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HomeMy WebLinkAbout1992-004669 - tear off/reroof .� PERMIT ` CITY OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 BUILDING Permit Number: 0 C�04�:F,,3 Crystal Bay, Minnesota 55323 Date Issued: 09/29/9 (612) 473-7357 SITE ADDRESS: :3025 WATERTOWN RD CH P. I .N. : 04-117-23-24-0006 DESCRIPTION: TEAR OFF/REROOF Building Permit Type SF-ADD/REMODEL Building Work Type RE-ROOF CI TY OF ORONO FINWE OFFICE 1313100M i11 01 [0 54.00 1«00mo n r GR cu i s,c REMARKS: ��jj[['jj�tyy� i. 4IEC - IL 55-24 f4ECEIFT-T,q4& YOU 0541'0 0001 ,f01 T09:u FEE SUMMARY: VALUATION $2, 48.5 Base Fee $84.00 Surcharge ---------11 .24 Total Fee $B5 .24 CONTRACTOR: OWNFfR: - Applicant - COFF N GORDON 3025 WATERTr AWN RD OR13NO MN S5:356 47S-3308 THE !_1N1.t'Er.3 1 GNED 'r EHREBY REQUESTS PERI"3I:_,°_:I CIN TI 1 MA1-1'.E THE REAL i i tl'-;-OVEMEN TS :_:��E I r IED A�'D �=G EEc., TI_i [it_? P-1 WCIRh::: I N :_�TR I�:�" :I=�MPL I ANC:E WITH H ALL 'CITY OF I,iRONt i ORD.I]I NAC E' AN! '_:TATE I3= t•1 I iljt;E' I I"Tri 1.1.1 I l._D I XG r:i=DE RI--Q�I REs'SENT L_ i APPLICANT/PERMITEE SIGNA RE ISSUED BY:SIGNATURE %f J w CITY OF ORCNO - BUILDING PERMIT APPLICATION ;tal Fee: $ X51117 Date Received: Date Approved: zered By: f✓ - Permit r: �L INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) -------------------- y APPLICANT IS: (circle one//) O;VNER or CONTRACTOR ;B SITE ADDRESS: 3025 yYrJ�[�PY'PiS�'� z®/I,, LfI5�7 ZIP: �✓`��"� (work) �- �p AME OF OWNER:�OJ;4,0rL rlrJl� l�s'C»/'�r �c ��r� PHONE: (home) AILING ADDRESS�i �4rC��'14Y�n O"� CITY:��� �� �` ZIP: �> PHONE: NTRACTOR: cdJ' G / L° P� S �Aa LING ADDRESS: 2922 ✓ pww k ne-tiee CITY: tee- 2-a ZIP: y'ATE LICENSE: z ICHITECT/ENGINEER: PHONE: ,.ILING ADDRESS: CITY: ZIP: ,ME_ REGISTRATION u 'PE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate/ Land Alteration OPOSED WORK (describe in detail) :_ 'ORIES: SQ. FEET OF EACH FLOOR: *7_ OF BEDROOMS: GARAGE STALLS: ATT. DET. ,. TIMATED CONSTRUCTION VALUATION (excluding land) : hereby apply for a building permit and I acknowledge that the information ove is complete and accurate; that the work will be in conformance with the -dinances and codes of the City and with the Sate Building Code; that T_ derstand this is not a permit and work is not to start without a permit; and ;at the work will be in accordance with the approved plan. ' S I GNATORE: ti DATE: _>PLICANT S 1CITY ©f ORONO Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices 0 CIS _ 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 act-ion to approve, some information may become pudic. S . 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-,' J State Zip • 7.T r : Phone I understand my rights as stated above. Signature BUILDING& ZONING - 473-7357 • ADMINISTRATION& FINANCE - 473-73:3 • PUBLIC WORKS -473.7359 ASSESSING ATE TIME CITY OF ORONO CALLED IN .2- INSPECTION NO CE SCHEDULED PERMIT NO. de C;L COMPLETED << ADDRESS OWNER CONTR. TELEPHON ;O.L- DESCRIPTION ,�. Uj OTING _ 11 CHANICAL RI 16 WELL TEST PUMP Q 0 AMING 11 MECHANICALFINAL 18EXCAV/GRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 1.3 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAI NT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z y COMMENTS: W a o earcc -O a 0 W CC Q 2 W W Cr. d W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING 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 ne t inspection 24 hours in advance.473-7357 Owner/Contra o ite: Inspector. White CopyMspector's F e Canary Copy/Site Notice