HomeMy WebLinkAbout1993-P005374 - tearoff/reroof lipr PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815Permit Number: B'J I LD I NG
Orono, Minnesota 55356-0815 005374
(612) 473-7357 Date Issued: 07/26/93
SITE ADDRESS:
3.520 WATERT AWN RD
CH
P . I . N . : 32-118-2.2-4:3-00021
DESCRIPTION:
TEARS AFF/REROFF
Building Permit. Type SF-ADD/REMODEL
Building Work: Type RE-ROOF
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FEE SUMMARY: #27993v' `;V.L `a�•:
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VALUATION $5,500
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Ease Fee $81 .00
Surcharge ---------1211-za
Total Fee $83. 75
CONTRACTOR: - Applicant - OWNER:
SMITH WF ROOFING 14726539 YOt}NG GREGG
5975 LYNWOOD BLVD 3S20 WATERTOWN RD
MOUND MN SS364 ORONO MN 66.56
(61 r) 472-6539 47•J -'9a.:.'_'
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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Q CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ 83. 75 Date Received:
Date Approved:
Entered By:
Permitus:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: C� �Iy�r �--�� ZIP:
! (work) ,J
NAME OF OWNER: C�(�F� I CSV VyG PHONE: (home) Y 7_�-��1 /2,
Y , /I 0< S 7-t
MAILING ADDRESS: 3S�D WA- J CITY: ZIP:zIP:
CONTRACTOR: W FL PHONE:
MAILING ADDRESS: S 94ITY: V,�-Oyr l b ZIP: SSzLzj_ _
STATE LICENSE: # S�'�
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 accorda ce with e approved plan.
DATE:
APPLICANT'S SIGNATURE'
CITY ®f ORONO
Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
• • • 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.
First Middle Last
--? LIVIN11
Address
City . � State Zip
Phone
I understan my rights as stated above.
Signat re
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
TE TIME
CITY OF ORONO CALLED IN 7 oto l
INSPECTION NOTICE SCHEDULED rI�-7
PERMIT NO. —30171COMPLETED
ADDRESS -Z d
OWNER CONTR.
TELEPHONE NO. W7 Z
DESCRIPTION
W 1 MECHANICALRI 16 WELL TEST PUMP
=FRIAMING7'
11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
OON 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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LAJ ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
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
OwnerlContr n 't
Inspector.
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