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HomeMy WebLinkAbout1995-007000 - tear off & re-roof PERMIT �ITI�OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - -�=.�'•:'=_ Permit Number: �°;;_;�:: Crystal Bay, Minnesota 55323 Date Issued: Y�;�;:�.:��-�.=: ,.-. : (612)473-7357 `_��-�%._.. .. _ SITE ADDRESS: -.. : _ .�. .._ . _ . _ ::: 1� .;'�:' � .i�=: DESCRIPTION: , ::;_..., :-:. .. _ _ _ .. � ,.,�.:: :.;�... -:; - _ _;r.: _ _.... ._<-j�s-::.� '-�'j:ar';i.#.: T`•'C�=; _. . .__ _ _I;+3_%;~;+�:��i_z.��y;����";_ r:� `_�L�i _;?1� _ .. -,t•t:; , �t-'L=' .._.— .:_f'•._;�� I L..�. ..�. .., _ . � . .... , ...L !.x��i.... .. . ,a i�t -�i?.�. . , Y� y l�'.':L�t1 _ f/_'s L�T � 1•��:...:."_. .., f:iLi ��'�::',,_' ` � . . :ii � ?7�.':.�_L. ._ . .. •'11 REMARKS: FEE SUMMARY: :-��-- .-- : _ _. . . �, _ . � ..�'�.K.:... . � ... . . . . / .— �. ��l..d'S:;'i�:� �ir,' _�_,�_� _ = _ �� {::� :��c i, - r w- -_--y ��_7:: CO:NTRA�TO.R : _. 4 = _ � � _ --- - Q1lllN�R _. ..; ,_ � ,.::_ � '- -: . ,, . ,.:,, - � �V F '_.."�i i�•-; , ' . . .�: _. ._ _. �. . a.__ _. _:�_. . .-.:,..; . -.t.: - - � - --.i` .. ,.�_��_� _ _`-�;_i - .. _. __ . . 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L + J � ��ry.�-� J APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � CITY OF ORONO - BQZZDING PE:�'�iIT r�PPZIC�T=ON ` • Date Received: Tota1 Fee: $ � � Date A�orovec: LIIt�'-"'ed $V: Pon'1' `� . ' _' ' gUI,.L BEFORE PI�1N RES7rEW WIIS� BE S1y�RTED �gpRMATION MIIST B$ SUBMITZ'�D I�`�_ ; � Enclosed) � A7T• (Se� C'�ec?c-af� L_s� - ---------�r^`�°---.--_--._--- -------------- `- -- ------------( circie one) ajv'NiR � CONTP,ACTOR� �,� APPLICr'�21T IS: � � �-. _ � � ���--�_ �� _ �:- , ZIP s JOB SITE ADDRBSS: � - ` > (work) , � � ' � PHONE: (home) ����� - � NA2� O F O WNP.F�= ��L-�-��_� r?, ���'�=�=',---=" Z IP: CI�Y: ��Z�SNG AIJDRESS: —' ' ;- ` . :� ��--'r� �� �-� f PH027E:'JJ i f -�' /� i ,� � r �.. CONTRACTOR: �','.J , ' - ' . �n � z�: � ;�:� � ,: �� ' �r G'✓V�`;�3,��G v�ll �� r � „V"'1 i MAT_T SNG A.DDRL'SS_ � r �7 � ' �� STATE LSG.wNSE: ,� �� > � �� ' PHONE= r��C31 TE CT/ENGINTf�•ER� Z IP: CITY: MAZI.ING A.DDRESS: KEGIS�m=ON � NAME: '�1 Addit;an Accessory Stru��s==' � cve �_ n,.,PE Qg j.;pg_g: New Renovate Land Alterat�on D�o Re.*nodel/Alteration�'�.�__ , PT_�OPOS� WORK (describe in detail-) = rt-�i� ,'t � �'`" .� �1�.4' �-1����` -t� STORIES- SQ- FE�T OF FAQ FLDOR: ��G'd ST�I�S s ATT' nym• — NO_ OF BEDROOMS: � � / _�� � ��' ' land) - $ � EST32�.A�Y.D CDNSTRIICTIoN VALIIATION (eaclndin9 III for a buil.dinq permit an work wi11 �e in conf rmance with tne I hereby zP_ Y - that the Code; that T above is complete and accurate, and with the State Building e�it; and ordinances and codes of the City understand this is not a permit and work is not to start without a p �:�i ;� �e approved p1�. that the work wi11 be ia accordariF , � - -------- : _ � �' � � ;�`.� �? _ - C . , _ � � i_-' _� ��� DATE s , � ,� � � � �� � � , ' �PPLICANT'S SZGITATDRE= ,.. � � - �, ��'��" o� ����0 Post Office Box 6&•Crystal Bay,Minnesota Sa323•Municipal Qffices - aA � � On the North Shore of Lake Minn.etonka - s ' • • DATA PRSVAC� ��SORY a Subd. 2, "Rights oi su Dee mit or In accordance with M.S. 13.0 _ , our recuest for a r data" , we w�uld like to inf orm you th of its depa=t�nents may requi_e license from the City of Orono or any Y ou to zurnish certain private or cfln=-dential in=o�z�ion. v e notified that: ou a� ,- aur ou furnish will be used to dete_mine y �. The in=ormation y . L or liCense requested- ' i _cation f or tne pe="�='- cua_if ' ; re that refuse to supply data, but reTus�� m�Y requ_- 2. You may license. tne City der.y tne pernit or �-• oY 1oca1 , s�a�a or be snared with o �n--_ or 3 . The information maY to process tne permi� federal agencies to the ex�.ent necessary ?icense. . ; ac��or. Iicense =e�ir�s Counc_i t vou� requested pe�it or i ; �. I� • become PuD�-�• to aporove, some insormat�on m�Y � hts under M.S. 13_ Oa to rev�ew gr�va .-e � , You have certain rig data or. yoursel`. y . 6. Your full na�e is required to PrpC�55 th�= appl-ca�-on or pe-•-mit. - �1 , - ^ , � � � � _r,zs� �' � Middle =i�st �' — . ,-, �? � ����J�� , � � � `�� � ��/' v����' ' Address ;, � ,�_ � _l �;,,�. �fn r�)�/1-� �� , �i.,'`l�-,� z i n State City �.' � �' j phone I understand my rights �as stated above. � I -� �n� �� � . , , f �_ . ' Signature • pDMIIyISTRAT10N&FINANCE-473-7358 • PUBLIC WORKS-473-7359 BUILD(YG&ZO`lING-473'�357 ASSE55ING � D T TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTI E SCHEDULED � ��`3 D PERMIT NO. ���� COMPLETED ADDRESS pZ 7 73 C�G� (� P�, OWNER /��lI(� TELEPHONE NO. ��Z Z7 S �Z�vS � CONTRACTOR � �: DESCRIPTION l� S C�a'�C��( � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � 2 W � W � � GW�SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALt iNSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. . White Copyll�spector's File Canary CopylSite Notice