HomeMy WebLinkAbout1993-005188 - reroof house PEI�MIT .-
�IT`a� OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 �'�#�'-�3�'�`-�`
Permit Number: ;;i,�; ,_;;:
Orono, Minnesota 55356-0815 �' =�� -
(612) 473-7357 Date issued: �;�,;�w;1::��;:=;
SITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: OWNER: — �r°�=� ?_�?}�EF. —
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APPLICANT/PERMITEE IGNATUFiE ' ISSUED BY:SIGNATURE �!�
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- • R CITy OF ORONO - BUIZ�DING PER�iST APPLIC�TION
D�te Received:
Total Fee: $��J Sb
Date Approved:
� Entered By: ti�� — Permit�: �/8�
TION MIIST BE SIIBI`�IT�En IN FIII'L BEFORE eL�N �vl� �I'I' BE STARTED
AT•T• INF�1�*SA (See Check-off List Enclos
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TgE APPI,ICANT IS--- ( circle one�---�t`R'TER or CONT_RACTOR s�3��
'�`f3S �r � �A �, �r�.o Nc'� zzP:
JOB SITE ADDRSSS: '� � X�
� (work) �7�'�`�J�
�l ��tu� d c �' 9�186
�,,f/�f-�P PHONE: (home) `1 7��
NAME O� OWNERs ��
MATI,ING ADDR-ESS:
���.�2 �vl-- �',�'ll�L'� CITY: ZIP:
PH�NE:
CONTRACTOR:
CIZ,Y: ZIP:
MATLING ADDRESS:
STATE LICENSE: n
, PHONE:
ARCHITECT/ENGINEEK:
C=,l,Y: Z I P:
MATLING ADDRESS:
REGISTRATION L
NAME:
Accessory Structure biove �
Addition Land Alteration
g*ypE OF WORR: New Renovate —
Demo Remodel/Alteration� �
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PROPOSED WORR (describe in detail) =
/ SQ. FEET OF EACH FI,OOR: l��
STORIES: �
NO. OF BEDROOMS:
�/ GAE2AGE STALLS: ATT. DET.
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ESTIMATED CONSTRIICTSON VALIIATION (��Zud�g I�dJ � $ ed e that the informatic:
�
I hereby app ly f or a bui lding permit and I acknow g
bove is complete and accurate; that the work will be in conformance Wlthath�
a and with tine State Building Code;
ordinances and codes of the City
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understand this is not a permit and work is not to start without a permit,
that the work will be in accordan e with the a�proved plan.
,�!��� � DATE: ���J�G------
- APPZ,IC�r7T'S SIGNA�'D�E=
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��'` R�`���;:� Post Office Box 6fi•Crystal Bay,Minnesota 5a323•Municipal Offices
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� _ � o On the North Shore of Lake hfinnetonka
DATA PRIVACI' ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of sub ermit or
data", we would 3ike to inform you that your request for a p
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 Iicense requested.
2. You may refuse to supply data, but refusa3 may require that
the City deny the permit or 3icense.
3. The information may be snared with other Iocal , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii. ac��o%
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to proc�ss this applicatian or
pe�-mit.
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Middle Last
Firs1 h �� ��
3� 35 r
Addr ss
�✓4� ��`� S S 39�
City State Zip
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Phone
I understand my ights s stated above.
� ��
Signature �
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE —�i%3-7358 � PUBLIC WORKS —473-7359
ASSESSING
�
DATE TIME
CITY OF ORONO CALLED IN T z 3
INSPECTION NOTICE SCHEDULED S/.z�/93 4 : 3 a
PERMIT NO. _.5 �8 � COMPLETED �''� 1
ADDRESS- �'�"Y3s l_��f�,���
OWNER �.� ae� CONTR. ,�e.�
TELEPHONE NO. /,�7�- �`���
� DESCRIPTION
� 01 FOOTING 1 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 AL 13 METER SET/TURN ON 17 SITE INSPECTION
� O—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTiC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC iNSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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d �ORK SATISFACTORY:PROCEED ?'�PROJECT COMPLETE
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� C1 CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY
W
O CJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR W�LL RETURN ' PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUfRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnedContractor it -
Inspector.
White Copyllnspector's File Canary Copy/Sfte Notice