HomeMy WebLinkAboutP007170 - tearoff/reroof PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number:
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Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
CONTRACTOR: r . OWNER:
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SPEC:t TED AND TO DO _ WORK T Ni TR CT ',T.: fl-YNCE TH C:T.TY DF
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APPLICANT:PERMITEE SIGNATURE ISSUED BY:SIGNATURE , .
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $_ C " Date Received:
Date Approved:
Entered By: As4 . Permit#: -%/fjO
ALL INFORMATION MUST BE SUBMITTEDCheck-offNFULL BEFOOREsP� REVIEW WILL BE STARTED
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TtiE APPLICANT IS: (circle one) OWNER or �NTRACTOB
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JOB SITE ADDRESS: x Oro �-� 'e� ZIP:
(work) /75---35-2?
NAME OF OWNER: 54 r /` PHONE: (home)
MAILING ADDRESS: 75 (9x Toy"d 12.cL CITY: C/'OA.)U ZIP: 55 35-C;
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CONTRACTOR: 5 L /}� or,.LiC� J` �t_..� PHONE: ?- ;�0 6
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MAILING ADDRESS: L//0-0 4:-/c IS CITY: 5 f-�-���%� A-k ZIP: 5-5-4//
STATE LICENSE: # C2c>G i o5 '
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) : %ev,"-- f� o kJ F 5 IA 11
/'Ou7
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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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.
��i /t (7 � ^ DATE: Lic/ •, 1 I
APPLICANT'S SIGNATIIRE: ;'J` -`
•
CITY of ORONO
E.. CITY-
_ .., Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO 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 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.
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First Middle Last
V1 cc) tyC c IS/v- RA-d -
Address
City State Zip
2. 3 - 6
Phone
I understand my rights as stated above.
-04-20\�
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS —473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ER 32-50
PERMIT NO. "7 /70 COMPLETED t( ✓,
ADDRESS 57 OjOCA,
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OWN ER CONTR.
TELEPHONE NO.
❑ FOOTING 0 PLUMBING RI 0 SITE INSPECTION
O FRAMING 0 PLUMBING FINAL 0 EXCAV./GRADING/FILLING
0 INSULATION 0 MECHANICAL 0 LAKESHORE/WETLANDS
0 WALL BD. ❑ WATER HOOKUP 0 LICENSING
W 0 FINAL 0 METER SET/TURN ON 0 COMPLAINT
14- 0 PROGRESS 0 SEWER HOOKUP 0 FOLLOW-UP
st 0 DEMOL. 0 SEPTIC INSTALL. 0 SEPTIC FINAL
Q 0 FIRE PREY. 0 SEPTIC MAINT. 0 FIREPLACE/WOOD BURNER
0 WELL TEST PUMP 0
Q COMMENTS:
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W ❑ WORK SATISFACTORY:PROCEED 0 PHOTO TAKEN
0 0 CORRECT WORK&PROCEED
C) 0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
ORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
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TOP ORDER POSTED.CALL INSPECTOR.
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr sit
Ins
Inspector 1l
p 473-7357
White/Inspector's File Canary/Site Notice
1
DATE TIME
CITY OF ORONO CALLED IN II�- %- g5-
INSPECTION
5INSPECTION NOTICE SCHEDULED /i - �
PERMIT NO. "7/ COMPLETED
ADDRESS 75" ���`' _�,� /1766-
OWNER CONTR. . J '
TELEPHONE NO. .evZ — � k,
DESCRIPTION /aP
LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
ist
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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LU WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED LIISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ 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/Contractor
Inspector. alJll/
White Copy/Inspectors File' Canary Copy/Site Notice