HomeMy WebLinkAbout1994-006629 - tearoff/reroof ——— —————— —
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Permit Number:
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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THE UNDERSIGNED HERZE.-YREQUESTS PERMISSION TO MAKE THE REA� IMPROVEMENTS
SPErIFIED AND AGREES TO, DO A' L WORK, IN S:sTRICT 'COMPLIANCE VITH ALL CITY 13F
OR ONO ORDINANC:ES ,AND STATE OF MINNESOTA BUILDING CODE RE001,,RE MENTS.
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AKP4IC5rNT/'PERMIj*fSIGNATURE ISSUED BY:SIGNATURE
fr CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: Permit#: (p`o•Z9
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one)
/r OWNER or CONTRACTOR
JOB SITE ADDRESS: o�s/gq0 W,4TEA-Tbwr-� ZIP: ,SS3S�
(work)
NAME OF OWNER: Y0_6 �V� SS PHONE: (home) 73-56` 8
MAILING ADDRESS: �JIO (�t/�9`T `Saws -(�`p CITY: 6-e rJ0 ZIP:
CONTRACTOR: PHONE:
MAILING ADDRESS:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE: _
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION n
r_�RC;
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : ���� � � / �tl�L� 1n04� �g00
SO, . el Dri' XIST>N6
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
06
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 330D
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 acco nc wi,. t pproved plan.
APPLICANTI S SIGNATURE: DATE:
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
O On the North Shore of Lake Minnetonka
OR
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.
First Middle Last
Address
City State Zip
X6103
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
D TE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �-400
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PERMIT NO. �lo.Z9 COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
� 01 F G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O LATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 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 MEET YOU:_YES_NO
COMMENTS:
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0RK SATISFACTORY.PROCEED PROJECT COMPLETE
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CC ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
OwnerlContra o n si
Inspector
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