HomeMy WebLinkAbout1991 - 003851 - tear off/re-roof PERMIT
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CITY OF ORONO PERMIT TYPE: F31).11.9.3.-NG
1335 Brown Rd. South • P.O. Box 66 Permit Number: r'
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
1115 WILLOW DR S
TLN
P. 1 .N. : 10-117-23-24-0017
DESCRIPTION:
TEAR OFF/RE-ROOF
Building Permit. Type SF-ADD/REMODEL
Building Work Type RE-ROOF
REMARKS:
FEE SUMMARY: VALUATION $2,000
Base r_ _I-ee $45.00i`TTr 'F OITrmn
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Total Fee $45. 00 1, l�avv vv c T!
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CONTRACTOR: ppm -- Applicant --
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111 E; WILLOW DR
ORONO MN 55391
476-2868
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APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE
CITY O/F__ ORONO - EIJILbNG PERMIT APPLICATION
Total Fee: $ /140, 6b r 6b Date Received:
Date Approved:
Entered By:
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: /l/ C- 6-<-2`7/vk-i 2) ir-
> ZIP: 5—s 3c-17
(work) 87
N OF OWNER: i U
SME V t--i''' PHONE: (home) vim' Z
MAILING ADDRESS: d1 CITY: ZIP:
CONTRACTOR: &7k 1 PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate X Land Alteration
PROPOSED WORK (describe in detail) : /C¢4.7'[-/Jv� cde".‘ ,Z�
STORIES: C SQ. FEET OF EACH FLOOR: /3n-0
NO. OF BEDROOMS: -7 GARAGE STALLS: ATT. DET. Z-
O-U
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2OQ)
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: 7=� �' DATE: 2,,4 4./
(Please fill out the reverse side of this form)
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,,, CITY of ORONO
'...,,. :u V _...`- Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
On the North Shore of Lake Minnetonka
DATA__PRIVACY ADVISORY
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.
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' ::7/..7_._65122. .z_/ _._ _ --- Last
First Middle
Address
City State Zip
L-/7 &F 2r‘ _5x'7_3 s 73
Phone
i understand my rights as stated above.
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Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
, DATE TIME
CITY OF ORONO lCALLED IN ,`V-615.2–
INSPECTION
-615.2_INSPECTION NO CE SCHEDULED ,...g.. -11,___2—
PERMIT NO. '46S COMPD I l Y/
ADDRESS ///S��D �,4, • J '
OWNER ,,. -. n,�rhJ CONTR. �l1ie
TELEPHONE NO. £ '7 3573
E DESCRIPTION gee&
• 01 FOOTING 11 ECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 A A z I. 12 WATER HOOK-UP 34 TREE REMOVAL
4• 112, 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES✓NO
Si COMMENTS: ---724-4... `l".ei `Z.0e-o ff .
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LUWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN
INSPECTOR WILL RETURN C 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/Contrrn site:
Inspector.
White Copyllnspe tor's File Canary Copy/Site Notice
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DATEf., TIME
CITY OF ORONO CALLED IN o7 " \SS- ` c-72
INSPECTION NO CE / SCHEDULED (7,2 ‘Ci -tel �.._ I '•oo &n-,
PERMIT NO. 6(0 V COMPLETED Lf {1
ADDRESS l\ LA-) e `c .
OWNER C.LLr .e I ac).--1 CONTR.
TELEPHONE NO. (41 ( -
DESCRIPTION •
/& 4. f_, (>�G 11 d-
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01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLI
03 INSULATION 1 ' J 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREETLANDS
04 WALL BD. 342.7 f V /W
12 WATER HOOK-UP 34 TREE REMOVAL
05 FINAL 3 s.s ( 13 METER SET/TURN ON 17 SITE INSPECTION
0-SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
COMMENTS: d61-611..,
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Lu ElWORK SATISFACTORY:PROCEED PROJECT COMPLETE
CORRECT WORK&PROCEED /❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
U_ 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 on sit
levieInspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 3 (— I/
INSPECTION NOTICE ) SCHEDULED I�/d�- /°
PERMIT NO. c — COMPLETED
ADDRESS l//Jr L12t/iL41-c c> A• ��
OWNER CONTR.
TELEPHONE NO. 4/140— c .8lo?
DESCRIPTION R'e
4, 01 F000/ G 11 ME ANICAL RI 16 WELL TEST PUMP
02 FR•MING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
✓ 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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12O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑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/Contra r car jsite:
Inspector. CYe
White Copy/Inspecto s File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. .3$51 COMPLETED 7-i-Q( Q, lE-
ADDRESS ///c w 1 /(6o-✓ 4\r_ S
OWNER CONTR.
TELEPHONE NO.
E DESCRIPTION
• 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
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• 04 WALL BD. 12 WATER HOOK-UP TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON IITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
ku 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
cr OWNER/CONTRACTOR TO MEET YOU: YES NO
• COMMENTS: O F t k. ()CCI
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W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C)
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor t
Inspector. .
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White Copy/inspector's File Canary Copy/Site Notice