HomeMy WebLinkAbout1988-000928 (re-roof) PERMIT
CITY OF ORONO PERMIT TYPE: �� � -.
1335 Brown Rd. South • P.O. Box 66 �'`-'��-`�;�``��'
Permit Number: tyr�,�;��;:�;_
Crystal Bay, Minnesota 55323 Date Issued: - _
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(612) 473-7357 ' ' "'
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER:
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'- AP�'! ERMITEE SIGNA URE ISSUED . NATUR� ���
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INSPECTION RECORD
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: E�x s I LG I i�t�
Crystal Bay, Minnesota 55323 Date Issued: ���}t�`��':��
(612) 473-7357 :��_�i:_'1 f:1���
SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: f�P� t��' 1�V`�RK:
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Total Fee: $ Date Received:
Date Approved:
Permit#: �v Project#:
Building Permit Applica�ion Requirements:
1. Building permit application - to be filled out completely and signed
2. 2 sets of construction plans to include the following:
a) Floor plans;
b) Footing and foundation plan;
c) Elevations (of all sides) ;
d) Wall sections and cross sections ;
e) Details - stairs and any special connections.
3. Certificate of survey with location of existing and proposed
structures including hardcover calculations and grading and drainage
plans as requi�ed.
4. Energy calculations - form provided.
5. Septic report and design if required.
ABOVE INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PI,AN REVIEW WILL BE STARTED
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
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JOB SITE ADDRESS: � 1�� ��,�' �f��_� ZIP:
PROPSRTY IDENTIFICATION NO. :
,, (work)
NAME OF OWNER: C� L _�,'�"� PHONE: (home)
MAII,ING ADDRESS: ������ ��,�c'`'�`� �, � CITY: ���e�i'�� Z�P: ���7;�1
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CONTRACTOR: ��'C���,�?%� - S��'7�S �'� PHONE:
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MAILING ADDRESS: ����� ���'��Y���IY�� CITY: ��l"�%�j �� tY ZIP: �
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ARCHITECT: - PHONE: ��%� '�`'� ?� /
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MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED IISE (describe in detail) : 1�Y ��� Cr ��`� y��:',��� �Gj� .e!�i,i i j° i1 �i /
% �� �1-�' �. � 4 L�,:2�'"�(. � l � -� "1 J�t �,'.�, � /1 j-�2 j;�, .•��L,� 1 �!� ! i ','.`!'iL�` (t,.5�
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STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. \
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$STIMATSD CONSTRIICTION VALDATION (excluding land) : $ If V ��
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I hereby apply for a ? :�ilding permit and I acknowledge t..::,.��. tht_ information
above is c�mplete and accurate; that the work wil l be in c� �_��ormance with the
ordinances and codes of the City and with the State �u-� � ;�ing Code; that I
understand this is not a permit and work is not to start ��-i'.:�.�ut a permit; and
that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATURE: / " ��''- ' / '/'-,/�`��,, �'` ��'<, ;�'-'� ' ,%��
(Please fill -but e reverse side of this �� �:4 �+
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* E �����.�N , Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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.���� �'�;���,�Y On the North Shore of Lake Minnetonka
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DATA__PRIVACY ADVISORY
In accordance with M.S. 15.165, "Righ�s of subjects of data", we
would Iike to inform you that your request for a permit or license
from the City of Orono �r 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 license.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some information may become pubZic.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
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I understand my rights as stated above.
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Signat re�
BUILDING&ZONING—473-7357 • ADMINISTRATION�&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�� AT ,a� TI M E
CITY OF ORONO CALLED IN ',��G�``
INSPECTION N,�TI E SCHEDULED ��� O�DU
PERMIT N0. '"� �v COMPLETED ��ZZ—g� �� :��
ADDRESS ��j� ��''�� '�� •
OWNER CONTR. � Z7�tK,.Sa�;,
TELEPHONE NO. SiG(o ' ��l ��,�
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
O FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� O WALL BD. ❑ WATER HOOKUP ❑ LICENSING
W ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� � PROGRESS ❑ SEWER HOOKUP � FOLLOW-UP
� ❑ DEMOL. O SEPTIC INSTA�L. O SEPTIC FINAL
O FIRE PREV. ❑ SEPTIC MAINT. ❑ FIR�EPLA /WOOD BURNE
� ❑ WELI TEST PUMP �7 ���
Q COMMENTS:
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W ORK SATISFACTORY: PROCEED � PHOTO TAKEN
O CORRECT WORK 8 PROCEED
U ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CAL�INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. o site
I nspector 473-7357
White/Inspector's File Canary/Site Notice