HomeMy WebLinkAbout - re-roof house/garage PER��IIT`
CITY OF ORONU 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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REMARKS:
FEE SUMMARY:
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APPLICANT'PERMITEE SIG A E ISSUED BY:SIGNATURE
CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ �� � �5
Date Received: ���� �5
Date Approved :
Entered By: -_��'' u �, ���1 >
Permit,r:
AT•T• INFORMATION MIIST BS SIIEMITTED IN FIILL BEFOR.E PLAN RE�7IEW WILL BE STARTED
(See Check-off List Enclosed)
------------------------------------
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Z*gg AppLICANT IS: ( circle �ne) O��TNER or CONTRACT�
JOB SITE ADDRBSS: ..� S s o� -.k ^ ZIP: S� ��� -
(work)
N� OF OWNEFt- j�lL/ G�i'��� PHONE: (home)��� I� 7�
MAILING ADDRESS: � S� �"� S��( � CITY: /,��,�.�` Z IP: 4���
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CONTRACTOR:� ' ,c// i� � � �C�'/�" o�;lP�`� PHONE: 'y�ol ��
MAILING ADDRESS: �jj�1�� /Si��-� .��•�-, CITY: ��Ci�-z-�-� ZIP: ���� �
STATE LICENSE: n �����
ARCHITECT/ENGINEER: PHONE: _-•
CITY: ZIP:
MAILING ADDR.ESS: --
NAMF_ REGISTR.ATION tt
TYPE OF WORR- New Addition Accessory Structure tdove
Demo Remodel/Alteraticn Renovate � Land Alteration
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PROPOSED WO� (describe in detail) - /,l�Q � � � � �"
fit��,� -c'f'� _
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STORIES:�_ S4- FEET OF EACH FLOOR: i�O� •
NO. OF BEDROOMS: G�GE STALLS: ATT. DET.
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ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ �� �
I hereby apply for a building permit and I acknowledge that the informatic:
above is complete and accurate; that the work will be in conformance wi�hat�•T
ordinances and codes of the City and with the State Building Code;
understand this is not a permit and work is not to start without a permit; anr.
that the work will be in accordance with the approved plan.
� �� �_,.�� DATE: � �� ��
APPLICANT' S SIGNATQRRE: �G'� _
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�_ . CITY of ORONO
� Post Office Box 66•Crystal Bay, Minnesota 55323•MuniciPal 4ffices
•
� _ e � On the North Shore of Lake Minnetonka
DATA PRNACY 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
Iicense from 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 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 , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Councii ac��o%
to approve, some information may becnme public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6 . Your full name is required to process this application or
permit.
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ClG/�C� / Last
First Middle
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Address
i�!�D 1���� `�i'/r �-�� /
City State Zip
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Phone
I understand my rights as stated above.
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Signature
BUILDING&ZOyING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS —473-7359
ASSESSING
C�
DATE TIME
CITY OF ORONO CALLED IN �1
INSPECTION NOTICE ';l 2 SCHEDULED �v J���I�I
PERMIT NO. U � COMPLETED j!_� , ��
ADDRESS � S C{' C � ' � =��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q �RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d ORK SATISFACTORY:PROCEED " PROJECT COMPLETE
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� C: CORRECT WORK 8 PROCEED �:: ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL REfURN '-' PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
7
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac o sit •
Inspector.
White Copyllnspector's File Canary CopylSite Notice