •
OWNER CON R.
TELEPH NE NO. '�T �J -`�.� '��[.
� DESCRIPTION /�'G�Y�
� O�IC�� MECHANICAL RI 16 WELLTEST PUMP
02 FRAMING � 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED O PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REIN3PECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. npHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r n 'te:
Inspector.
White Copyllnspector's F le Canary CopylSite Notice