HomeMy WebLinkAbout1994-006005 (re-roof) PERMIT
�ITY OF ORONO PE�MIT TYPE:
� 2750 Kelley Parkway • P.O. Box 815 PermitNumber: `='%'._`'-`��i�`
Orono, Minnesota 55356-0815 '-"r'=�`-''-``'
(612) 473-7357 Date Issued: --
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SITE ADDRESS:
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CONTRACTOR: -- ��;�-:�:= �:_;�;t. — OWNER:
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APPLICANT� ERM�TEE SIGNATURE ISSUED BY:SIGNATURE �—� "
� CITY OF ORONO - BQILDING PERMIT APPZICATION
/-// � ��
Q• ,�� � S Date Received: `/
Total Fe_• $
Date A��roved: '
Entered Bv: ,(��� — Per�it� �i�(j�,5 _ -
AT•7• INgORMATION MIIST BS SIIBMITTED IN FUL.L BEFORE PLAN REVIEW WILL BE SgBRTED
(See Check-off List Enclosed) __________
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T� �PLI��T Ig: (circle one) OLd,iER or CONTLtACTOR�
JOB SITE ADDKBSS:
.� � � � �c �3 iC�l � ZIP"
(work)
� l '' �� J�--o � l PHONE: (home) ��� ` �3 .�O
NAME OF OWNEFt s � ��
�/{ CITY: L-C v c, �.0 ZIP:
MATZ�ING ADDRESS: � 3 ��'✓=.,`�s ° � —
C� �v t L v �X� PHONE: S� 3\3 -� �! ��
CON�CTOR: �I r �� �
MAT�ING ADDRESS: � `IO � ,•,v��� � Lc.
Il� CITY: \ ZIP: S J~�'/ �
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ST�� LIG.�NSE: � a
PHONE=
ARCHITECT/ENGINEER:
C=�: ZIP:
MATZING ADDRESS:
REGISTRATION A
NAME:
Accessory Structure Move �
TYPE OF WORK: New Addition Land Alteration
Demo Re.*nodel/Alteration Renovate
.A a v —c� C \ V �-"' ���
PROPOSED WORR (describe in detail) : �
STORIES: SQ. FEST aF EBCH FLOOR:
NO. OF BEDROOMS: C�'�RAGE STAI�S- ATT. D ET.
- i�a 3 : $ �vv �"
ESTS2sATED CONSTRIICTION VALIIATION (eacludinq
I hereby apply for a building p
ermit and I acknowledge that the information
above is compl.ete and accurate; that the work will be in conform C de�''� that I
ordinances and codes of the City and wi.th the State Building e�it; and
understand this is not a permit and work is not to start without a p
that the work wi1 1 be in accordance with the approved plan- .
' DATE s �� ��I'�`1
APPI,SCANT
'S SIGNATURE= �
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: . � ��'��i' o� ����TO
«s Post Office Box 66•Crystal Bay,Minnesota 5�323•Municipal O�ffices
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� _ � � On the North Shore of Lake Minnetonka
DATA PRNACY 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 permi 1re
license from the City oi Orono or any of its departments may req
you to furnish certain private or confidentia3. in=ormation.
You are notified that:
l. The information you furnish wil.l be used to determine your
aualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
tne City deny the permit or license.
3. The information may be shared with oth=�r esscthe permit or
f ederal agencies to the extent necessary to p
license.
a. If your requested pe�-mit or Iicense requ�res Councii ac��or.
to aporove, some information may become public.
5. You have certain rights under M.S. 13.Oa to rev�ew private
data on yourself.
6. Your full name is recruired to proc�ss this application or
�
per•nit. _... ) ` �`o �x�p �i o �'s
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Address
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Phone
I understand my rights as stated above.
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BU1LD[NG&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358
• PUBLIC WORKS-473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI r/ SCHEDULED " `!
PERMIT N0. cOMPLETED
ADDRESS �
OWNER ONTR.
TELEPHONE NO.
� DESCRIPTION Ct Y �
� 01 FOOTING 11 MECHANICA RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� C]CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS.
INSPECTOR WILL RETURN �= PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR '�-' CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex ' tion 24 hours in advance.473-73�J7
OwnerlCon cto site:
Inspecto
White Copyllnspector Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED w ��i/ `
INSPECTION NOTICE SCHEDULED �/iz%�5� %/' Uc=
PERMIT NO. (�nc)5 COMPLETED � �,
ADDRESS_��3��(����-<_�_n_i��-a.
OWNER ��2� CONTR. 1�a—t C�z.c�_�
TELEPHONE NO. —> � 3- /I/.�
� DESCRIPTION�1����
� 01 FOC 03 1 MECHANICAL RI 16 WELL TEST PUMP
Q FRAMING . 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREJWETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SET(TURN QN 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED �� PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR — CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContracto sit
Inspector.
White Copy/lnspector's File Canary CopylSite Notice