HomeMy WebLinkAbout1994-006621 - re-roof CITY OF ORONO PERMIT PERMIT TYPE:
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2750 Kelley Parkway- P.O. Box 66 Permit Number-
Crystal Bay, Minnesota 55323 e-7 .L
Date Issued:
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CQNTRACTOR: OWNER:
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THE UNDERSIGNED HEREBY REQUESTS FERMI':.--.'.SION To MAKE THE REAL IMPROVEMENTS f
SPECIFIED AND AGREES TO 00 ALL W13RKIN STRICT C13MPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA F_'-LJILD ING CODE REQUIREMENT8;.
APPLICANT/PERMITEE SIGNATURE Y ISSUED BY:SIGNATURE
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CITYOFORONO - BUILDING PERMIT APPLICATION
Total Fee: $ 0�' 0� Date Received:
Date Approved: /
Entered By: ��J Permit#: 61 D
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
--------------------- -------------------------
THE APPLICANT IS: (circle one) O11NER/-o� �ONTCTOR
JOB SITE ADDRESS: /��O /u / Q cE ZIP:
(work)
PHONE: (home)
NAME OF OWNER:
MAILING ADDRESS:
CITY: ZIP:
` PHONE:
CONTRACTOR: o ® '
MAILING ADDRESS: S 8� r� CITY:__, � ZIP:
STATE LICENSE: # qy 3
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) : /
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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:
APPLICANT'S SIGNATURE:
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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 subjectt or
Of
data", we would like to inform you that your request for a P require
rono or any of its
you to furnish certain pricense frm the City ofivate or confidential departments 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. other
al , state
The information to the extenthared necessaryhto processcthe permit or
federal agencies
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
Address
City State Zip
G-/ 7
Phone
I understand my rights as sta d above.
ignature
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358
• PUBLIC WORKS-473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN /Z– ? `1'/
INSPECTION NOTICE SCHEDULED //-f /V"P-0
PERMIT NO. f&a l COMPLETED
ADDRESS 000 v-ill� koe-6
OWNER CONTR,..741-t
TELEPHONE NO. V71 - 5 II A
DESCRIPTION
01 FOOTING 11 MECHANI LRI 18EXCAV/GRADING/FIWNG
FRAMIN - 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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tQ 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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OW XWORK SATISFACTORY:PROCEED - PROJECT COMPLETE
cc ❑ CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN
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/Contrac si :
Inspector.
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