HomeMy WebLinkAbout1990-002667 (tear-off/re-roof) , ,� ----
PERMIT
NO PERMIT TYPE: �;�,��.t�i I i�i�� I
CITY OF ORO PermitNumber: �"��`=�=`'
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1335 Brown Rd. South • P.O. Box 66 Date Issued: - -- -�-
Crystal Bay, Minnesota 55323 -- -
(612) 473-7357
SITE ADDRESS: - �-�-��-: - --_
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nPPLICANT%PERMITEESIGNATUR -- �ECOR�
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PERMIT TYPE: t;{3L;_;�,�'
CITY OF ORONO PermitNumber: i;;�;•�;;�;'�:;�`:
1335 Brown Rd. South • P.O. Box 66 Date Issued:
Crystal Bay, Minnesota 55323 -
(612) 473-7357 qppLICANT:
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TYPE OF WORK: ��`�4^i}'`�
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CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ Date Received•
Date Approved:
Entered By:
Permit�:���
AT•T• INFORMATION MIIST BE SIIBMITTID IN FIILI� BEFORE PLAN REVIEW WILL BE STARTED
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THE APPLICANT IS: (circle one) �� or CONTRACTOR
30B SITE ADDRESS: ����S L�-SC'` i� C' �� �L�-c� ` C.v'�a-����*�ft ZIP: S 5�3�r /
(work)�D 3- �i 7-y'�s-y
�AME OF OWNER: �, ,�. / , ���= �� ✓��` 7� PHONE: (home) ��/-�',� �`�
MAZLING ADDRESS: J -�',�S C` i't�c- �. ��.��'-C�-, CITY: L� is�j Z <r �iti-- ZIP: S 5�3 i/
CONTRACTOR: PHONE:
!�iAILING ADDRESS: CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
?ROPOSED WORR (describe in detail) : ,�`�--�`��+ � ��� � ��- %��' ���J>>�rc(�
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STORIES: SQ. FEET OF EACH FLOOR: � '�
�IO. OF BEDROOMS: GARAG$ STALLS: ATT. DET.
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ESTIMATED CONSTROCTION VALIIATION (excluding land) : $ ��? C% �
I hereby apply for a building permit and I acknowledge that the informatior
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 �ermit and work is not to start without a permit; anc
that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATIIRE: \� ') . '�� �G,�� DATE: ,� � �
(Please fill out the reverse side of this form)
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� �,,�,. Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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a�� ` On the North Shore of Lake Minnetonka
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DATA_PRIVACY ADVISORY
In accordance with M.S. 15.165, "Rights of subjects of data", we
wouZd like to inform you that your request for a permit or license
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
qual.ification 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 Councii action
to approve, some information may become public.
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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Signature
BUILWNG&ZONING—473-7357 • ADMQVISTRATION�&FiNANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �'
PERMIT NO. �� COMPLETED o2-J.qO /:/�
ADDRESS ���� ��� Gt.GZ C�,��
OWNER CONTR.
TELEPHONE NO.
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Z Ci FINAL ❑ METER SETITURN ON C TREE REMOVAL
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� G DEMO—FINAL ❑ SEPTIC MAINT. ❑ PROGRESS
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� C PLUMBING RI ❑SEPTIC INSTALL. ❑COMPLAINT
_ [;� PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
� COMMENTS: �i'�` �� N�' ��-_�"���T—
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� BEFORECOVERING ❑ ISSUECERTIFlCATEOFOCCUPANCY
:7 CORRECT UNSAFE CONDITION WI i HIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
STOP ORDER POSTED.CALL INSPECTOR
f_: INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlContractor site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO �, CALLED IN
INSPECTION NOTICE ��0� SCHEDULED �� =�C�
PERMIT NO. COMPLETED � �CZ
ADDRESS �o�Zo�� (%�3 C� �J�
OWNER CONTR.
TELEPHONE NO.
j� ❑ FOOTING ❑ MECHANICAL RI ❑ SITE WELL
W �RAMINGQe_'(�t!(� ❑ MECHANICAL FINAL ❑WELLTEST PUMP
� INSULATION ❑ FIREPLACE/WOOD BURNER ❑ EXCAV/GPADINGIFILLING
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� ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESHORE/WETLANDS
Z �FINAL Y.e'��� ❑ METER SETITURN ON ❑TREE REMOVAL
Q i DEMO—SITE ❑ SEWER HOOK-UP ❑SITE INSPECTION
_
� C DEMO—FINAL ❑ SEPTIC MAINT. ❑ PROGRESS
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Q L� PLUMBING RI ❑SEPTIC INSTALL. ❑COMPLAINT
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_ ❑ PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOL.�OW-UP
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� COMMENTS:
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� BEFORECOVERING ! ISSUECERTIFlCATEOFOCCUPANCY
�;l CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
f 1 STOP ORDER POSTED.CALL INSPECTOR
i: INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContracto on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice