HomeMy WebLinkAbout1989-002501 (tear off/re-roof) PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'i'3�--�}���
Permit Number: ,�.
Crystal Bay, Minnesota 55323 Date Issued: �'`}y�,{y�
(672) 473-7357 ! ���`}?j'=:'=�
SITE ADDRESS:
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INSPECTION RECORD
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 E��J I LD i NG
Permit Number: t lt;��C;�.
Crystal Bay, Minnesota 55323 Date Issued: 1 �,j;i']/;;��
(612) 473-7357
SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK:
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CITY OF ORONO - BUILDING PERMIT APPLICATION
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�otal Fee: $ �� ��� Date Received:
Date Approved:
E:Ztered By:
Permit#: �S� �
,.�LL INFORMATION MIIST BE SIIBMITTED IN FULL BEFORE PLAN REVZEW WILL BE STARTED
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THE APPLICANT IS: (circle one) OWNER or, CONTRACTOR�
JOB SITE ADDRESS: �•�3; l.�,fa�<_ �� ,l/7C:L. c= ZIP: < < --�3 ' %
(work)
NAME OF OWNER: ���� ����R �- � �1 J !: I^'� PHONE: (home)���-7��-`i )
MAILING ADDRESS: ��/�h-•, � CITY: ZIP:
:
CONTRACTOR: I,��" j`� �i"►�ij`-l� C��ti`T`•rZC,I, 1�iv�-' PHONE: ` 7� -F�_��1
MAILING ADDRESS: �l 7S� C_,�'J�'c�� -���7�� �Gt,'t� CITY:/h�'/�,-.-1� ZIP: ���'G C.
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration)� Renovate Land Alteration
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PROPOSED WORR (describe in detail) : �L Fl r� ,,�r /=����' � i"'� V ��%- � t % l:ti ��
_�- '��-�`J_�j:
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ � `f �S -
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 Fermit 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: �/(�/�%��_' :-��,.�� � .-y-=� DATE: ��� ��-�`%
(Please fill out the reverse side of this form)
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�����k �'e 'f''. Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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�`� �'- 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
would like 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 license 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 Iocal , 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 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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First Middle Last .
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Address
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_._ __ _---.. .._.- ----._ --- - .._...._-- ----- .
City State Zip
� y� ��y, �- ---- - --- --- --- --- - .
Phone
I understand my rights s stated above.
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Signature
BUILD[NG&ZONING—473-7357 • ADMINISTRATIOIY�&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
� AT TIME
CITY OF ORONO CALLED IN � �-�,�_
INSPECTION NOTICE SCHEDULED 0 � "��
PERMIT NO. S� � COMPLE � �.D%-ab
ADDRESS � � ���
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OWNER CONTR. ��.� ��1✓1'Lt�_
TELEPHONE NO.� � �.��-1
j: ❑ FOOTING ❑ MECHANICAL RI ❑SITE WELL
~ ❑ FRAMING ❑ MECHANICAL FINAL ❑WELLTEST PUMP
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� ❑ INSULATION ❑ FIREPLACEIWOOD BURNER ❑ EXCAVIGRADING/FILUNG
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❑ ALL BD/J ❑WATER HOOK-UP ❑ LAKESHORFJWETLANDS
Z FINAL hC�� ❑ METER SETlrURN ON ❑TREE REMOVAL
Q ❑ DEMO��SITE ❑ SEWER HOOK-UP ❑ SITE INSPECTION
_
� ❑ DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
J
�Q ❑ PLUMBING RI ❑SEPTIC INSTALL. ❑ COMPLAINT
_ ❑ PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOLLOW-UP
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GW �WORKSATISFACTORY:PROCEED ❑ PHOTOTAKEN
� CORRECT WORK&PROCEED ❑ CITATION ISSUED
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� ❑CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
� BEFORE COVERING
V ❑ ISSUE CERT�FICATE OF OCCUPANCY
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
CJ STOP ORDER POSTED.CALL INSPECTOR
C_] INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor o�site:
Inspector. '
White Copyllnspecto File Canary CopylSite Notice