HomeMy WebLinkAbout1993-005448 - tear-off/re-roof � ;I�MIT �
CITY OF OF�C)IVi,� PERMIT TYPE:
2750 Kelle Parkwa P.O. Box 815 `�!-�#�-`�� '-��==
y y ' Permit Number: ;�t;��,�__:
Orono, Minnesota 55356-0815 =
(612) 473-7357 Date Issued: - - - - -
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:�
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AP ICA E ITEE SIGNATURE ISSUED BY:SIGNATURE
� �"b LDING PERMIT APPI.ICATION
CITY OF ORONv UI
Total Fee: $ �C � � Date Received:
Date Approved:
Entered By: � .� � -��y��
Permit n: �
AI�L INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII� BE STARTED
(See Chec}c-off List Enclosed)
---------------------------------------------
THE APPLICANT IS: (circle one) OLdNER or CONTRACTOR
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JOB SITE ADDRRSS: �'� > �`%--�� � ; I ; � � ' �%l' �.;" ) r j` ZIP: � S ':>r! I
(work)
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NAME OF OWNER: �� �� �� t � �� �� ll �y� �, /� � l.t_ PHONE: (home) , , i /j("
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MATI,ING ADDRESS: J CITY: ZIP:
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CONTRACTOR: � ' PH���
MAILING ADDRESS: CITY: ZIP:
STATE I.ICENSE: �
ARCHITECT/ENGINEER: PH��'
MAILING ADDRESS: CITY: ZIP:
NAME: R.EGISTRATION tt
TYPE OF WOR.R: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED W�RR (describe in detail) : ,l � !� I � �
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STORIES:�_ S4- FEET OF EACH FLOOR: I •-'� � r
NO. OF BEDROOMS: � GARAGE STALI�S: ATT. . -i DET.
ESTIMATED CONSTRIICTION VALIIATION (excluding land) s $ .�C � �
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 the
ordinances and codes of the City and with the State Building Code; that I
understand this is not a permit and wvrk is not to start without a permit; and
that the work wiI 1 be in accordance with the approved plan. �
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APPLICANT'S SIGNATUF2Lr: c. !t� - f �
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*� ' �' �� Post Office Box 6fi•Crystal Bay, Minnesota 55323•Municipal Offices
v.Y.]::s
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�_ _ � � 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 Iike to inform you that your request for a permit or
Iicense 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:
1. The information you furnish will be uuested, determine your
qualification for the permit or Iicense req
2, You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be snared with oth�ocesscthe permit or
federal agencies to the extent necessary to p
Iicense.
4. If your requested permit or Iicense requires Councii ac��or.
to approve, some information may become 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 proc�ss this application or
permit.
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I understand my rights as stated above.
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Signature��'� , , � � �
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBL[C WORKS—473-7359
ASSESSIN G
D TE TIME
CITY OF ORONO CALLED IN �� � ��C�c
INSPECTION NOTICE /C��/ SCHEDULED 7 ' � �d ��S
PERMIT NO. �S L/ ` V COMPLETED � �
ADDRESS � �-�!_S �ti�-C �i-E �S�Z_t�_ �C_'�
OWN ER -������L/�h t � CONTR.
TELEPHONE NO. `�%/ � l � ��
/
� DESCRIPTION � ���/
� 01 FOOTING 11GMECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WET�ANDS
O
Z 44.1tYALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEIC�O—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED i:� ISSUE CERTIFICATE OF OCCUPANCY
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto�it �`,
Inspector.
White Copyllnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN •�Z�� 9.3
INSPECTION NOTICE i��p SCHEDULED ����/`''-3 ��
PERMIT NO. � �� COMPLE� �
ADDRESS � � � � �
� •��'cz/'i�
OWNER `�'{ CONTR. ��
TELEPHONE NO. ��/ -�'�/O
� DESCRIPTION 1��
W ��G, 11 MECHANICALRI 16WELLTESTPUMP
QFAAMIDI� 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED ,-1 PROJECT COMPLETE
W
� l_ ORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2 hours in advance.473-7357
OwnerlContractor on sit -
Inspector. --
White Copyllnspector's File Canary CopylSite Notice