HomeMy WebLinkAbout1990 - 002763 - partial re-roof PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: tt
/b.:.
Crystal Bay, Minnesota 55323 Date Issued: 0:::;/2f; 90
(612) 473-7357
SITE ADDRESS:
340 WESTLAKE ST
P . I . N. , 05-117-23-23-0013
DESCRIPTION:
PARTIAL RE—ROOF
Building Permit Type SF—AUDIREMO c'L
Building Work Type RE—ROOF
REMARKS:
FEE SUMMARY:
VALUATION $.7., 300
Base Fee $54 . 00
Surcharge 11 _1A
Total Fee $g5. 15
CONTRACTOR: -- Applicant. --- OWNER:
PLYMOUTH ROOFING 1473=c357 :S,TENDERSON PHYLLIS.;
17525 CO RD 24 340 WESTLAKE ST
PLYMOUTH MN S5447 LONG LAKE MN 55356
(Y.1 ') 47:3-3397 47:3-9057
THE UNDERSI GNED HEREBY REQUESTS PERMI SS I ON _TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
L' t O ORDINANCES / ,ir TE OOF MINNESOTA BUILDING CODE REQUIREMENTS'.
v
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNA EE
CITY OF ORONO - BUILDING PERMIT APPLICATION
`,al Fee: $ Date Received:
Date Approved:
-<tered By:
Permit#:
.iL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
E APPLICANT IS: (circle one) OWNER or(CONTRACTOR
!D SITE ADDRESS: 3 4O u3ESZ CAKES 1 .�V ZIP:
c-}— '. \
(work)
\ME OF OWNER: Th yti1 S 1 E 0 n -lc Q VO PHONE: (home) (7'3 -q 0.5-7
,ILING ADDRESS: 3LiU tois1-/.n4c--5-2 ..if CITY: �( ZIP:
NTRACTOR:--ymb R t6O PHONE: x( 73-3 35 7
:JLING ADDRESS:// 1-752.5 2.3 (JD, , a` l CITY:?GiY ak ZIP: 55-(711 7
PE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
'OPOSED WORK (describe in detail) : 7-16Ar Ortt S hj (Ay en' 6 k 1-66P11cl (A � Q
/
�'c5 w, S1i kA- pii-r,.er fOa U4�K .Re,5L1ee1-ouer1JY \) (etY1o(7wo-aJ, ghs+ci,tl Pr]DrA Rut laer 0-'4
UjS tviec-v Aacs.4 0LSC -PA StelePS...
DRIES: ` SQ. FEET OF EACH FLOOR:
. OF BEDROOMS: GARAGE STALLS: ATT. DET. f ,
CI
TIMATED CONSTRUCTION VALUATION (excluding land) : $ c2 O
hereby apply for a building permit and I acknowledge that the informatior
ove is complete and accurate; that the work will be in conformance with the
dinances and codes of the City and with the State Building Code; that I
derstand this is not a permit and work is not to start without a permit; ane
:at the work will be in accordance wit. ti(
roved plan.
PLICANT'S SIGNATURE: 1,111110 -I'Vw : rDATE: ,3-a(0-7 6 lill out the reverse side of this form)
N. •
•
CITYofOONO
-° ► �
Post Office Box 66•Crystal Bay,Minnesota 55323*Municipal Offices
ItiF
- On the North Shore of Lake Minnetonka
";rte ,_
DATA_PRIVACY ADVISOR_--
In accordance with M.S. 15.165, "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. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
_. . .--------- ---- -- - -- ---
First Middle Last -
Address
. .--- ......----- -------------- ----- ---...._
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
DATE,, TI
CITY OF ORONO CALLED IN /'I w 1f0 /D•.'
INSPECTION NOTICE SCHEDULED
PERMIT NO. .;7 7 r
COMPLETED 'In
ADDRESS 3
OWNER CONTR. P1(j r'-,itA M ?
TELEPHONE NO. 1-1 1
C FOOTING ❑ PLUMBING RI ❑ FIRE PREY.
❑ FRAMING ❑ PLUMBING FINAL E FIRE SUPRESSION SYS.
144
E INSULATION E MECHANICAL RI ❑ EXCAV/GRADING/FILLING
ti ❑WALL BD. ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
0 FINAL E FIREPLACE/WOOD BURNER ❑TREE REMOVAL
DEMO-SITE ❑WATER HOOK-UP E KENNEL LICENSE
E DEMO-FINAL ❑ METER SET/TURN ON ❑SITE INSPECTION
v ❑SEWER HOOK-UP ❑ PROGRESS
i ❑SEPTIC MAINT. ❑COMPLAINT
❑SEPTIC INSTALL. E FOLLOW-UP
❑SEPTIC FINAL
O ❑SITE WELL
W
❑WELL TEST PUMP
Q.
COMMENTS:X4zi c
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cc
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cc
CC
O `!
W
QC /�i WORK SATISFACTORY:PROCEED ElPHOTO TAKEN
LU ❑CORRECT WORK&PROCEED ❑CITATION ISSUED
O ❑CORRECT WORK,CALL FOR REINSPECTION ❑ ISSUE CERTIFICATE OF OCCUPANCY
(.) BEFORE COVERING TEMPORARY
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor site:
Inspector. V
White Copy/Inspect is File Canary Copy/Site Notice
CITY OF ORONO CALLED IN 3 D TE-�a // TINMEdryr—�
`
INSPECTION NOTICE SCHEDULED �J
PERMIT NO. 7 3 COMPLETED 1_ -° I
ADDRESS n _6) et.;
OWNER 4/73-335 CONTR.
TELEPHONE NO. 7
E FOOTING ❑ PLUMBING RI ❑ FIRE PREY.
X�5,FRAMING ❑ PLUMBING FINAL E FIRE SUPRESSION SYS.
[[[❑ INSULATION ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
H ❑WALL BD. (((JJJ ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
CI ❑ FINAL ❑ FIREPLACE/WOOD BURNER ❑TREE REMOVAL
qcc ❑ DEMO—SITE ❑WATER HOOK-UP ❑ KENNEL LICENSE
• ❑ DEMO—FINAL ❑ METER SET/TURN ON ❑SITE INSPECTION
❑ SEWER HOOK-UP ❑ PROGRESS
❑ SEPTIC MAINT. ❑COMPLAINT
❑SEPTIC INSTALL. ❑ FOLLOW-UP
LI SEPTIC FINAL
O ❑SITE WELL
W ❑WELL TEST PUMP
cc COMMENTS: a-kyjF A M63 0•\
O
w
cc
w
cc
ORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
./❑ CORRECT WORK&PROCEED ❑CITATION ISSUED
O ❑CORRECT WORK,CALL FOR REINSPECTION ❑ ISSUE CERTIFICATE OF OCCUPANCY
C.1 BEFORE COVERING TEMPORARY
LI CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
LI STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac r on sit :
Inspector. 4c)
4‘14‘.144----
White
rL‘-1c4----White Copy/Inspector's File Canary Copy/Site Notice