HomeMy WebLinkAbout1993 - 005019 - reroof house/garage _
PERMIT
)1 CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 I D NG
Permit Number: 0050 19
Orono, Minnesota 55356-0815 Date Issued: 03
(612) 473-7357
SITE ADDRESS:
117.5 WILLOWBROOK DR
CH
P . 1 . N. : 7i;-118-23-41-004
DESCRIPTION:
REROOF HOUSE/GARAGE
Building Permit Type SF-ADD/REMODEL
Building Work Type RF-R 0 0 Fr
Y F 7RCITOiONO
ET,AAirr
13.200000
rr
REMARKS: 01 E.EN 77.Q,.
1222200000
0.1 CEA' 4.00
Faa 1 .nilVII
FEE SUMMARY: icEEIFT7Hi# OU
VALUATION $8, 000 #268440 C001 TI 3:
0,3/29/9
Base Fee $99 . 00
Surcharge
Total Fee $10 . 00
CONTRACTOR- - Applicant cnv
- ST . Lic. NER
HwitipfAH_ uiiNsTRucT ION IM 4 7 0 1 1 V 7204 KHUL6tH DICK
17917 HWY 7 117.5 WILLOWBROOK DR
MINNETONKA MN SS34S ORONO MN SS391
(612) 470-1102 475-2118
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTs.
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APPLICANT/PERMITEE SIGNATURE
ISSUED BY:SIGNATURE fir eejet--)
s .
CITY OF ORONO - BUILDING PERMIT APPLICATION
(de Total Fee: $ /0.`.1()0 Date Received: _9/2.9
Date Approved:
Entered By: /}v
Permit#: vC /
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: /17.5.- �✓,/�ocv b roo t; '& ZIP: 55:3 /
(work)
NAME OF OWNER: Pi PHONE: (home)
MAILING ADDRESS: //7,5' hli//owbi e- CITY: OgelfO > ZIP: .5-5-3?(
CONTRACTOR: �i/4O7i4`1 L �Oo�/S/'udF4tV �/ 'c - PHONE: V70--//e2
MAILING ADDRESS: /7F/7 .i4vy 77 CITY: /nfic',� 444/: ZIP: �,s3ys
STATE LICENSE: # ZI%o.V
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration R novate Land Alteration
riRc-Roo0
PROPOSED WORK (describe in detail) : (e oie_ a_t( E76-5i4t)1 l`dvF`w {era-c
6.^1 Ot. -e I . / t?-cam ' (•..% �ES 1 bwtbzPl:�� e Jq- w� St.e;ic( 4c
Se-c( cc-I" S*ar4eA CL- po+f-oNk 42.1f it v F F-00P- p( lou j�
STORIES: / SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ VcnrQ'
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 ith the approved plan.
APPLICANT'S SIGNATURE: DATE: 4r�IG -9 3
_ _
CITY of ORONO
. _
CITY_ Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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 , 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. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
//0ei_f/r /ZE///t/
�����EL
First Middle Last
r7a/ riled /0-v1- A/
Address
/f Alit sA-Iry 5'53(13
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
CITY OF ORONO - BUILDING PERMIT APPLICATION s
Date Received:
Total Fee: $
Date Approved:
Entered By: Permit#:
ALL INFORMATION MUST BE SUBeeMITTED
IN FLUiL BEFORE Pa N REVIEW WILL BE STARTED
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
ZIP:
JOB SITE ADDRESS:
(work)
PHONE: (home)
NAME OF OWNER:
MAILING ADDRESS:
CITY: ZIP:
PHONE:
CONTRACTOR:
MAILING ADDRESS:
CITY: ZIP:
STATE LICENSE: #
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
CITY: ZIP:
NAME: REGISTRATION #
Accessory Structure Move
Addition
TYPE OF WORK: New
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
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 withthe
ordinances and codes of the City and with the State Building Code; h and
understand this is not a permit and work is not to start without a permit;
that the work will be in accordance with the app roved plan.
DATE:
APPLICANT'S SIGNATURE:
ATE TIME
CITY OF ORONO CALLED IN f-8-- 93
INSPECTION NOTICE SCHEDULED ✓�'7 -Ly
PERMIT NO. h 0/ / COMPLETED
ADDRESS / 7-� /a.e. `J ,0-/L
OWNER A ir_ - CONTR. 2 Cl q d -A / ( - S1
TELEPHONE NO. y 7� // 2
DESCRIPTION /'`
• 01 FOOTING 11 MECHANIC/1kt 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
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
cr A4E0 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
cc OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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d �I WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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;L CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next iiiispection 24 hours in advance.473-7357
OwnerlContrac n ske: jj
Inspector: Cbt i '`��
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �f ti �' > /l' S, .
PERMIT NO. (J / Ci COMPLETED
ADDRESS // 7 Ct.) 6 + ��
OWNER rZt e Num CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
Ci) 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
-4 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:cc
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te, AlktqleS feimoUeLJ
O
cc �ff JeA , 4Z 610is wire fiLret7As
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cc
W
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cc
•
WD; WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
El CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice