HomeMy WebLinkAbout1994-006499 - tear off/re-roof . PERMIT
CITY OF ORONO PERMIT TYPE: : :..- --.
�750 Kelley Parkway- P.O. Box 66 -�'"' �--`-'�' `"'''
Permit Number: ;;,;=:��.�,,i�:.;=.:;
�rystal �ay, Minnesota 55323 - � � '
(612) 473-7357 Date Issued: - ,;._,:�;;:_��.
SITE ADDRESS:
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REMARKS: i�:;:�:�,;'°:�;
FEE SUMMARY:
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APPLICA ERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BIIILDING PERMIT APPZIC�TION
� � � �
� ' � j, �� • Date Received:
� Total �'�?= $ �
Date A�proved: '
,� • (/`? C .
,� £nte_ed Bv: Permit� �i� 't ( � _ __ .
;� - .
� BEFORE PLAN RE�7IEW WIT�L BE SggRTF.D
AT,T, INgpRMATION MIIST BS`SUB C�T�D �L�'` Enclosed?
� ---------------------------------------------NT_�ACTO----------------------------
� circle one) Ot`TNE� or
�. TgE APPI,ICANT I5: (
�
� 3 � �� ��;�y,�s ,��� G,��� z=P:
�' JOB SITE ADDRBSSs
(work)
� � �� �������� PHONE: (home)
NAME OF OWNER: /� •'��� ` /
/ � ���CITY- �.C.���� ZIP:
MAZI,ING ADDRESS:_j� 3� �/��i1�j r
� �' i%/L���G�_�,/L�� PgON�.� ��-" �f�����
CONTRACTOR•���/Y�5c��� ,�<- /�� �`
. . � 1� C��%�� � cz�: /�,'��S zzP: S s�/%
HATT ING ADDRESS.
STAZ'E LIG�.C.�NSE: � ��v J
PHONE:
ARCHITECT/ENGINEER:
CIT�,: ZIP_
MATI�=NG ADDR.ESS:
R.EGISTRATION �
N�ME_
Accessory Structsre Move
TyPE OF WORR: New Addition Land Alteration
De�o
-e.*nodel/Alteration Renovate
PROPOS� WORK (describe in detail) :
�riK7/� ��.�" �.��0��-
STORSES: S4• FEET aF EgCH FLOOR:
NO_ OF BEDROOMS-
G�R�GE gTA7.T.S: ATT. DET.
- �' ���0� ��'
ESTIMATED CDNS�RIICTION VALIIATIaN (ezcludinq
land 1 : $
I hereby apoly for a building p
ermit and I ac?cnowl.ed4e that the information
above is complete and accurate; that the work will. be in conformacn�cdeu7zth �ne
� ordinances and codes of the City and with the State Building e�it; and
understand this is not a permit and work is not to start without a p
� - ------ - :�. � - c��/
that the work will be in accordance with the approved p �-
DATE- ����/ /
� APPLICANT'S SIGNATQRE: �' � ���
�
� ' � (a���" o� ���NO
�
� � esota 5a323•Municipal Offices
Post Office Box 6F'C�S'S�Bay, Min�
rt N w
� �
On the North Shore of Lake Minnetonka
• ' • •
$ DATA PRS�T.�C� ��SORY
' Subd. 2, "Rights of subjects of
# ou that your request for a permit or
InWe wouldnlike to i form3y04, uire
i data" , of Orono or any of its departments may req
( license from the CitY rivate or confidentia� in=ormation.
� you to surnish certain p
s
� you are notified that:
i. The inFormation you furnish will be used to determine your
qu
alification for the pern=-� or license requested.
2. You may
refuse to supply data, but refusa3. may require t a
the City deny the permit or license.
be shared with other Iocal , s�ate or
I e*-mit or
3 . The information may to process the p
� federal agencies to the extent necessary
' �icense.
� Iicense reau�res Councis a��'-°r
� a. If your requested pe=mi� °r ublic.
! �nformation may become p
`� approve, some . }
� hts under M.S. 13.Oa to review pr�Vc�e
;,. You have certain rig
data on yourself.
6. Your fu?1 name is required to process th's appl=cat�on or
per•nit.
F�rs` Middle
Last
Aaaress
Citv
State Zip
; phone
II understand my rights as stated abave.
�,
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; Signature
�
� ADMI."rISTRATiON&FINANCE—473-7358
• PUBLIC WOR� —473-7359
� BUILD[NG&ZONING—4�3-%357
� ASSESSIN G
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION O�C SCHEDULED
PERMIT NO. c PLETED
ADDRESS ��_�� `�d N S �.
OWNER���e�'�i4T� CONTR.
TELEPHONE NO. '1
� DESCRIPTION '2- �
ly� 01 FOOTING 11 MECHANICA�RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q FIN 14 SEWER HOOK-UP 06 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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D COMMENTS:
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d ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� ❑CORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. L� PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n � pe 'on 24 hours in a ance.473-7357
OwnedCo rac ite.
Inspector.
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