HomeMy WebLinkAbout1995-006989 - tear-off/re-roof P��IIT ,
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 :.::�-: ;-:. :._;,_:
Crystal Bay, Minnesota 55323 Permit Number: _'_.� -
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(612)473-7357 Date Issued: � ,-: ,_.;.
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SI A RE ISSUED BY:SIGNATURE
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CITY OF ORONO - I3IIILDING PERMIT APPLICATION
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Total Fee: $ ��- ` Date Received:
Date Approved:
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Entered By: �!�� pe�mittt: � �`� y
AT•T• INFORMATION MIIST BE SIIBMITTED IN FDLL BEFORE PLAN RE�7IEW WILL BE STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) O�dNER o CONTRACTOR
JOB SITE ADDRBSS: �� J`9 �'�'�� ���'�'�gs �/�y ���f ZIP: �� _
(work) .
C l.�y�f /(�i�� �- � PHONE: (home)
NAME OF OWNER:
MAII,ING ADDRF.SS: ��'�-� CITY: �.���-�'-� ZIP:
CONTRACTOR: �P � "" ��'�'�L���� PHONE: ��� �_I��
MAILING ADDRESS: ���S ��^l�'V'�s2C.IC �Q�S /`�! CITY: L-CC�I �/�G�Uv� ZIP:� �`�
STATE LICENSE: # � � ��
ARCHITECT/ENGINEER: ^�-" PH���
MAILING ADDRESS:
CITY: ZIP: _._
NAME� REGISZ'RATION ,'''r
TYPE OF WORR: New Addition Accessory Structure r.�ve
Demo Remodel/Alteration Renovate Land Alteration
n ,�.C�2,
PROPOSED WURR (describe in detail) : �'ri'Ll�� "
(;�j �?�/ � G�Yt ��-t-�--.. , �La_ �7 �,, _
STORIES: �7'�- SQ. FEET OF EACH ��R=
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ �
� G� c �
I hereby apply for a building permit and I acknowledge that the informatic:
above is complete and accurate; that the work will be in conformance wi�ha�ht
ordinances and codes of the City and with the State Bui. lding Code;
understand this is not a permit and work is not to start without a permit; an<
that the work will be in acc rdance with the approved plan.
/ � _ � DATE: � ���- �`S�
APPLZCANT'S SIGNATIIRE:
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c ITY o� oRON
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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� � � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "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 license 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 , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii ac�ior.
to approve, some information may become public.
�. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to proc�ss this application or
permit.
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First Middle Last �
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Address ������� ��� � � t ��
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City State Zip
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Phone
I und tand my righ s as stated above.
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Signature �
BUILDING&ZON[NG-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING
�
DATE TIME
CITY OF ORONO CALLED IN S�����.5� P�� � �
INSPECTION NOTICE SCHEDULED 'r��.� --��-�---
PERMIT NO. � 9 �� COMPLETED �_
ADDRESS �r () �.�-�-� �� /2-� S
OWNER �� CONTR.�
TELEPHONE NO. �� 7 - ���'3
� DESCRIPTION ��_�iti �
� 01 FOOT�,� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
O02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
'II3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECT�ON
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
� C CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
O INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance.473-7357
OwnerlContractor it
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �O- �I'�S�
INSPECTION NOTIC �/ SCHEDULED �a `Sl -v`�
PERMIT NO. � y / COMPLET �_ �_
ADDRESS C� .. ^ �--' S
OWNER ���L��� CONTR. <<
TELEPHONE NO. y��- �� �'�
� DESCRIPTION ��
l� 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 StTE INSPECTION
Q 5 FINA 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W ,
�j Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. ,Lr- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectio 24 hours in advance.473-73�J7
OwnerlContractor on '
Inspector.
White Copylinspector's File Canary Copy/Site Notice