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HomeMy WebLinkAbout1994-006384 - reroof-tearoff PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815Permit Number: F'!T I Q TING-11 -Orono, Minnesota 55356-0815 = 6. 4 (612) 473-7357 Date Issued: { A SITE ADDRESS: 37°-;S TOGO 3 O H F' . ? . N. , 17-111-003,x: DESCRIPTION: REhCOF;T EAROFF Buil-ding Permit. Type 1-31F-ADD/REMODEL I i %T'v fit TlTfilltfl REMARKS: i " "�'�� M➢Algi C i 1tC Trr ••.t l t/T! 4L L I ! h.1- Jiuix Vvvu yjtt _ n VA VL_1 41 VV ii.it'Vl'V-V Fl FEE SUMMARY: V( AL(JA! i ON $.0c)() L•iLV 1C ! ��,`/� iy..L■Jv tJ�i, T"-iJ ' Yi% Sy' Fee d .t}[} Sd: ;, %{! irirta T01 j� [- Tl+J '7 NVV.L J I A1-VL e ---._..�-�-�--�aVL•t ilVt t1 i i CONTRACTOR: - AP'P'l i c nt. 0 R t1 I i.HA L 3 7 95 TOG31�i Fr) i RON r MN 53-3 1 471-0 82,3 7777 7, 01 R T�` Ips � T�3 T REAL '. t } ' � 4 SIR TS APPL PERMITEE SIGNATURE ISSUED BY:SIGNATURE t CITY OF ORONO - BUILDING PERMIT APPLICATION Date Received: x $ Total Fee: Date Approved: Entered By: Permit-11:--( ALL INF MUST BEFORE PLAN REVIEW WILL BE STARTED BE SUBMITTED IN F (See Check-off List Enclosed) --------- ----------------- - - -------------------- (circle one) r CONTRACTOR T� APPLICANT IS: r ZIP: JOB SITE ADDRESS: <� "� (work) J-35- 68-00 A^ �f- r- PHONE: (home) 1/71 09'Z.3 NAME OF OWNER: l "`� GI fie V ,�O �^U MAILING ADDRESS: fro CITY: �,c�r4�(Zr97��9- ZIP: S'S3 2/ . PHONE: CONTRACTOR: CITY: ZIP: MAILING ADDRESS: STATE LICENSE: A PHONE: ARCHITECT/ENGINEER: MAILING ADDRESS: CITY: ZIP: REGISTRATION a NAME: Structure Move TYPE OF WORK: New Addition Accessory Land Alteration Demo Remodel/Alteration Renovate n(� / ©n PROPOSED WORK (describe in detail) : I�.�M o�-� 4`� �O r Cs� / UuSc e STORIES: 'Z. SQ. FEET OF EACH FLOOR NO. OF BEDROOMS:_ GARAGE STALLS: ATT. DET. G o ESTIMATED CONSTRUCTION VALUATION (excluding land) : 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 conformance with t I ordinances and codes of the City and with the State Building Code; 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 ©f ®ROOT® Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices M - On the North Shore of Lake Minnetonka _ DATA PRIVACY ADVISORY Subd. 2, "Rights of subjects of 13.04, permit or in accordance with M.S• You that your request for a P wire data", we would like to inform Y of its departments may req license from the City of Orono or any you to furnish certain private or confidential information. You are notified that: 1. The information you furn qualification for the pemit Or license brequested determine your , require that 2. You may refuse to supply data, but refusal may the City deny the permit or license. be shared with other local , state or 3. The information may process the permit or federal agencies to the extent necessary to p license. a If your requested permit or lerequ1res Council act-ion oI: to approve, some information may become public. S. You have certain rights under M.S. 13.04 to review private data on yourself. uired to process this application or 6. Your full name is req permit. ^cc rr n IYi�+Ae` +jiLast Middle First 37 /Address w State, Zip C1tr,L Warms 11710 0z 3 Sas �8ad_ phone I understand my rights as stated above. S ' natur • PUBLIC WORKS—473-7359 BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 ASSESSING DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��a PERMIT NO. COMPLETED N LC ADDRESS , OWNER TELEPHONE NO. '��/ -K)ZZ3 DESCRIPTION � 01FOOT MECHANICAL RI 16 WELL CAV/GRT PUMP Q RAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING ION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS 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 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W 0- O O cc O U_ W CC Q Z W z W cc Z) d WP WO RK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 00 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN F_ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473'7357 Owner/Contract s' Inspector. White Copy/Inspector's File Canary Copy/Site Notice