HomeMy WebLinkAbout1995 - 007088 - tearoff/reroof PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Ri i it FIT.Nei
Crystal Bay, Minnesota 55323 Permit Number: a':
:=F:
(612) 473-7357 Date Issued:
SITE ADDRESS:
260F.; WEST LAf""t` ET .E R`.r
CH
DESCRIPTION:
I S•,,,I f\O#"• . Rt.f:_li.ib
Building Permit Type ':��-"i"!�3? `. ...... 'i_?i.:L...'
.•I i 1 i i w i-I`o WO? :: =-'-` RF-ROOF
41 I I L'S 1.,/t1.111%)r
L"rAi+iti%•C rirrirr
I .LI T!•'II!kL LI I 141.
1 313300000
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FEE SUMMARY: # vieu: .. 01 .•n* 14:1
TltJfX LV I' Ii IjI 114:1
06/21 L1�T f f
. =1 •AT ION $10, 000
Base Fee $162 . 25
Surc
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••-.Fee t_ 1f.3- 2.
CONTRACTOR: -- Applicant. -" ST .___I.C . OWNER:
I...:.;iv_=i`6 3_.. ...:1:-:5:;'x; _•ly._ i,ENC• Y.i 7Tat . " _Y.. EKHOLM i"` ''.'L
3153 PRIE5;T LA
6 WFST LAFAYETTE RD
MOUND z�'.. ...L.'.•. ORONO, • e x- MN 56331
_.612) 472-4118 ' '-9` _. ._
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKi: THE RFAL I i jP 'iOVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE La T TH ALL CITY O!=
ORONO ORD I NANC:E'S AND STATE OF MINNESOTA BUIL DING C:U E RE Q i I REMENTS
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t.--10-722-01,..c.
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APPLICANT;'PERMITFF SIGNATI IRF SSI IFS RV RIC,NATI IRF J�1?�.C.0l
r CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: S_______________________
Date Received:
Date Approved:
Entered By: ,y Permit T: '7O o 4 =- - _
BEFORE PLAN REVIEW WILL BE SMARTED
AT,T. INFORMATION MUST BE(See Che k FULL
Enclosed)
TBE APPLICANT IS: (circle one) .OWNER or(CONTRACTOR)
ZIP: ��
JOB SITE ADDRESS: `� (work)
e.�` PHONE: (home) }l l ) - 9i88
ILa�
';..AME OF OwN�:R: '--- ZIP- cc 5 i
CITY: M�
MAILING ADDRESS: `��'�
� , n � •••-,-.1_ PHONE: it�s �t 1 1 �
CONTRACTOR: • .c�r�i ' ��
S�
u�, ZIP: �� o'"�
MAILING ADDRESS: �31 s� T)��'� � ` CITY:
STATE LICENSE: # Oao `3997
PHONE:
ARCHITECT/ENGINEER: �*"—
MAILING
CITY:________________
=LING ADDRESS
REGISTRATION
NAME:
Addition Accessory
Structure Move
Dem
TYPE eWORK: New — Renovate Land Alteration__
mo Remodel/Alteration ,�-
1
PROPOSED WORK (describe in detn?1 ) : ao ,
STORIES: 1 SQ. FEET OF EACH FLOOR:
0
NO. OF BEDROOMS:.
GARAGE STALLS: ATT. DET.
land) : $ O oc
ESTIMATED CONSTRUCTION VALUATION (excluding I acknowledge that the information
I hereby apply for a building permit
that the work will be in conformance
de;a that ith e
above in iscomplete and accurate; and with the State Building permit; and
understandI
ndianaand codesnof the City
this is not a permit and work is not to start without a p
that the work will be in accordance with `the approved plan_-
APPLICANT'S SIGNATURE: / � / DATE: (rte - z-i - `iS
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66 Crys Bay,Minnesota 55323•Municipal Offices
'_z.::....!.------7,-'--1,"Z";--::: CITY of ORONO
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� Post Office Box •
S��-� Minnetonka
::::;-: -'13V",- ; On the North Shore of Lake
DATA PRIVACY ' p=SORY
"Rights of subjects of
Subd. 2, permit or
In accordance with M.S. 13-our that your request for a p wirr
y
data" , we would like to inform y of its departments may req
of Orono or any information.
license from the City private or confidential
you to furnish certain
You are notified that:
The information you furnish will be used to determine your
I. for the pe- = t or license requested.
cualification wire that
City deny
refuse to supply data, but refusal may req
2. You may the permit or license.
the
be shared with other local , state or
3. The information may
federal agencies to the extent necessary to process the permit or
license. action
license requires Council
permit or
4. If your requested on may become public.
to approve, some information
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.
ai. ",, i _.. "`` --
"� Mid., e%- Last
First
3; S 3 .A.ts-' _w.--e---
Address3 , V
-Plc („c„,---e_9- `tea'
City p
State Zi
2 - /
Phone •
I understand my
ri-hts as sta above
y
Signature
• ADMINISTRATION&FINANCE-473-7358
• PUBLIC WORKS -473-7359
BUILDING&ZONING-473'7357
ASSESSING
1
PATE TIME
CITY OF ORONO CALLED IN I!,/./ f- S
INSPECTION NOTICE SCHEDULED r --) -' '-'- Z- : 3 0
PERMIT NO. 70 E COMPLETED
ADDRESS c ' -.. .') r,-,,,--_- - ----- yam` Q _, e •
OWNERS ,,-(.m - CONTR. (3.r�r-, %Z' •
TELEPHONE NO. 4/ 7.2, -`f//2i irk C'? V.-)2
DESCRIPTION %�_-c_it._-,-r
01 FOOTING 11 MEC NICAL RI 18 EXCAV/GRADING/FILLING
4.
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 VAL
Z04 WALL BD. 12 WATER HOOK-UP `' T 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
9 COMMENTS:
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/YORK SATISFACTORY:PROCEED E PROJECT COMPLETE
W
CC ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O0 BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS.
0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerIContr n t :
Inspector.
White Copy/Inspector's File Canary Copy/Site NN
DATE TIME
CITY OF ORONO CALLED IN 4/.575-)—
INSPECTION
/.5/5-)`INSPECTION NOTICE ,/0(405 SCHEDULED 'f/0795 /! o
PERMIT NO. 1 COMPLETED
ADDRESS c-R /)r� � ��`
OWNER C,C.e_ / CONTR. •
TELEPHONE NO. '/7,2- `f//
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cc Lt. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FIN—A- 14 SEWER HOOK-UP 06 PROGRESS
MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNERICONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
cc
W
Q.
CC
O
CC
O
W
coW
W
CC
WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC
W CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
O LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑
CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next' spection 24 hours in advance.473-7357
Owner/Contrac r s :
Inspector.
White Copy/Inspector's Fil Canary Copy/Site Notice