HomeMy WebLinkAbout1989-002296 - re-roof _ PERMIT
" :�F ORONO PERMIT TYPE: }� --.-F -
� . �� Rd. South • P.O. Box 66 F"�l_S},f��i F.i'J1:i
_ . ,, Permit Number: :.;;i��,_,-:,_,
' - �, Minnesota 55323 Date Issued: -���� ��_�
7357 _ .=:.`�:._,.',� _.
SITE ADDR�SS:
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APPLICANT%PERMITEE SIGNATUPE ISSUED SIGNATURE
INSPECTION RECORD
CITY OF ORONO PERMIT TYPE: .-:�:��� �:���-Ys=,
1335 Brown Rd. South • P.O. Box 66 Permit Number: t fi.i==:�`a;-,
Crystal Bay, Minnesota 55323 Date Issued: z�i':i t'=�-���<<�`='�_�
(612) 473-7357
SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK:
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- ' CITY OF ORONO - BIIILDING PERMIT APPI.IC�TION
Date Received:
- � �"�1ta1 Fee: $
� Date Ap�roved:
Entered By: ���
Pe�.-mit�: =����y�''
AT.T• INgOgMATION HIIST B$ SIIBMIT'I'ED IN FULL B�FORS PLAN REVIEW WIZ,L BS STARTED
----------------------------�--
----------
�� �PI,I�T Ig: (circle one) �OWNExI or CONTRACTOR
�_____�
� .��� ZZP: 5 5�3���/
Jos sZ�E ADDREss: �,�- �� ' ��C� � . -
(wo rk)��7-�O>�
oWNSR• �.J�. U f �-'" ��'� !�1 PHONE: (home) /- S 1��
2IAME OF -
MAII.ZNG ADDRESS:,�Z�oS ��%L V 1 C�(•!J 1 � CITY: � �2���� ZIP: �� _
_ // � �_ PHONE:
CONTRACTOR: � �j
CIi'V: Z,Ip:
MAILING ADDR�SS:
TYPE OF R'OR�:: New Addition
Accessory S�ructure Mcve
Demo Remodel/Alteration
Renova�e Land Alteration
PROPOSED �dOR� �
describe in detail) s � � � ����
STORIES: �
SQ. FEET OF EACH ��R= � ���)
,
NO_ OF B$DROfl��S:�_ C�ARAGS STAI�LS: ATT. DET.
ESTIi�fA�ED CORSTRIICTIOI3 V�iLIIATION (e�ClndiIIg Iana} = $ '�� ���
�.:
I hereby a�ply for a building permit and I acknowledge that the in�orma ___
above is complete and accurate; that the work will be in conformance wit� �
ordinances and codes of the City and wi�h the State Building CoeSfi1�hG`
understand this is not a permit and W th tne approved�plan. i`hout a g
t hat t he wo r k w i l l b e i n a c c o r d a n c e
c � I �
� DATy:
A.ppI,ICF�sT'S SIGPIATIIRE s
(Please zill out the reverse side of this form)
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a1�t�.' Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
,. ,,a; �
�.� _��� ,r s On the North Shore of Lake Minnetonka
DATA__PR_IVAC�' ADVISORY
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
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 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 Iicense.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
�icense.
a. If your requested permit or Iicense rec7uires 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 fu13 name, and date of birth are required to process
this application or permit.
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-_ _ _ _ _UI �uJ_.._ `�_ �_ - ---- ---- ------ .. _ — ----
Address
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City ; State Zip
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Phone
I understand my rights as stated above.
- �' �� / // � - -
Signatur
BL'ILDING&ZONING—473•7357 • ADMINISTR4TTON&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
5
T TIME
CITY OF ORONO CALLED IN �
INSPECTION N I SCHEDULED
PERMIT NO. coMP�ErEo ��=o�
ADDRESS � � l,� 1
OWNER CONTR. �
TELEPHONE NO. ���"�„�,��
FOOTING '� PLUMBING RI C FIRE PREV.
�
� Ci FRAMING C PLUMBING FINAL ❑ FIRE SUPRESSION SYS.
� � INSULATION � MECHANICAL RI � EXCAVIGAADINGIFILLING
y i LLB �J,�,,/�- �� MECHANICALFINAL ❑ LAKESHORFJWETLANDS
� FINAL�,:'l�(�(Jf' i- FIREPLACE/WOOD BURNER ❑TREE REMOVAL
Q G DEMO—SITE ❑ WATER HOOK-UP ❑ KENNEL LICENSE
� C DEMO—FINAL ❑ METER SETITURN ON ❑ SITE INSPECTION
� � SEWER HOOK-UP ❑ PROGRESS
_ ❑SEPTIC MAINT. ❑ COMPLAINT
v ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� C SEPTIC FINAL
O ❑ SITE WELL
� ❑WELLTESTPUMP
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� COMMENTS:
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W �WORK SATISFACTORY:PROCEED �� PHOTO TAKEN
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O - CORRECT WORK&PROCEED C CITATION ISSUED
Q f; CORRECT WORK,CALL FOR REINSPECTION C ISSUE CERTIFICATE OF OCCUPANCY
V BEFORE COVERING TEMPORARY
i CORRECT UNSAFE CONDITION WITHIN HOURS. pERMANENT
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR
- INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector. � 1
White Copyllnspector's File Canary CopylSite Notice