HomeMy WebLinkAbout1995 - 006999 - tearoff/reroof PERMIT
. `Y OF ORONO PERMIT TYPE:
- 2750 Kelley Parkway- P.O. Box 66 =` ` .=i
Crystal\Bay, Minnesota 55323 Permit Number: =tit:: :_;
(612)473 7357 Date Issued: 05/24/95
SITE ADDRESS:
:35E; WESTLAKE ST
k•a-
P . T
_ . N. - 05-117-22-23-001S
DESCRIPTION:
Building Permit Type SF-ADD/REMOOFL
... i-1 i d q f+ t Work Type R-_ ,.€„e`Y1F_
7.:'civ'
REMARKS:
7EE SUMMARY:
VALUATION $2. 750
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Fee — - �.•1'+:�
1'f EI„t 1�l- S if i47333,747- =s �NDL-1 :::50N ED
1752.i; co iR 24 »%' F..... WL,-4:,L._ _ ,
PLYMOUTH MN _C4 ; i
i _ w_ �ii;E 55356
( ;i2. 473-33q7
THP UNDERSIGNED HEREBY REQUESTSPERMISSION TO MAKE THE REAL IMPROVEMENTS
LENTS
3E FC I F I ED AND AGRFES TO 00 f„ • WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORDINANCES AND S-P- C MINNESOTA BUILDING CODE REQUIREMENTS .
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ADDI I!`A AIT/OCQRMITCC CIf`I.IATI IOC ICCI ICfI OV•CII_AIATI!DC �LL(AtIel
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $
7/&. /5 Date Received:
Date Approved:
Entered By: d1 Permit#: � lam/
ALL INFORMATION MUST BESCheck-off
UBfFULL BEEFFOORREEsP� REVIEWIEW WILL BE STARTED
(See
THE APPLICANT IS: (circle one-)- OWNER or(ONTRACTOR)
JOB SITE ADDRESS: 3t) U)e'` I f VFi t t ZIP:
(work) 7
NAME OF OWNER: C - 1U'u r50)v1 PHONE: (home) 4(73--!6 Y3
MAILING ADDRESS: 3-6 U + lzau £kk 4 CITY: n-1720,\14. ZIP:
CONTRACTOR: r h`1K6 \' v i L"' "' PHONE: 4173 -3 3 7
�1
MAILING ADDRESS: L 1 Pj y
STATE LICENSE: #
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) : <Ft"r O Fr OICD roU rc 11 b
fr‘ 100P6 P
(f,„
ro-F-Ome S tic() C)bC' fail S" 1/2 1`1. Cl e r.lam)O l LLE)C CLOW Iv 1 J/{ /1 /
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
tc
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ c9-15-6
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 withathe
ordinances and codes of the City and with the State Building Code;
understand this is not a permit and work is not to start without a permit; and
that the work will be i -ccordance with the p o d plan.
APPLICANT'S SIGNATURE: �� V •D • 4 DATE: ) c
. - .
CITY of ORONO
CITY Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
OF
ORONO- 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 ,astate he permit or
federal agencies to the extent necessary to process
r
license.
4. If your requested permit or license requires Council action
to approve, some information may become public.
S. 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.
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First Middle Last
1 --7C D_r 1, Rj c; y
Addresse-P(, v\r\,z u„0-\ -
A / ) C-S-Y q
City State Zip
1177 3 -- 3 3 ? 7
Phone
uflderst .d my rights - s = ' -d ove.
(P---
Siw
Sig ure -
BUILDING& ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS —473-7359
ASSESSING
D TE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT�I^� �/
CE SCHEDULED /.�'
7 -u-J
PERMIT NO. 22 7 COMPLETED 5-22f "r/ °a
ADDRESS .3_`5C1, 7`i7
OWNER CONTR.
TELEPHONE NO. '7'7 3 32'7
DESCRIPTION Aa--9r--e'
W 01 FOOTING 11 M HANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMIN .2 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
—0-3--INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 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
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
W
CL.
CC
O
CC
O
U.
W
CC
W
CC
O
W NORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El 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/Contractor i
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice