HomeMy WebLinkAbout1994-006081 - re-roof/porch PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Per,mitNumber. f'i-�'.':.�'''`'''
Orono, Minnesota 55356-0815 . '-''-%�-:-'���
(612) 473-7357 ' " Date issued: _ -.
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SITE ADDRESS: � �
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FEE SUMMARY:
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APP ICANT!P R I E SIGNATURE ISSUED BY:SIGNATURE
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��t CITY OF ORONO - BIIIZ�DING PER�iIT A.PPI,IC�TION
l� , p" Date Received:
Total Fee: $ �
Date A�nroved: '
E�tered Bv: /''''Z''� - Per.nit� Y� ��� _ -
p,T.T. INgOg2�iATION MIIST BS SUBMITTED IN FULL BEFORE PLA.N R�VIEW WIIZ B$ Sg�RTED
(See Check-off List Enclosed) _______�
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TSE APPLICANT IS: (circle one) O��E ar CONT.2ACTOR ���/
JOB SITE ADDRBSS:
2�7� �� /0/NT�! zzP:
(work)
/' �,/J �Q PHONE: (home) '�`�!�3 L'/
NAME OF OWNER: �DII� �"' u'" � / 2
��7� �,�� f/ �� CITY:��/1�7� ZIP: J
MATI,ING ADDRESS:f-�, • ••• ,�
PHONE:
CONTR2�,C'rOR=
C=Z..�: ZIP:
MATT,ING ADDRESS:
STATE LIC.�.�NSE: �
PHONE:
A�tCHZTECT/ENGINEER: ;
CITY: ZIP:
MATZING ADDRESS:
R.EGISTRATION 4
N�-
Accessory Structure Move
TYPE OF WORR: New Addition Land Alteration
De�o Remodel/Alteration Renovate
/�jp„U� .��.�i-n. �/� ��D/t/'lllQ�;j
PROPOSED WORK (describe in detail) �� N�
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STORIES:____L_ SQ• FEET OF EACH FLDOR:
NO. OF BEDROOMS:�_ ��� ST�II�LS: ATT. DET. �
landl : $ Z-i�cs
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ESTIMATF.D CONSTRIICTION VALIIATSON (eacludinq
I hereby apply for a building p
ermit and I ac?cnowZedge that the information
above is complete and accurate; that the work will be in conform C ae Wzth t e
ordinances aa d co des o f t h e C i t y and with the State Building e�it; and
understand this is not a permit and work is not to start wi t hou t a p
that the work will be in accordance with the aporoned plan-
DATE:
APPLICA�7T'S SIGNATUREs
.. . . � � � �--� �.S��-�-
�= � C���' o� O��I�TO
p,�� Post Office Box 66•Crystal Bay,Minnesota 5a323•Muaicipal Offices
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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 like 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 inr"ormation.
you are notified ,that:
1. The information you furnish will be used tb determine your
aualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
tne City deny the permit or license.
3. The inforination may be snared with oth=�r e scthe permit or
f ederal agencies to the extent necessary to p
?icense.
a. If your requested perntit or license requires Councii ac�io%
to approve, some information may become public.
S . You have certain rights under M.S. 13.04 to review grivate
data on yourself.
6, Your full name is 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 Z1p
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Phone
I underst d my rights as stated above.
Sign t re ' •
BUILD[NG&ZO`rING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
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DATE '�� TIME
CITY OF ORONO CALLED IN =s�� �
INSPECTION NOTICE SCHEDULED �_
PERMIT NO. Gi O�L_ COMPLETED � �
ADDRESS � ��T ��Gf.��'� � �i�/1
OWNER It�✓/�t�.�-�ti CONTR. `�
TELEPHONE NO. �7�� � j`j�
� DESCRIPTION �e r��
4� 01 FOOTING 11 MECHA CALRt 16WELLTESTPUMP
y2 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPT�C FINAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �ORKSATISFACTORY:PROCEED C, PROJECTCOMPLETE
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� C' CORRECT WORK R PROCEED f: ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
�1 STOP ORDER POSTED.CALL INSPECTOR
IJ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnerlContracto i :
Inspector. -
White Copyllnspector's File Canary CopylSite Notice