HomeMy WebLinkAbout1995-007133 - tear-off/re-roof PER�IIT
CITY OF ORONO - � � '
2750 Kelley Parkway - P.O. Box 66 PERMIT TYPE: _ _
Crystal Bay, Minnesota 55323 Permit Number: - _ - _
(612)473-7357 Date Issued: _ _ -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - ����,��� ��_�.:��. �- OWNER:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BIII_'�NG PERMIT APPLICATION
� ��� Date Received:
Total Fee: $ �� � �
Date Approved:
Entered By: ���,✓`� Permit n: �%/ 3�->
AT•T• INFORMATION MUST B$ SIIBMITTED IN FDLL BEFORE PI�N REVIEW WILL B$ STARTED
(See Check-aff List Enclosed)
---------------------------
THE APPLICANT IS: (circle one) OL�iNER or CONTR.ACTOR
JOB SITE ADDRSSS: ,� o� �� � �r��� Al 0�,�� ZIP: �S� �71
(work)
pgpNE: (home)
NAI� OF OWNER: �r �� �.r ( �� � �`_ �
MAILING ADDR.ESS: Su vv� � _ CI�= ZIP:
CONTRACTOR: ��� � �C� C �"��"r i u; �' _ PHONE:
MAILING ADDRESS: ��,�/� l. ,•.��� �� CITY: /i:r�r�r ���-i u/ ZIP: �.��S �
STATE LICENSE: ,� S � � �
ARCHITECT/ENGINEER: PH���
MAILING ADDRESS:
CITY: ZIP:
N�ME_ REGISTRATION tt
TYPE OF WORR: New
Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
_/'' a%� r o� �. i o�/57��%�
PROPOSED WORR (describe in detail) : �C� r � �r
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STORIES: �y� SQ. FEET OF EAC� FLOOR=
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � .j�� ^�
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 wi�ha�hl
ordinances and codes of the City and with the State Building Code;
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 appro plan.
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�' �s �� �� DATE: � � �I � �c�
APPLICANT'S SIGNATIIRE:
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� ��' �rA C ITY o� OI�ON
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.,.'"p,�;; Post Office Box 66•Crystal Bay,Minnesota 55323•IvluniciPal 0���
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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:
1. 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 license.
3. The information may be snared with other Iocal , 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 priva:.e
data on yourself.
6. Your full name is required to process this application or
permit.
� �� �� G��.� e e � �
`5 � Last
Firs Middle
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Address
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City State Z1D
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Phone 5% �i -�-f�
I understand my rights as stated above.
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Sign re �
BUILDING&ZONING—473-7357
� ADMINISTRATION&FIfYANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTI �j SCHEDULED
PERMIT NO � ✓ COMPLETED
ADDRESS � ���� � �a llfr�✓ ' .. o;�
OWNER � r CONTR.
TELEPHONE NO.
� DESCRIPTIO a�vL
� 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
05 FIN 14 SEWER HOOK-UP 06 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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D COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� C CORRECT WORK&PROCEED C I UE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlCon o sit :
Inspecto
White Copyllnspector's File Canary Copy/Site Notice