HomeMy WebLinkAbout1993-005348 - tear-off/re-roof PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 }I I I NG
Orono, Minnesota 55356-0815 Permit Number:
(612) 473-7357 Date Issued: - 1_ _3
SITE ADDRESS:
DESCRIPTION:
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FEE SUMMARY: ( 7 7
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Base Fee $63 . Of"I
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CONTRACTOR: OWNER: — Applicant —
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APPLICANT PERMITS IGNATURE V ISSUED BY:SIGNATURE
CITY OF ORONO —., V&I--,DING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: Permit
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
---------------------------
------------------- ----------------------------------
THE APPLICANT IS: (circle one) OWIJE or CONTRACTOR C
JOB SITE ADDRESS: 37 (�d by6.® dA-D ZIP:
(work)
NAME OF OWNER: �,2� 1g' 7Yt k � L- PHONE: (home) `{71--
MAILING ADDRESS:
3.7 j1 O L (S &n, M d It U CITY: ZIP:
®� 4 1C3 Q .5
CONTRACTOR:
7- Y U 4 J U 4 A PHONE:
MAILING ADDRESS: L Y U CITY: � 17i4/P/L zIP: S-.5� S /
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
WORK (describe in detail).e^ O
PROPOSED . . .
STORIES: S4• FEET OF EACH FLOOR: � 7 s"d
NO. OF BEDROOMS:
GARAGE STALLSs ATT. .DET, I�1m
ESTIMATED CONSTRUCTION VALUATION (excluding land) :
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: I
APPLICANT'S SIGNATURE:
C ITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
i
�.QRO 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' -Eo 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.
First Middle Last
3 z
Address T
(Skdoe� _, U a Z,7,
City State Zip
Phone
I understand my rights as stated above.
A-U�-11
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
ATE TIME
CITY OF ORONO CALLED IN All 7
INSPECTION NOTICE 6')JA SCHEDULED 1117A'_3 '.30
PERMIT NO. �JJ COMPLETED h
ADDRESS
OWNER 4 CONTR.
TELEPHO ENO. 471 -�.ZCo
DESCRIPTION�.P 0.1
01� FOOTING 11 ECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING' 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 SULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
2 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 06 PROGRESS
v 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
c� COMMENTS:
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L �j WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra ite:
Inspector.
White Copy/Inspect File Canary Copy/Site Notice