HomeMy WebLinkAbout1991 - 003743 - tear-off/cedar shake PP'RMIT
CITY OF ORONO
PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 `� E'? ��
Permit Number: 00:374.3
CrystaBay, Minnesota 55323 Date Issued: 06/
(612) 473-7357
SITE ADDRESS:
850
WINDJAMMER LA
LSV
P. I . N N. 07-117-23-11-0010
DESCRIPTION:
'F:r, r': r-
Building F=et,trlTit•r .{yP d h '=�F-t ;�Dr' :ci1�=�4�EL
Building Work iype RE-ROOF RO F
REMARKS:
FEE SUMMARY:
VALUAT I ON $12 _ 103
Base Fee $14.4 . 00
C i"tai' t� $t�.,_t 3 ,
Fee
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-$7160 . 0S 1' ii� vii�fi�v
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CONTRACTOR: --- Ap p I i c an t. -- OWNER:
SUBURBAN,Ail E k T ER I Un.: .i'i.. i�:r.f ;1 1 7 C'• I i-'��`c fi LESLIE
:1 jf f0 HW 1;: 850 s i ER ,^
APLE PLAIN
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(61 )47:_ it 1`
a ����, ki �•-� �`a"Aka a*r$'"�,N:. ri"` `,� �' .,� -,ttA �c ttftw� $4 y�at �
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ISSUED BYSIGNATURE
APPLICANT/PERMITEE SIGNATURE : ( / �
1
CITY OF ORONO - B1 _LDa.NG PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: 3 /) S/
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: `5 Wiqlattoslet L4 ZIP: rc 3i'
(work)
NAME OF OWNER: L e 5 I i c C( pp c V PHONE: (home) 9 7 2 - Z 16"`I
MAILING ADDRESS: 1'10 U%.Kd)4 n - CITY: 744(441ZIP: S rT6‘
CONTRACTOR: 5k41/4Yvi EK/ JhC. PHONE: y79"tyle
MAILING ADDRESS: b .°C)" 1419 4i4/47 I Z CITY: tuy�c /9/eo'l ZIP: .53-3 ) 9
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : TC'"' c{f tic 5"4 4e5.
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /07. 0C>
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: /9" " - — DATE: --fO , ?/
(Please fil�
out the reverse side of this form)
I
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'f".'h 4 .a:2, ` CITY of ORONO
,.-CITY. 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.
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
V DATE TIME
CITY CF ORONO CALLED IN (o —90-9/ t
INFPGLION NOTICE SCHEDULED f4--/l — V /0; OZ/
PERMIT NO. /I7y 3 COMPLETED r
ADDRESS d �G WL L, \—)OWNER C'�'�C � U CONTR. -4-04.../
TELEPHONE NO. i7q.—/ %/w
,Q_ ���` �
DESCRIPTION_ �-)` _ �'�
Is
W 01 FOOTING 11 MECHANIC "RI 16 WELL TEST PUMP
Q 02 FRAMIN j 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 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
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Litt 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:ec
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W2 '<WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra on t e:
Inspector.
White Copylinspector's File Canary Copy/Site Notice