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HomeMy WebLinkAbout1995-007209 - reroof/tearoff PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 T hi_. Crystal Bay, Minnesota 55323 Permit Number: (612) 473-7357 Date Issued: SITE ADDRESS: DESCRIPTION: rk;-- Ir t. 0t; REMARKS: FEE SUMMARY: ------------ r OWNER: CONTRACTOR: "T D RE) 2 THE UNDERSIGNED HEREBB, REOVESTS PERM ISSIC'IN TO MAKE THE REAL IMPRO VE*NTS SPECIFIED AND AGREES TO 013 ALL WORK IN STRICT COMPLIANCE W11-TH ALLI:, CIT Y OF . ORONO ORDINANCES AND STATE .IF MINNESOTA BUILDING CODE REQVIRE-�'4�,�NT8., APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ Date Received: Date Approved: Entered By: Permit#: '-),ZO ALL INFORMATION MUST BE SUBMITTEDCheck-IN FULL BEFOCIose� RE"IEw WILL BE STARTED ) ------ ----------------------------- -------------- ! __ ------------------ THE APPLICANT IS: (circle one) OWNER -- or NTRACTOR �, JOB SITE ADDRESS:--§,700 QG© It CJ ZIP: (work) NAME OF OWNER: Su G ��C' /e C ` PHONE: (home) MAILING ADDRESS: 3��0 dQCj hdQ�C� CITY:1 /ral?O ZIP: CONTRACTOR: �/ 1 _ t CA\i CO PHO : W 33 5 MAILING ADDRESS: CITY: C/ i ZIP:_525- STATE LICENSE: # DOOS 3fS' ARCHITECT/ENGINEER: PHONE MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) /,2' X A s,,, roc r � t STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ern Y O 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 permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. DATE: APPLICANT'S SIGNATURE: CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323*Municipal Offices OF 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 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 information may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6. Your full name is required to process this application or permit. ON ter First Middlle` •I�� Last \r 1 n �P (�U(ov 11� 1 1` iaLT�ci ��- � — Address City v State Zip ssy- S- Phone I understand my rights as stated above. Si-gnat e BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING DATE TIME CITY OF ORONO CALLED IN SJ INSPECTION NOTICE SCHEDULED -,zy PERMIT NO. COMPLETED ADDRESS �Fe . OWNER CONTR. TELEPHONE NO. DESCRIPTION 4 01 FO 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING 2 FRAM:INT�G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W Q. cc J O cc O W Q Z W z W CC j O � WORK SATISFACTORY:PROCEED ElPROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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 inspe tion 24 hours in advance.473-7357 Owner/Contracto r : Inspector. " White CopylInspector's File Canary Copy/Site Notice