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Home My WebLink About1994-006259 (Re-roof) PERMIT t C��'Y OF ORONO PEFiMIT TYPE: 2750 Keiley Parkway • P.O. Box 815 E�!�'f�C'I6��-� Orono, Minnesota 55356-0815 Permit Number: ��`��_,•Y�,� (612) 473-7357 Date Issued: 6��:._�f_�� SITE ADDRESS: �.'.�'�1 �+,=��,i a�; �_:�' .T�. �'. � .{'�. ; 1i}—� 1�—;,.'_a—:�,--T=1�'a=;=� DESCRIPTION: TEFr� ;a�t=r�°�—�°i ti_i� E=t�i lo�ii-�� F`�rrFsi 7. Ty�� '=:F—r�L�L�!"�Et°di=�L�C�L E�Lai 1��d�;�� t��_�r�:: i�� —F,i n=�F t'1;"�r t7� �f�t�,'V� �l�'��'C°E z:L�I�L .��¢�3.�ilt��J � t:1 �E�� .tktt .��t��t.:��C� � €�.� G��d .� c:�'iA� �L =a�.� ft;1�C�'1p�'T—��',A4!;J4d'�i�`�b$' V�JrV.'��Ji`t tsL��.•B� 1\V�L !lM•n�� f'f i�of':f a'�L;{ REMARKS: ' FEE SUMMARY: ��Rlt��r z+�r� �� ,;�i,'9�j E�� Y� �.�.�, .i it=i =i�'s'��`!�!'�c=+ ------- �'i�'1i) �t�t•ci? r��'�' '`}.�� . °��k CONTRACTOR: — r�r�r�i�d��-�t. — _�i . L I�: OWNER: :=;�� i��_1F I��l+� $;::�:_„:c,�.�, �,x��K f �:t l�':=��9LL _��'F�;E`r' =s':;_� H�hdi�1EE='I��! t�'�� '=e �.'=�:� s�F;E,iij�; �_;i i°�I t�§��iE��'�=lL I'=; t°�� .i;;=� �:.E�Ei=itils E t�t�! �e_.'��. i,{��,t� e i•:'_e—i i!_1�.F� l�i,ri�.��}/'�e i �^ "T— . �;;� ��t�!?�t��:=:i tvt��:�} �-=�;}i�:�:`�F �E�P��.��:��':_ �`��.�°;�'��'=;:r:�� '�i� ;�;'�ig-:E #�-tc �'��.. ��i=°�£�:��'�i��,�E`5`=: _��'�,4:��-�'— b i��'-7�� 6��-7°*��..^.:'� i�..� �I �;�S,i `�:` �'� _ ��'T i fy 9 3i i !N �C �� q�.*.i.. i��.. I�� :E a�,.. :I :tr�t°s1=`�.�:�t�=�� TE� �i� ::� . �'tt= � f'9 'E ff,!!.4 !_3�;i`_°� �',!" t. t` v4'� � -- �~� a$ � T��`r;�,! F��_�T f g � ;�i�R�Pr: �;_.. ?{a��'i��:i�1�.. . � �: �e t!^i{'� �� F��. ��e�`�i d" � �l.E �{`°`} �.•_.�'+�� 't. �t,. r r � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE < .r CITY OF ORONO - BIIILDING PERMIT APPI�TCATION Total Fee: $ ��1vr � Date Received: Date Approved: � Entered By: � Permit�: ,'/'� � � AT•T• INFORMATION MDST BS SUBMITTED IN FIILI� BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) � --------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRAC � JOB SITE ADDRRSS:�� O ��.,�,ST ZIP: ��5��_ (work) NAI� OF OWNER: �� C! PHONE: (home) ��i/9—��7� M�ILING ADDRESS: ��1 /9��t�/1 S T cl�: C��v�/D zIP: s�.��/ cox�x�,c�roR: �C..-�-�- �r��/�l�a' paor�: ��-3- � �,'� .,� . M�,II�ING ADDRESS: S�� CC El-�`i�•� ,�� cIT�:�,��'� �" Z1P: .S�S�l�� STATE LICENSE: # ,/ O S� ARCHITECT/ENGINEER: PHONE: MAILING ADDR$SS: CITY: ZIP: N�: REGIST�.tATION � TYPE OF WORR: New Addition Accessory Structure Move � Demo Remodel./Alteration Renovate Land Alteration PROPOSED WORR (describe in detail) : ��'�� " �� ,�� e STORIES: SQ. FEET OF EACH FLO�R: ?�e NO. OF BEDROOMS: G�GE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (escludi.ag land) : $ � d� . 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: e DATE: �' � -`. . , �I'��' of Cl O1�T� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices 0 o . � o 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 3ike 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 Iocal, s�ate or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Councii act�on to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review priva�e data on yourself. 6. Your full name is required to process this application or permit. � �1t f'v� ��,v"�t�t� 4�� 6� �'�� First Middle Last ��D� LrTCCELs( o � �� (f�'� Address ,S'7- � c/e S �"�'� �l� `� � �� City State ZiP ��3' �o `�� _ Phone I understand my rights as stated above. � S ' ature - • � BUILDING&ZONING—473-7357 � ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ,_ ASSESSING _ , '� CITY OF ORONO - BIIIZDING PER�IIT APPI,ICATION �� • Date Received: Total Fee: $ - Date Approved: ' Eatered By: �1�� Permit p: ( �2/ � � _ : . , AT•T- IP7gORMp,TION MIIST BS SIIBMITTED IN FIILL BEFORE PI.AN REVIEW WSLL BE SZ`gRT'LD (See Check-off List Enclosed) ______ T� �PyICp,Z,TT Ig: (circl.e ane) OS�TNER ar CONTRACTOR JOB SITE ADDRBSS- d7/ J��a°� ST ZIP: SS39/ � (work) . Jp�'� ��.tf S�a// PHONE: thome) rT� OF OWNER- - cITY: D ro n o zIP: S"s3�/ 1KATZ.ING ADDRESS: � a �� D2 5� PHONE: CONTRACTOR: �Y�'/ S�-I� ��: ZIP: MA�ING ADDRESS: STATE ZICENSE: u PHONE: � ARCHZTECT/ENGINEERs ��: Z IP: MAT_T ING ADDRESS: REGISTRATION a N�- Accessory Structure Move � TYPE OF WORRs New Additian _ Laad Alteration D�o Remodel/Alteration Renovate PxoPfls� wox�c (describe i.n detail) : i'�5�-a I 1 n e��.� 5 h��G)�s ��rx o�c o 1� � �e��iN �� /1 pPafec� . STORIESs �2 gQ� gEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STAI.ZS: ATT. DET. � lana) : $ 3000, oa ESTIM�TED CONSTRIICTION VALIIATION (eaclnding I hereby apply for a bui].dinq p ermit and I acknowledge that the information above is complete and accurate; that the work will be in coaform C de;'� th t = 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 star't without a p that the work will be in accordance with tlze aPproved plan. _ . C�v�� DATE: I Q tl am 1� 9 y B,PBLICI�NT'S SIGNATORE s �► � � ��"��"�� R�I�TO ' Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal O�ces • � _ � � On the North Shore of Lake Minnetonka _ DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of sub er�t or data", we would like to inform you th of itsrdee artment r may require licease from the City of Orono or any P you to furnish certain private or confidential information. You are notified that: - l. The infor f�t1�heYp�t or li ensebrequested. determine your qualification 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, s�ate or federal agencies to the extent necessary to process the permit or I.icense. 4. If your requested permit or Iicease requires Councii ac�ion 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 ful.l name is required to procoss this appl.ication or pezznit. J�FF!{Fy E'Dw,W �uTslfg�L First Middle Last I a�l f}R+�a� sr Address rono `�-'� �s 3y/ City State Zip �y�/-967G _ Phone I understand my rights as stated above. C�y�'�tK.D Sig t re � ' � � BUILDING&ZONING-473 7357 • ADMINISTRATION&FINANCE-�73 7358 • PQBLIC WORKS-473 7359 qSSESSING