HomeMy WebLinkAbout1994-006348 - tear-off/re-roof -
PERMIT
� CITY OF ORONO '� " PERMIT TYPE: ' _ _ . ._
2750 Kelley Parkway • P.O. Box 815 PermitNumber: � ��'--�"�' "
Orono, Minnesota 55356-0815 `-'`-''=` �'''' V
(612) 473-7357 Date Issued: ��._f,��;��
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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APPLICANT�PERMI E SIGNATURE ISSUED BY:SIGNATURE
CITY OF �RC�Nf:,,,-. BQII.DING PERl�iIT APPI.IC�TION
�p '' / S� � Date Received:
g' Total Fee: S � � -
� Date A�nroved: '
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� ' ,�L-�1-�� �
Entered Bv: Pe�nit� � � �' r - _= .
� AT•T• I27gOgriATION MIIST BS SUBMITTED Ir7 FULL BEFORE PI,AN RE�7SEW WZI�I, BE Sg�T�
(See Check-aff List Enclosed)
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� pyppl,ICANT I5: (circle one) � O��E� or ,CflNT.QACTOR
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ZSP: �
JOB SITE ADDRBSS: " r-c/�r� � � C t` �� '
(work)
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PHONE: (home) � �,1 - i �� '� �/_
NAME OF OWNER: �y�� �� �,,-� • .
,.- . -- � CSTY: �-�t-�t=-�� ZIP: �
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MAILING ADDRESS: Y,�! � rc' !<c s, ���� �� ti
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PHONE:
CONTRACTOR: -
��: ZIP:
MAT_T ING ADDRESS:
STATE LIC._.�NSE: z
PHONE=
ARCHI TE CT/ENGINEF�t:
CITY: ZIP:
MATI,ING ADDR.ESS:
R.EGISTRATSON �
NAME:
Accessory Stru��sre Move
TYPE OP WORR- New Addition Land Alteration
Demo
Re.*nodel/Alteration Renovate�_
,- yv ;�' i r-1 ��c � T r c �� 'r=� l�;" '�'3 �
PROPOS� WORK (describe in detail) = �"�'= � � r
✓ n, 7 �:, :� ?(;r_ ,
STORIES: .� SQ. FEET OF E�� ��R=
NO_ OF BF,DROOMS.�_ �A� ST�I`I'S: ATT. � DET.
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EST=MATE� CDNSTRIICTSON VALIIATSON �e��lu�g landl $ ^ ` the information
I hereby apply for a building permit and I acknowledge that
- that the work will be in confo� Code;aithathe
above is compl.ete and accurate, and with the State Buildinq e�it; and
ordinances and codes of the City
understand this is not a permit and work is not to start without a p
t that the wor3c will be ia accordance with the approved pl.an. • '
� _ ✓; ' DATEs � /��' ���
�!� �� -��� �
APPLIC�NT'S SIGPT�TQRE=
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Post Office Box 66•Crystal Bay, Minnesota 5�323•Muaicapal Qffices
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•- On the North Shore of Lake Minrzetonka
• - • •
DATA PRNACY ��SORY
Subd. 2, "Rights of subjects of
In accordance with M.S• 13�ou�that your request for a perm u re
d a t a" , we Would like to inform y of its depart:nents may req
license from the City or Orono o r a n y
you to furnish certain private or confidential inzormation.
you are notified that:
1, The insormation you fu�nor ZiCensebrequested, aetermine your
e�-:n-�.
qualification for t��' P that
2. You may refuse to supply data, but rerusal may require
ty.e City deny the permit or license.
be snared with other local , s�a�e or
3 . The information may rocess the pe�1� °i
f ederal. agencies to the extent necessary to p
�icense. •
ermit or Iicense requ�res Councii ac��or.
d. �f your recuested p ub1iC.
to aporove, some in=ormation may become p
J •
You have certain rights under M.S. 13. Oa to rev=ew pr=Vc�e
data on yourself.
o �-zis apolicat�or. or
6 . Your full name is required to proc_ss ��
pe�it.
,��?h � ��` �` �� � � �` �� Last
First
iddle
U � � G �i�' ��� � i/r<r. ,�,
AQClre55
/ �1� u I� ;� VV) il, . S � �E / ZiD
State -
city
y�,1 �� � `�
Phane
I understand my rights as stated above.
1 � '�
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Signa re
6UILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-�73-7358
• PUBLIC WORKS -4�3-�359
ASSESSING
DATE TIME �
CITY OF ORONO CALLED IN ��_�
INSPECTION NOT CE SCHEDULED �f'�? /%5i _��
PERMIT NO. �'� COMPLETED �_ �
ADDRESS ��� �
OWNER � � CONTR. ��-�-/
TELEPHONE NO. �7.1 - �.��`,
� DESCRIPTION %�'11h..a� - �����,��
W �J—�
� 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/F�LLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� p4 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 5 FIM1 % 14 SEWER HOOK-UO O6 PROGRESS
F` DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEMO—FINAL 75 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINa FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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WORK SATISFACTORY:PROCEED PROJECT COMPLETE
d
W
� C'. CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN
�NSPECTOR WILLRETURN
❑ STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlCon o s te:
Inspector. -
White Copyllnspector's File Canary CopylSite Notice