HomeMy WebLinkAbout1993-005269 (re-roof) . PEI�MIT �.-
CITY OF ORONO PERMIT TYPE: �,E��:��}��v;�
2750 Kelley Parkway • P.O. Box 815 Permit Number: +:;3:i�������:
Orono, Minnesota 55356-0815 Date Issued: i ir�.f��1 ;"��;:r;
(612) 473-7357
SITE ADDRESS:
,r��.i_��_': �'�`._��_!i �`[3 T�',j�?� �'tt�!
���'
�� . � . ��. r �..�!"'� f �!_�_��i"'F_JIi��-.
DESCRIPTION:
_..^L, � ���:t ;i
�iEFti tt:s�i���'=_r-s},�.;F. i-:
��u i I+�i�i,�; ���rrr�i t� T���r '=:F—s=�L�L,:��;��•ts�i}�;�L
�:;�= 7��f; t��=� �<<=t�6�: T;���� F;E—F;�=i�:i�.
REMARKS:
''�f�4' :f� .+l:JilAt.':
- L•S 7 ! L'1 L'f 14'!tL'
i t:t�:'!AN.'L lSiL f'!'�
:}('y{}i!i} �
FEE SUMMARY: i�'i�'it`L;L.�.� r
l�.t LLl� L�ra1l17
��H�{�I-�I-I�_E�� �� ; '_!�$'? J.ii�i.L.1lV V��V x�i
?!° !L'nl �i1
i�1 L•L!t �V
i=:=�t`��� �=,-_� ��;`'� , s)ii "%�Fni ' +r°s
� �u i rn.. �L'.�'`v
'�i'�E��-�}��{s—��j� ------- --� �St=' . -�::i} _' r3rt
7 �� 1 C • iT�•.���L'Ii L�%7i.!!1 r�6'eVV
i i_t t•CI_ f_'f� . _. . _ _ +�il:'!A!!� trY
L•t t/'f7TL•L •JV
J}LLLl! ! ^l R(!l 1�VL'!
�L�/�V7i�l� LVVd )�tl1 11.�V�G��,
i k i i!Y JV'.
VL'!�1!!�.
CONTRACTOR: OWNER: — '�F`�-`� ='`—�'��. —
�•1 i ti��j��.��, �ui�t1�°=�
y:3.i}.�. k;j-•(�_.�_.f_i ��{_�y i'J � �i7 t
11ri1��(;Ei_I �'�i+� ���i:�`�!,y, •
' i '� j.F-�
�3�i= �_}"�1!.1`__F:`�=1��.:3��s.�..J =irv_���� ` � i':��.I f�_ , _ ;-.y-f - - --`.'� -f-� '•r_ _ '':` E ` !-''-iF i'-�' - �; -
r; #� - -�;r_� [` {_' ''r?1�� ��i�.:I i �_ 1'?i—;�'•,s. i}�`' t ._�-1 �;°3� t _ 1�I'�i,..{� ! 'v
..,..� .. ,,.r ,.:h; • :;.:•. . , �.. __ _ . . i• � �t - - r�i _E'
.-.���-'=-r��•_�..} �--gz�:,�,1 F,�;j-i:_F-_:�; i ._i �._;f_I ::�...�. ,f,:.�i_i(-;=�., _:'� ., ; t=i: _;�f i_!_:(':_ __;"='!;'y�.:= `s�i !� . ._..__ _ :j'=7' `-;�:
t_��'A�.}���i_? _is.{_%1 i�.'I?�it_...._ 3"'IIti��.� �� f 1�� i..�` I?!.F��l�1=.���_I�;-� _}_�!�i t�f`�!? �,.�_�f.:.= tii�t�tl;I�:�;`i�`���- -
LJ
x ��..._.�- � .
"II- APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
.�� '
CITY OF ORONO - BUILDING PER�iIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: ./�� Permit n: ���i
AT,T• Ir7gpRMATION MUST Bg SIIBMITTED IN FIILL BEFORE PLAN 12EVIEW WILI� BE STARTED
(See Check-off List Encl.osed)
---------------------------
THE APPLICANT ZS: (circle one ) 0��1NER or CONTRACTOR
��0� �
JOB SITE ADDRBSS: �-�c�`.�t+� c�� � �r �C o ��2y'�IP:
(work)
NAMI: OF OWNER: 'T� '�^ �'1 c S���-� ^ PHONE: (home) '
MAII,ING ADDRESS: ,;1$� �'" C'c�,S�Z P7 2� CITY: � rc.� v ZIP:
CONTRACTOR: ��' �� PH���
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PH���
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION tt
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodei/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �-��4 ���� ���^� '`f
STORIES: % SQ. FEET OF EACH FI�OORs /�U�
NO. OF BEDROOMS: GARAGE STI�LLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ��""` /��� ����
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance wi�ha�hl
ordinances and codes of the City and with the State Building Code;
understand this is not a permit and work is not to start without a permit; and
that the work will be in accordance with the app roved plan.
�-r
APPZICANT'S SIGNATDRE: � �-�' __�� DATE: � �--5�
�
� �Y �I
��� ��-� �I'�7�' o� �R�NO
�
:��'-F� '�
`�=,.
a "�= Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
- ��
!
� _ � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2 , "Rights of subjects of
data", we would Iike 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 wi11. 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 , s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Councii ac��or.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your ful.l name is required to procass this application or
permit.
�a ��
First Middle Last
�-�o !� C"`L SCo �� ���
Address "
( i� ��
City State Zip
`) 1
Phon
I understand my rights as stated above.
. �iV t�( /�--'��"_
Signature
BUILDING&ZONING—473•7357 • ADMINISTRATION&FINANCE—d73-7358 • PUBLIC WORKS—473-7359
ASSESSING