HomeMy WebLinkAbout1995 - 007013 - re-roof PER: IIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 WiL7)ING
Permit Number:
Crystal Bay, Minnesota 55323
Date Issued:
(612) 473-7357
SITE ADDRESS:
1ALDHIJRST TR
P N . ; -17-117-23- 1-0027
DESCRIPTION:
TEAR-1.)-:TIFE-ROOF
Suilcin Ty:;.-7J
*_411 .11nsj Work iYPc:
CITY OF ORONO
FrigKE OFFICE
1313A000 #
01 GEN 112.25
1222200000
01 GEM 2.75
LACK IL 115.00
RECEIPT-THANK MI
#336860 C001 RO1 T12:2,
05/31/5?
REMARKS:
FEE SUMMARY:
VA _UATION
7c,
CONTRACTOR: OWNER: -
URUNO mf'j
THE UNOERSUJNED HERETi REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPEC;TFTEr) Tri DO ALL WORK JN UJMFLiANUL WI1H CITY
ORONO OROINANCES SlATE OF MINESOFA 3UILDING Cr3OE REQUIRENFNTS .
L_
461 X,.2r14:-In (44.1)
1 1 • (
APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $
/75 C,. Date Received:
Date Approved:
Perini t a 0/ =
Entered Bv•
--
BEFORE PLAN REVIEW WILL BE STARTED MUST BE(See Che' k-off st Enclosed)
TaE APPLICANT IS: (circle one) OWNER?or CONTRACTOR
� / ZIP:
JOB SITE ADDRESS: (work)
PHONE: (home) z-`?
NAME OF OWNER: l
CI'T'Y: ZIP
MAILING ADDRESS: 3f �-
PHONE:
CONTRACTOR: _. ZIP:
CITY:
MAILING ADDRESS
STATE LICENSE:
PHONE:
ARCHITECT/ENGINEER: _ ZIP:
CITY:
MAILING ADDRESS
REGISTRATION
NAME:
TYPEAddition Accessory
Structure Move
Demo
WORK: New Land Alteration -_
Deemo _*n
Reodei/Alteration Renovate Y
•
PROPOSED
WORK (describe in detail) : /V e Lc/ `' /? ,' ( =
•
STORIES:
SQ. FEET OF EACH FLOOR: 2-
NO-
-NO_ OF BEDROOMS: __
GARAGE STALLS: ATT. / DET.
ESTIMATED CONSTRUCTION VALUATION (excluding
land) : $
permit and I acknowledge that the informati on
I hereiy apply for a build ' ng - that e
' s complete and accurate; that the work will be in conformance with the
above z and with the State Building permit; andI
understando
ndiatand codes of 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.
_ / DATE:
APPLICANT'S SIGNATURE: -
CITY of ORONO
' "�'� z Minnesota 55323•Municipal Offices
4f177.7,:,:=.0'-'_ Post Office Box 66•Crystal Bay.
QZ� rzka
= -.Q Y On the North Shore of Lake Minnetonka
•
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2,
"Rights of subjects of
your "Rireaghtsest for a permit orf
data" , we would like to inform you that ts departments may require
of Orono or any information.
y
license from the certainCiprivate or confidential
you to furnish
You are notified that: - r
you furnish will be used to determine your
1_ The information eauested•
aualification for the permit or license r
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. actor_
or license reau�res Council 4. If your requested permit ublic_
to approve, some information may become p
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
rocess this application o
r
6 . Your full name is required �-�-° p
permit.
fq r 1 i., i. , Last
Middle
First ��- �� �- 5 , v
Address , _ < C
0 � `�"' State �Zip
City ,\
Phone
1 understand my rights as stated above.
t . , , .
✓l
Signature
• ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
BUILDING&ZONING—473-7357
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN ,7 3
INSPECTION NOTICE SCHEDULED 6 - 7t7P, 0Of>d
PERMIT NO. lo/3//,, COMPLETED `V\
ADDRESS /.:z
OWNER CONTR.
TELEPHONE NO. 7� — 2(0 3 Co
DESCRIPTION
w 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ri) 03 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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
144 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
cc
0
CC
0
w
Lu
cc
cnw
Lu
cc
WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
CC ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
LU
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspecftion 24 hours in advance.473-7357
Owner/Contractor o site: II
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice