HomeMy WebLinkAbout1990-003178 - reroof/2nd layer �
PERMIT
CITY OF ORONO PERMIT TYPE:
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1335 Brown Rd. South • P.O. Box 66 Permit Number: ;-;;_?:;�;;_;
Crystal Bay, Minnesota 55323 Date Issued: � '
(612) 473-7357 �"��-�/'.~.'':�4`j
SITE ADDRESS:
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t�P1 �_I�AN?PER��4ITEE SIGNATURE ISSUED BY:SIGNATURE -
ORONO POLICE DEPARTMENT
VIOLATION WARNING
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Date ! ime / � ��'U Officer �� l
Location S�� C m. Code�
DRIVER ��-
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ADDRESS
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CITY ^j STATE ZIP`�
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OWNER/PARENT- GUARDfAN
ADDRESS
CITY STATE ZIP
VEHICLE
Veh. Make Typ
VIN Color Yr. Model
Lic.No. Yc State
Trlc Make Type
VIN Color
Lic. N . State
You have violated the laws of Minnesota as follows:
❑ Traffic ❑ Equipment ❑ Driver's License ❑ Registration
M.S.S. VIOLATION
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❑ If Box to the left is checked the above violation must be corrected within 7 days.The
correction must be inspected by a law enforcement officer.The law enforcement
officer shall sign the reverse side of this form certifying the correction is made.
FAILURE TO DO SO WILL RESULT IN CITATION BE�NG ISSUED.
1 CITY OF ORONO - BUII,DING PERMIT APPLICATION
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� Total Fee: $ Date Received•
� Date Approved:
I Entered By:
; Permit#:
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3 AI,I, INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED
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THE APPLICANT IS: (circle one) OWNER o�CONT�CT�B.--�
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JOB SITE ADDRESS: � � �� �`'''�`w��''�`-i ��v�-C' ZIP:
(work)
NAME OF OWNER: � ��4''(�� �'�- � l�'k'`< C�`� �%� PHONE: (home) �{'7l' 7 I� �
MAII,ING ADDRESS: 2 S �>% ��" �'�t�t.� !r���rD�7 CITY: (��' �'v� �� ZIP:
C ����' i�`,�
CONTRACTOR: I v✓� "� v���"� '� `��� ' PHONE: � SC��- �-��:�-���
MAILING ADDRESS: �5� � � C��>L%ti���� ���'v",'�CITY: ��Z`(�'���V'\ ZI�.'���`(`{�-- .
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration �— Renovate Land Alteration
PROPOSED WORK (describe in detail) : �� �- �� ���� � � �� `--�7`P-�' �'��`'�
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1 �7� LY) �J�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT.�C_ DET.
ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ ( ��C� , {}�J
I hereby apply for a building permit and I acknowledge that the informat�
above is complete and accurate; that the work will be in conformance with
ordinances and codes of the City and with the State Building Code; tha
understand this is not a permit and work is not to start without a permit;
that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATORE: ��� � DATS: _
- - -= __ -
- _ (Please fill out the reverse side of this form) _ �
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CITY of O
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 AD_VI_SORY
In accordance with M.S. 15.165, "Rights of subjects of data", we
would Iike to inform you that your request for a permit or license
f rom 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 Iicense 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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City State Zip
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Phone
I understand my ri hts as stated above.
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Signature
BUILBING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLiC WORKS—473•7359 -'___
A3SESSING
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONNOTICE SCHEDULED �-IS -5� a�e�
PERMIT NO. COMPLETED �� , � ' ��T
ADDRESS Z��� OvNw oo�
OWNER CONTR.
TELEPHONE NO.
j; iJ FOOTING ❑ MECHANICALRI ❑ SITEWELL
~ ❑ FRAMING ❑ MECHANICALFINAL ❑WELLTESTPUMP
W
� G INSULATION ❑ FIREPLACE/WOOD BURNER ❑ EXCAV/GRADING/FILLING
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Q ❑WALL BD. ❑WATER HOOK-UP C LAKESHORFJWETLANDS
Z ❑ FINAL ❑ METER SETITURN ON ❑TREE REMOVAL
Q Ci DEMO—SITE ❑ SEWER HOOK-UP ❑SITE INSPECTION
_
� ❑ DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
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� Cl PLUMBING RI �SEPTIC INSTALL. ❑COMPLAINT
= Ci PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOLLOW-UP
zCOMMENTS: �-Sl�n �2'�-��'�—
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d '_!WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
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� ❑ CORRECT WORK&PROCEED ❑ CITATION ISSUED
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O �, CORRECT WORK,CALL FOR REINSPECTION C] PROJECT COMPLETE
0 BEFORE COVERING C=1 ISSUE CERTIFICATE OF OCCUPANCY
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
TOP ORDER POSTED.CALL INSPECTOR
f, INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73FJ7
OwnerlContract n 'te:
Inspector.
White Copylinspector's File Canary CopylSite Notice