HomeMy WebLinkAbout1995-006920 - reroof/tearoff ! PERMIT
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CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 � �+`��:�
Crystal Bay, Minnesota 55323 Permit Number: _ _ _
(612) 473-7357 Date Issued: . -
SITE ADDRESS:
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DESCRIPTION:
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APPLICA T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
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+ CITY OF ORONO - BIIILDING PERMIT APPLICATION
Date Received:
Total Fee: $ ����-����
Date Approved: _
Entered By: %'i Permit tt: �' i'C�
ALL INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PLAN R-E�7IEW WILL BE STARTED
(See Check-off List Enclosed)
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TgE APPLICANT IS: ( circle one) OWN�or CONTRACTOR
JOB SITE ADDRSSS: �`'�`�U C�c�'tic�'���� � . (-,��;��� ZIP:
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(work) �35-��1)
NAME OF OWNER- ��,� � �/1�� � �n PHONE: (home)��� - �� •-
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vr; �-.0 ZIP: �S 3�� '
MATZ,ING ADDRESS: �,`i`L�% C�,�Lu;c�t''h. CITY: ,
PH�NE: -
CONTRACTOR:
MAILING ADDRESS:
CITY: ZIP:
STATE I,ICENSE: #
PHON'r�: �_
ARCHITECT/ENGINEER: �
MAILING ADDRESS:
CITY: ZIP:
N�2�iE_ R.EGISTRATION n
TYPE OF WORR: New Addition Accessory Structure
Nlov e
Demo Remodel/Alteration Rerlovate Land A_lteration
PROPOSED WORK (describe in detail) : � - t� ��
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STORIES: SQ. FEET OF EACH F�OOR= _'
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATI ON (ezcluding land) : $ `T� ,,���� � U � •---
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with thf'
ordinances and codes of the City and with the State Building Code; that
understand this is not a per it a d work is not to start without a permit; anc%
that the work will be in acc�r a ,� e with the approved plan.
�' ,( DATE: � - �' �
APPLICANT'S SIGNATIIRE: � � �- —
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Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal ces
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� _ e � 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 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 wil.l be used to determine your
qualification for the permit or Iicense 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 loca3 , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council ac��o^
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priv�te
data on yourself.
6 . Your full name is required to procass this applicatior. or
permit.
C.� �- T 1�q,^ �ti``-� �'o'�
First Middye Las
)�y� C�.��s a;�, ��
Address
M� `�� �c�ll
L '����� � � --
�i�� _ Stat� Zip
_ �111 -�16 �
Phone _
I und�r t nd my rights as s�atEd abcve .
,
Signature _
BUILDIVG& ZONING—473-7357
• A��4IIdISTRATION.&FINANCE— 473-7358 • PUBLIC WORKS — 473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED W ���
INSPECTION NOTICE SCHEDULED �.�Z//i`� .�'��
PERMIT NO. �C���� COMPLETED U N
ADDRESS /�'-�� (_�:iz,c'���- ��. �—
OWNER ,�_����� CONTR. _���
TELEPHONE NO. / '`�ii - ��C�,�'
� DESCRIPTION _ .-��-�'�r�;�
� 01 FOOTING _ 11 CHANICAL RI 18 EXCAV/GRADING/FILLING
� RAM 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEEi YOU:_YES_NO
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� COMMENTS:
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d �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
W
O �� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY `
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. -, pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
[7 INSPECTION REQU:IRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor it
Inspector.
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