HomeMy WebLinkAbout1992-004487 - replace wood shingle PERMIT
CffY OF ORONO PERMIT TYPE: BUILDING
1335 Brown Rd. South • P.O. Box 66 Permit Number: 004487
Crystal Bay, Minnesota 55323 Date Issued: 07/14/9
21
(612) 473-7357
SITE ADDRESS: Soo N1 iRTH ARM DR
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P. I . N . 117 17-t:=;-44—C;i;1 C.
DESCRIPTION:
REPLACE WOOD SHINGLE
Buildi;-;g Perrnit. Type SF-ADD/REMODEL
Buai ldirig Work- Type RE-ROOF
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REMARKS:
FEE SUMMARY: , "'" ` k ,
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Base Fee $::3'1 . 0 }
Surcharge ------- ;s
Total Fee
NT gApplicant. —
CQ�I� Pb0F I NG 14726639 RICHARD
5975 LYNWOOD BLVD 800 NORTH ARM DR
MOUND1 MN 55364 MOUND MN 55:�64
(51 2) 472-6539
THE t1NDEF EFMI'SS _tf+l TO., M I''E THE REAL IMPROVEMENT'-3
SPECIFIED AND AGREES T1 WORK IN STRICT Ci►MPL I ANC:E W I TH ALL CITY 0IF
ORONO ORDINANCES AND� S4 ",,.`1I NNE:=OTA LD I NG CODE REQUIREMENT
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: ,': Q(A1� �
Permit tt
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: B(Do i • aa in ZIP:
(work)
NAME OF OWNER: Q-1Gfr/w1Z�
PHONE: (home)
MAILING ADDRESS: c �' ' �T/�'1h CITY: l�i Y�/tJ ZIP:
CONTRACTOR:
PHONE: �j-6,:,7-_2q e6' 1 /7
MAILING ADDRESS: 01 /17 CITY: f4,7-V V 0 ZIP:
STATE LICENSE: '#
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION n
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteratio.�C Renovate Land Alteration
PROPOSED WORK (describe in detail) : /ZC;C— WC1010
� -►� 6 ►nom l�,,. C (-tU n sof t�,� C-e/
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
J �
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.
W r3 �i
CITYof ORONO
Post Office Box R•Crystal Bay,Minnesota 55323•Municipal Offices
•
v On the North Shore of Lak 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 youl 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 zequested.
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 wit 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
5
-7s-
Address SAddress
Y)--b1_/
r City State ZiEl
Phone.
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473- 358 • PUBLIC WORKS —473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN N– -ZO
INSPECTION NOTIC& SCHEDULED `t S ®tl[.v---fX�/l
PERMIT NO. � COMPLETED �—
ADDRESS (�
OWNER ��J CONTR�-_ -�_ �C!F
TELEPHONE NO.
DESCRIPTION;
W 01 FOOTING 11 ME NICAL RI 16 WELL TEST PUMP
W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
03 INSULATION 24125 WOOD BURNERlFIREPLACE 19 LAKESHOREIWETLANDS
Z04 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
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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COMMENTS:
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OWWORKSATISFACTORY.PROCEED G PROJECTCOMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTOTAKEN
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/Cont r o ite:
Inspector.
White Copy/inspector's File Canary Copy/Site Notice