HomeMy WebLinkAbout1994 - 006285 - overlay/re-roof PERMIT
I
( C ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number:
Orono, Minnesota 55356-0815 Date Issued:
(612) 473-7357
SITE ADDRESS:
22ES WFRRFR HILLS RD
LSki
I 03-1
DESCRIPTION:
OVERLAY./RE-ROOF
Buildinq Permit Type SE-ADD/RFMODFL
Ruildin or.: Type RE-ROOF
CITY OF IJRONO
L-• rirr.
101 W
VI: V 44
rr
CFA' 37 .00
REMARKS: 22;:20C-1000
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FEE SUMMARY:
tit;
07/29/94
V A LUA II UN $1 , 1;00
FF-E,
Surcharae
Total Fee $:1:7 . 80
CONTRACTOR: OWNER: - Applicant -
PERSONIUs STEVE
22ES WEPPER HILLS Rn
ORONO MN 55:391
(612
THE UNDERSIGNED HEREBY REQUESTS PERMIssION TO MAKF THF REN IMPROVFMENTs
spEcATIE0 AND AGREES TO no ALL WORK 114 STRICJ C:OMPLIANCE WITH AIL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
_J
1)basIalQwervW----,. _ e7,-,771,4!„12 C-IrLOD
APkICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
1 '
CITY OF ORONO — BUILDING PERMIT APPLICATION
/ eo Date Received:
Total Fee: -
Date Approved: `
Entered Bv.
Permit 0: �7 Y
ALL INFORMATION MUST BESChe UBMINFULLFBEFORE PLANREVIEWWILL BE STARTED
(See
d)
THE APPLICANT IS: (circle one) ONE ri')or CONTRACTOR
ADDRESS: ���,3 G(,�ER8 4? J' ' ` `S gp ZIP: J .S 3
JOB SITE //2 2
(work) L �`J /
e Pe PHONE: (home) X73 -D�"'�7
NAME OF OWNER: c��1/� ii'�Div/46,5
MAILING ADDRESS: a ebB ,a '
CITY: 0A,. 'dir' ZIP: :L l
PHONE:
CONTRACTOR:
CITY: ZIP:
MAILING ADDRESS:
STATE LICENSE:
PHONE:
ARCHITECT/ENGINEER:
CITY: ZIP:
MAILING ADDRESS:
REGISTRATION 4
•
TYPE OF WORK: New Addition Accessory StructureAlteratMove
Demo Remodel/Alteration Renovate
PROPOSED WORK (describe in detail) :______ / /A/GZ /r;_,
STORIES: ( SQ. FEET OF EACH FLOOR:
NO- OF BEDROOMS: . GARAGE STALLS: ATT. >( DET._
'
ESTIMA'1Y.D CONSTRUCTION VALUATION (excluding land) : ' 62 CJ
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 de;aithat I
th the
ordinances and codes of the City and with the State Building and
understand this is not a permit and work is not to start without a permit;
that the work will be in accordance wi • the approved plan. __-.__
TURE: `� �� �I�/ _ -/L'...rtL�...+.a DATE:
APPLICANT'S sIGNA ./'
S
— _ _ _
„„,„ -2,.„..
- CITY of ®ROOT®
- " .Crystal Bay,Minnesota 55323•Municipal Offices
.:
--,= M Post Office Box 66 ry
:":-.-1:-..0E-.:-: On the North Shore of Lake Minnetonka
.:y::-. - DATA PRSVACY p,Tp=SORY
"Rights of subjects of
13.04 , Subd. 2, permit or
In accordance with M.S. that your request for a
data" , we would like to inform youof its departments may require
license from the City of Orono or any
you to furnish certain private or confidential information.
You are notified that:
1.
The information you furnish will
ebeeused ede to determine your
cualifi cation for the permit or require that
City deny
•
refuse to supply data, but refusal may re q
the• You may the permit or license.
be shared with other local , state or
3. The information may
the permit or
federal agencies to the extent necessary to process
license.
af your requested permit or licensel mayublireqCouncil action
I information may become p
to approve, some
5.
You have certain rights under M.S. 13.04 to review private
data on yourself.
process this application or
6 . Your full name is required to p"r
permit.
4 '25")A7/(4_
rfVeN Last
First
Middle
r' r)
, c9-65r 1�,��,f3f.R i LLS
Address 3Y/
State Zip
City � /
75-- 2
phone
I understand my righ
s stated above.
iE
1"4" .
Ln 1-'4
I` Signature
I
473-7359
s 473 7358 • PUBLIC WORKS—
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN /C // ti
INSPECTION NOTICE/ SCHEDULED /G • /;2-
PERMIT NO. V,)KS COMPLETED t( V/_.
ADDRESS 4' S 6- i`L—Z4-r •?- ( s1y C6
OWNER t-e4.4.-7. - " CONTR.
TELEPHONE NO. //6
DESCRIPTION f'( 6.--
Lu -W 01 FOOTING 11 MECHANI6AL RI 18 EXCAV/GRADING/FIWNG
tQ 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
ct 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
o COMMENTS:
cC
CC
0
cc
0
W
cc
Q
W
W
cc
i WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC 14.1
E CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING 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
Owner/Contractor to
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice