HomeMy WebLinkAbout1994-006515 (Re-roof) PERMIT � �
'���Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �;g�� }��� �• �
Crystal Bay, Minnesota 55323 Permit Number: i 11��s__- �`�u
Date Issued: - �'-
(612)473-7357 �fe�=�� � �'��
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMI E SIGNATURE ISSUED BY:SIGNATURE
�' r . • � CITY OF ORONO - BQII�DING PERMIT APPLICATION
�
�; - Date Received:
�' Total. Fe�: S -
� Date Aaproved: '
r
r, . .
�� Entered Bv: Permit a: � � - - - -
� . � -
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� AT•T. rNgpgNIATION MIIST B$ SIIBMIR'TED IN FtII�L BEFORE PI,AN REVIEW WII� BE SZ;BRTED
� (See Check-aff List EncZosed)
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T I5:r (circI.e one) OS�7NER CONT.RACTOR
� T� APPLIC�N ' ����/
�T C� ��'�J D � �� ZIP:
JOB SITE ADDRSSS: , /� ��Z�
� (work) `'!'
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MATT�ING ADDRESS: ��_
PHONE:
CONTR�CTORz
CITY: ZIP:
MA=I.ING ADDRESS:
STATE LICENSE: u
PHONE= .
ARCHITECT/ENGINEERs
C=�,: ZIP:
MATI.ING ADDRESS:
REGISTFtATION a
NAME:
Accessory Structure Move •_
TYPE OF WORX: New Addition Land Alteration
Remodel/Alteration Renovate
Demo �
� _�o l,� � b��� ���
PROPOSF.D WORK (describe a.n detail) :
STORSES: /- S4- FE�T aF EA(� FZOOR:
NO. OF BEDROOMS:
���Gg SZ+A7,T•S s ATT. DET.
land 1 : $ � C� . o v
g,STTM�Tg.D CONSTRIICTSON VA�IIATION (exclndinq e that the inf ormation
' I hereby apply for a building permit and I acknowledg
t above is complete and accurate; that the wor3c ws-]-1- be in conform C de;'� thath=
ordinances and codes of the City and with the State Building e�it; and
understand this is not a permit and work is not to start without a p
that the work will be in accordance with the app=oved plaa- _ _ .
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DATE- ��l ( � �
� APPLICANT'S SIGNA
� . . . . . . .
.
' � �
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Post Office Box 66•Crystal BaY,Minnesota 55323•Munidpal Offices
� On the North Shore of Lake Minnetonka -
• ' � •
DATA PRSPACY ��SORY
"Rights of subjects of
In accordance with M.S. 13•ou'that yonr request for a permit or
we would like to inf orm Y of its departments may require
data", o f Orono or any
license from the City
you to furnish certain private or confidential information.
You are notified that: -
1. The information you fur oZ iiCensebrequest�d. aetermine you= e
erma.t
aualification for the p require that
refuse to supply data, but refusal may
2. You ma.Y e�it or license. -
the City deny the p �
be shared with other local, s�ate or
3, The inf ormation maY rocess the permit or
f edera3. agencies to the extent necessary to p
license.
our requested permit or Iicense requires Council ac�=or_
a, If y become public.
to aporave, 5ome inf orncation maY
�. You have certain rig
hts under M.S. 13.04 to review priv��e
data on yourself.
6, Your full name is required to procsss this application or
p e�-mit.
�Q f�v� �r�-�-GL �Zi
1� � Last
Firs� Middle
���, ,�.,� �� � �-h .
Address �5�� �
��� �z� �
City
State Zip
LI� '��cJ� .
Phone
I understand my rights as stated above.
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Si ure
- • PUBLIC WORKS-473 7359
BUILD[NG&ZONING-473-7357 • ADMINISTRATION&FIN.�NCE-3�3'�358
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION IyOTI �`�' SCHEDULED ''
PERMIT NO. �� J COMPLETED
ADDRESS I �_ �O �l GL.1�f� `L.
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �-t, ` r�-'� �
�y 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
h
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q �FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� �WORKSATISFACTORY:PRQCEED �ROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ion 24 hours in advance.47 7357
Owner/Contr r o
Inspector.
ite CopyMspector's Canary CopylSRe Notice