HomeMy WebLinkAbout1992-004711 (re-roof) • PERMIT
` CITY OF ORONO PERMIT TYPE: �;�t�; ������,
1335 Brown Rd. South • P.O. Box 66 Permit Number: 4��j�+:1 1
Crystal Bay, Minnesota 55323 Date Issued: �`•-i! _°��'�_'
(612) 473-7357
SITE ADDRESS: _
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� APPLICANTPERMITEE SIGNATURE ISSUED BY SIGNATURE `��,,,/�J
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CITY OF CRC.70 - BUILDI�TG FE��ST A-PPLICl?TION
Date Aece�ved:
�tal Fee: $ ���� �C- �^
Da�� ��Drovec :
:�e'_�''c� RV:���i" PQr.t�`�. �L�l ��
,T� I�TFOR�'"I.ATION MIIST BE SIIBMITTED IN FULL BEF�RE PI�''j R�VI� �I'I' BE STARTED
(See Check-oif List Enc�osed)
----------------
� APPLIG�NT ISs (circle one ) OSv'�IER or CONTP.�?C'^OR
;B SITE ADDRSSS: �S� � � C,�.S CO Cr �"� '�( �� ZIP: �S � C� r
(work)
/ PHorTE: (home) � `7/ -O6 / 6
�� OF OWNER' �5 I � / — GV L/ h'��C7?l/v��2
;ILING ADDR.ESS:
3 � � � Ch`« c;rccl-� cz�: 1Nf�';z� 7�� zzP: 5.�� ��i /
i�z�c�cR: � 1� Sn� � -�-1-� CvrS� �^
P$ar�-E: �/ �7�- - 6 S��-i
�:I�IiIG P�DR.ESS� �G/ _7�/ ��i G'u�1,t�c�L7 /��LV,� CITY: � 6 ✓/"� ZIP: / �'' �� ,
1Ty LIC_.�N5E: - OC�C� �.5 � I
PHONE:
'.CHITECT/ENG�NEER:
;I,ING ADDRESS:
CITY: ZIP:
REGSSTRATSON '„
y41�.�
'?E OP �iORR: New
Additior_ Accessory Structure rlove �
. D�,no Re.�nodel/Al.teration� Renovate Larid Alteraticn
OPOSED WORR (describe in detaill = T�1��
�� �' i'�f9---1i c� S l/'� � � t � Z—�_
�.� �..0-6� ��-a.. �� ��—C S Y�� / L, 7'L/�--� /�c�Gl` — � t'r�G��l'�" —�, �/✓./�"�,
�RIES_ SQ. FEET OF EACH 1�LOOR:
_ pg $EDROOMS s G�RAGE STAI�LS: Aim• DE='•
��'=�SP,�ED CONS�tIICTION VALIIATZON (escluding Za�d) �S
.z � �� �
nereby apply for a buil.ding per:nit and I ac?:_^_c:a�edge that the in�o�h���e
ove is complete and accurate; �Rat the work wi� = be in confor:nance wi �-
3inances and codes or the City and with tne Syate Building Cede=�i���and
3erstand t'tnis is not a permit and work is not �o -art without a p
st the work will be in accordarice with the aporo��ec pl.an.
1 � \ DATE�� — ` � � 1 �
�ICANT' S SIG�7ATIIRE s V V '
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-� ��'�`�' o� ����T�
r� �a Post Office Box 6$•C •
rystal Bay, Minnesota 5a323 Municipal p{fices
- 01
:� � - a g� On the North Shore of Lake l�finnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would like to inform you that your request for a permit or
license from the City of Orono or any of its departments inay require �
you to furnish certain private or confidential information.
You are notified that:
I. The information you furnish wiil be used to determine your
cuaiifica�.ion for the pe�it or Iicense r_cuest�d.
• 2. You r,tay refuse to suppl.y data, but re=usal may reauire tzat
the City deny the pe�-mit or Iic�nse.
� 3 . The information may be snared witn o�.�er ioca�, s�a�e or
f edera? agencies to the extsnt necessary to process tne pe�-mit or
license.
4. If your recuested per^it or Iicense _ecuires Councii ac��o%
to approve, some inror.^.tation may become �ub?ic.
5 . You have cer�ain rignts under M.S. ?3 .C � to rzv_zw griv��e
data on yourself.
= 6 . Your ful.l name is recuired to process th?s applicatior. or
pe�it.
���2�-�.� � � s� ,
First Midd?e La �
_�� 7 � ��(�w i�U� � /��ic/i�
Address
i ��1 �Nl� , � �/- � �.� � �l
City ' State Zip
_ � 7 a- -- G �'�� �
. Phone
� I understand my right as s`ated above.
� . '
� Signature , •
ILDIVG& ZONf�G — 473•73i7 • AD,tiilylSTRATfON& FIV��VCE — 473-73:3 • PUBLIC tiVORhS —473-73.i9
ASSESSIY G
v
DATE TIME
CITY OF ORONO CALLED IN � `��
INSPECTION NOTICE scHE�u�E� i[,'/-Z��%%z- c�"��-�
PERMIT NO. �rI�� COMPLETED � �l
ADDRESS �3 ��1 U � �
OWNER'��:��'«�-�����r�cc-r � CONTR. ` ' � ���
TELEPHONE NO. �`E-��`�S 3�j
� DESCRIPTION ir F/r ���
� �—��
� 01 F�L1TlNG_ � 1`T MECHANICAL RI i6 WELLTEST PUMP
Q 02 FRAA��I�� 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 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
Q
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� �7 CORRECT WORK&PROCEED '; ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlContra on te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice