HomeMy WebLinkAbout1992 - 004526 - tear off-repl cedar PERMIT
r CItY OF ORONO PERMIT TYPE:
NG
1335 Brown Rd. South • P.O. Box 66 Permit Number: ( 4. 52ILf)b
Crystal Bay, Minnesota 55323 Date Issued: 07/30/92
(612) 473-7357
SITE ADDRESS:
:500 WEST LAFAYETTE RD
JB
P. I .N. : 21-117-23-21-0002
DESCRIPTION: CITY OF ORONO
TEAR OFF/REPL CEDAR ;INN,
r ine, 6IT U
FFWE
'31710000L
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Building Permit Type SF-ADD/REMODEL T
Building Work Type RE-ROOF ;2
2
20
0300
01 GEN 51.00
L1i ( F`L 122.N
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(17/30/9
REMARKS:
FEE SUMMARY:
VALUATION $10,000
Base Fee $117 .00
Surcharge ` .-QQ
Total Fee $122.00
CONTRACTOR: — Applicant — OWNER:
MINNESOTA RHI REMODELERS 1861480 MATHEWS ANN
201 61ST ST W '7)600 WEST LAFAYETTE RD
MINNEAPOLIS MN 55419 EXCELSIOR MN 55331
(612) 861-4802
PA NV9r �w 4� � x �� �nRm cry 1
THE UNDERSIGNED HEREBY REQUESTS PERMISSION 1 MAKE !H*;. , n
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT
4* „ i, NO ORD INANCES AND ►ATE OF M I NNE' STA �as N S ti
/1:1 - ins Oh1�-� ,.
APPLICAN PERMITEE SIGNATURE ISSUED BY SIGNATURE
w CITY OF ORONO - BUILDING PERMIT APPLICATION
l
Total Fee: $ Date Received:
Date Approved:
Entered By:
Permit#:
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 ONTRACTOR
JOB SITE ADDRESS: 2 Ce U/. /i47ret At ZIP:
/ (work)
NAME OF OWNER: 4111/1 114m/A,14,1 PHONE: (home)
MAILING ADDRESS: 160(2 a/, 1043,10* CITY: p/MitiO ZIP:
CONTRACTOR: /ylyd rir J l* I e,V * /14100,4404 PHONE: Pa I'`40d1,2....
MAILING
1,2..-
MAILING ADDRESS: 38/ iti. 4 4f/. CITY: ri L. ZIP: SS'q/9'
STATE LICENSE: # N.31P3
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) : rovv ?'` 6.4...fre 0.,444 esacoi Sha&'J
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /4. 0(70/4
`4
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.
APPLICANT'S SIGNATURE: 4444*047
u `-- DATE: 7/30/9:2_
.
„, „
CITY of ORONO
C�: '`• Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
QF
- aR.aucr 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.
Arid/ d, AL-fetio«�
Firs-L(4Middle 'last
p4t 71 .
Address
/Vfril-i 1444,7 5-111/LI
City State Zip
lido/ -9g02
Phone
I understand my rights as stated above.
Le"--
Signature
BUILDING&ZONING— 473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED '3(''i 2- 'S
PERMIT NO. 41`5�4' COMPLETED 11.£
ADDRESS ZCoc.,0
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
V, 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
CI04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON CDAITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
(4.1 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU: KYES_NO
oy COMMENTS: 0-C1 0%2-- —' f{K�G�-tom i tiJ 3�
cc
0
0
W
W
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W
cc
dyWORK SATISFACTORY:PROCEED 111 PROJECT COMPLETE
W /'
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C) 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!Contrr site:
Ct/v4\
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice