HomeMy WebLinkAbout1995-006976(tearoff re-roof) PERMIT
C�TY OF ORONO PERMIT TYPE:
,� 2750 Kelley Parkway- P.O. Box 66 _ :
Crystal Bay, Minnesota 55323 Permit Number: _
(612) 473-7357 Date Issued: ; _
SITE ADDRESS:
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FEE SUMMARY: :,:;:;: �
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CONTRACTOR: - . -��°� ?-��:�}�. - � - . -- - OWNER:
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APPI ICANT;PFRMITFF RI(;NATI IRF � ISSl1Fl�BY�SIGNATURE�C�t[iC'��
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CZTY OF ORONO - BIIILDING PERMIT APPLICATION
�Total Fee: $ Date Received:
Date Approved:
Entered By: !"f'� '
Permit n: ��' '/ `✓
AT•7. INFORMATION MIIST B$ SUB Che�ckD-offFLDistBEnOZosed N �VI� �� B$ STARTED
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THE APpLICANT IS: (circle one) O��1NER or ONTR.ACT
JOB SITE ADDRSSS: > .��`i� �So�/S ����� F';� CJ�cs1•�U ZIP: ��-'�'�
(work)
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�. r,�+ I PHONE: (home) ���.%� �� �-
NAM:E OF OWNER: .3 ���1 ' �'
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MATLING ADDRESS: 5 3`�� ��.�� � � —
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CONTRACTOR: M��P D�j��/�''�"e' C ����'��(',Y'�►�j� _ PHONE: `�. �
55'`��°
MAILING ADDRESS: �//�,/1/ A�.,,��, �,,�r � �. CITY: ci'�c��c?� }�?::�� ZIP: _
STATE LICENSE: # �5�� 7 �
ARCHITECT/ENGINEER:
PHONE:
MAILING ADDRESS:
CITY: ZIP:
N�ME: REGISTRATION tt
TYPE OF WORR- New Addition Accessory Structure Move
Demo • Remodel/Alteration Renovate x Land Alteration
PROPOSED WORR (describe in detail) : � �`'v-� `��� O`a '�''�J�,
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STORIES: SQ. FEET OF EACH FLO�R=
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (excluding Iand) s $ � �?��
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.
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� � � DATE: �/�,G l �<._
APPLICANT'S SIGNATURE: �;'����/`� `� �
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Post Office Box 66•Crystal Bay,Minnesota 55323•1�'IuniciPal Offi�es
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� _ � � 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 Iike to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. The information you furnish will be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
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 Iicense requires Councii ac��or.
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 proc�ss this application or
permit.
M ;���,.�1
,�te� /�';�y`C� �E'.N 0 rn��
First
Middle Last
/l/��/ �'��,rr ,��� � E-
Address
. �.3�,�t�o�.��. ,�. r�s 5�����
City
State Zip
f�5- �`�`��
Phone
I understand my rights as stated above.
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Signature �
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS —473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN .L 11 s
INSPECTION NOTICE � � �/j SCHEDULED �v��� -� _3�-'�A
PERMIT NO. �9 � r COMPLETED l� �_
ADDRESS '�3 ��' ����-�-�=--�
OWNER ����-� CONTR.���/�.�����---
TELEPHONE NO. ��J ��G�O� �2 ?�'1' / ��..�Jd�
� DESCRIPTION .��
� 01 FOOTING 11 MECHANICAL 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
Q 05 FINA� 14 SEWER HOOK-UP 06 PROGRESS
� EMO-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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OL� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTO TAKEN
INSPECTOR WILL RETURN
OSTOPORDERPOSTED.CALLINSPECTOR '- CITATIONISSUED
C INSPECTIONREQUIRED.CALLTOARRANGE CCESS.
Call for the xt i ctio 24 ours in advance.473-73rJ7
OwnerlContracto 0
Inspector. �
White Copylinspector's File Canary C pylSite Notice
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DATE TIME
CITY OF ORONO CAL�ED IN �_ � `7�'
INSPECTION NOTICE SCHEDULED ��� �� ' =' ��
PERMIT NO. �_`:� ���� COMPLETED _Q�_ �
ADDRESS ''�� �' �A ��c.-� :�i .
.
OWNER - l ,r�, _ 6 - , CONTR.
TELEPHONE NO. '���'� � = - �<'��d
� DESCRIPTION
� 01 FOOT. ING�\ 11 ECHANICAL RI 18 EXCAV/GRADING/FILLWG
��Q2 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
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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W
O [_,CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
C] CORRECT UNSAFE CONDITION WITHIN HOURS. ,-- pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the r,ext insp ction 24 hours in advance.473-73�J7
OwnerlContrac o n site:
Inspector. �
White Copylinspector's File i Canary CopylSite Notice