HomeMy WebLinkAbout1994-006197 (re-roof) � _
�'ERMIT
�,�I�'�� OF ORONO PERMIT TYPE: _ . _ : . . .
2750 Kelley Parkway • P.O. Box 815 Permit Number: _-;.i;t';�ur'
Orono, Minnesota 55356-0815 `-"-"_��=�` _
(612) 473-7357 Date Issued: _ _:,;_;;�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY: �
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APPLICANT/PERMITEE StGNATURE ISSUED BY:SIGNATURE
, �� � CITY OF ORONO - BQILDING PER�iIT APPI�IC�TIDN
' a-� ��' . Dat� Received:
Total Fee: $ -
Date Acorove�: '
, �
�'ntered By: ' � Pe�it� (�.���j � - __ .
AT•T• INgpgMATION MIIST B$ SIIBMITTF•D IP7 FITLI� B�FORE PLAN RE�7IEW WII�L BS SgAR�ED_---
(See Chec?s-a== List Enclosed)
------------------- --T�Te one�---O��T�TER or ON��A�'�QR � ------------------
� APPLICANT IS: �ci � -___�._/
a ��/'� ZIP:
JOB SITE ADDR�SS:
�( `�7 S� � s r��~
(work)
�;� f ���� � > � �t/ P30NE: (hcme)
NAME OF OWN�R: ,
CITY- ZIP:
MATZ,ING A.DDR.ESS-
� � . PHorrE: l��I - �g 9 v _
C O N T R ACTOR: .�,.���s ".,`° � '�, � � j`�v� Z I P: 5.S_//C�
�� ���� � ��L �z�: _�
MATT.=NG ADDRESS: :��S '��—
STATE LIC-.•F''7SE: �
�� 5 �
PEONE=
ARCHZTECT/ENGINEER:
CSTY: ZIP:
MAIZING ADDR.ESS:
REGISTRATION Q
N�_
Accessory Structure Niove �
Addition Land Alteration
Z'YPE OF S'+a�= Ne�� Renovate
D�o Re.*nodel/Alteration
PROPOS� WORK �describe in detai.l) :
����' �'�� ���« r �'�T
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�-.. � /'`
STORIES: I S4- gEET aF E.�CH FLDOR:
�,�p,� gTAT.T,g: ATT. DET.
NO. aF BEDROOMS:
�;�;
� land 1 : S �
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EST32��F.D CnNSTRIICTION VALIIATION (eacinding
ermit and I acknowledge that the infor�at=on
I hereby aop Iy f or a building p that T
lete and accurate; that the work will be in conform� de Wzth t e
above is comp an� with the State Building e�it; and
ordinances and codes of the City
understand this is not a permit and work is not to start without a p
that the work will be in a�ordance with the approved pla.�- _ •
' , �
�-��� I DATE s �v �3
, > —�� �
APPI.SCANT'S SIGNATUEtE=
. � . . . � . . . . .. . . . .–. . . . .
�� �- ���'�.' o� ����"�
- . Post Office Box 66•Crystal Bay,Minnesota 5��•M�ap���
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On the North Shore o�Lake Minnetonka _
DATA PRNAC�' AD�SORY
In accordance with M.S. 13. 04 , Subd. 2, "Rights of subjects of
� we would like to inform you tnat your request for a permit or
c,ata", of its departments may require
7=cense from the City o= Orono or any �n=Q�ation.
vou to furnish certain Private or confidential
vou are notified tnat:
1. The information you furnish will be used `o determine your
aualification for the perni.t or license reauested.
2. you may resuse to supply data, but resusal may require that
tne C�.ty deny
the oermit or license.
be snared witn ot�er I-ocal , s�a�e or
3. The information may o rocess the pe'-�i�. oi
f ederal agencies to the extent nec..ssary to p
�.icense.
yod pe,-mit or iicense requires Councii ac��or.
�. if vour reeues�_ become public.
}o aporove, some iniornation may
5 , You have certain rights under M.S. 13.Oa to review griva�e
data on yourself.
6 , Your fu1l. name is recuired to proc�ss this application or
�e�it.
� /�--Qti. c7
C'1,1�2�� L Z S L
First riiddle
�, � 5 �� �-� � 0�'L
Address �
f�2� � j'l'✓1^� 5 � �/ �-
City
' fi State Zip
C,�i - j�rC�
Phane
I understand my rights as stated above.
� _�_�
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Si riature �
i
3UILD[NG&ZONING-473-7357 � ADMINISTRATION&FiNANCE-473-7358
• PUBLIC WORKS-473-7359
ASSE551N G
DAT TIME
CITY OF ORONO CALLED IN �r� '9
INSPECTION NOTICE r� SCHEDULED � `� r�
PERMIT NO. � �9/ COMPLETED �I` �
ADDRESS `�� �S ��1' �'v
OWNER �d`��Qin� CONTR. ��� �'"�+�-�-�9
TELEPHONE NO. ���- �3 a a
� DESCRIPTION // �^��`"�
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 5 INAL 13 METER SET/TURN ON 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 FOLLOW-UP
v 10 PLUMBING FINAL 23 1r
� OWNERICONTRACTOR TO MEET Y U:�L YES NO
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� COMMENTS: `
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W WORKSATISFACTORY:PROCEED C; PROJECTCOMPLETE
� ❑CORRECT WORK R PROCEED C'. ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REIN3PECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in�tion 24 hours in advance.473-7557
OwnerlContra o o te�
� �: \ �
Inspector. �-�
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