HomeMy WebLinkAbout1991-003680 - tear off/re-roof PERMIT
- ��TY OF ORONO PERMIT TYPE: �;�;��_�s�p��
1335 Brown Rd. South • P.O. Box 66 Permit Number: :=ji:f::�_;�i_i
Crystal Bay, Minnesota 55323 Date Issued: ���%��_�`_�%'=�i
(612) 473-7357
SITE ADDRESS:
���i t=i�;'t'.=;?i=iL F`�
i€�i�
F`. i . ��I. � 1�'-1 i:—.y_—4.:,t—t:��:it�7
DESCRIPTION:
] i�E-'t�i ���f��:`�;c—ntli���-
���{�. 1�J 3.�i�� i�tC I�T�{1. �• i y�'�_ :.:�a —�'4t..�E�l��"`tt�{`�i 3�LL
C�I..a�. .}E����!`-� 14;�..��4'F�. � }'�-''t.' �"1�_—'�%}t�}-
��t. �""w i ' i�r'1
_ � µ � '�� � . .. .
� y;;� � _ . � . ,
� .. . �� r ;� . � � , � ' .
� �
. .,5r„q�a� '4 �"�'` � �,a _.` . . .
+} �f+� ��
� � ��,�,����,��r�, 4� �A�� '��� �k`8�4�" � r� �^ilw�(�,# '��`
� s �"�4
� ����� � : -� r �"y� r��"'c m z r' . �
� �. �r n .�, �'� �! � r��'� � �'�3 .
�� �t'�,-� ���� � � ��-���y��/��� �� �,
�,rr ,� u
'�" ����a��" ;� -.��.�, ,,.,��������"
REMARKS:
FEE SUMMARY: t ,,��� s_.:.:. ��ry �c �r,�,�n
!H �T i's�+f�i �1 , _a�_��_r
�t�r`����i,.i v��T�i
�ct�� �"CC $�:_�i , lltit
i�i.ii��%vvv tt
'• r -. ��i u�ii� �J�v�
�t�l�f i'��'!ci�"'�C ._�_�...__.__.__�;.'s�'..ta �}�
�"—+� _ � � [� 1 i..LtiV4•<�VV �
!�_��•a�. t:e �•.�•_ . �;i3
i�i uii i� ..r'iv
TvT �s r
7�i �u�i,.fv
1t,,�✓� i i%1.vi%
r•cr�;�rc --_ _�►
t+i i � va. i.i■j,.�
iii�•ii�T""i�R�1` l•Vitj
jj f�•:%jt f'�'ti�f {�f41 3f'.%a1r
/�Liii.i.V I�+VY1 tlY= 11L�1�..'
,r1�!v i if�i
CONTRACTOR: OyVN�R;. -- '��`�_'� '��`���� '—
:-,Hi•1 '_i�t;� .;;�r�i�°=i
=:4•`_�i C:�i`i�:=•l"r"-�1._ �'L_
�,i�;i�{�Ji i �1iti ��_�'�!�.
�i.;�.—:1 ;.�:�
---- --_ _______ __ _ _ . _ _ _ ______ �
� �r t� i�i � � �:- � rr�--;-:: ��:�r:� •� rr - —1.� �i_ _ q. �------�
� T�-sr� :��i �,t_i����#�.L .i(�F�_; i.+�•�::;;�.� F.:. 1=�_; .s �.� � _;?���i�� Ts=� ��r�fi'.E 7:��,= t�i1,�-s;__ i� �t'i�;+_=�.`C�;'t_;u��_
_..f..� .t!r� n •r�r-t'��_, .t . _,_..: P:! -• - _;y;'.�� ._._ T'i-? • r.� t
_��t_i.•����:_4! Y4?st? k-il:!E'SL'r•�� i_i �3i_{ t=l�L._ 4't°j_�:`1C••. �!Y •::�ti�C. j �.i I!!�"L_�F-l��i..i_ �s�i }}-j }-�t_� t.i } �i i{�-
�-��;-ji;t{_� 3_�ra - ���T--,-• �[ I i� �' '�'�;'� -�l�i;i• ��J t �.ys,; L'i ys;'T h,'=�'i''r+-
_ ti ! r:lJlrv;;i1 •r:_�� #=�f�:� `,��(;-�Tc. i �i�.s __ _ ;-; c-�-_ I�._Ci1C •��e `�n'�a�� ' �i�;� 1��� I •�� . �
/� �
-- �-� �. �.- � _ _ )
APPLICANTiPERMITEE SIGNATURE SU D BY:SIGNATURE
� , . CZTY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By:
Permit#:
ALL INFORMATION IKUST BF3 SIIBMITTED IN FIILL BSFORE PLAN REVIEW WILL BE STARTED
---------------------------------------�----------------------------------------
THE APPLICANT IS: (circle one) _WNER�'or CONTRACTOR
JOB SITE ADDRESS: ��l`� S� � �r� S �-� � ���C � ZIP: �S �� �
(work) �z� -_ Z�l��
�/ C �� �7
N1�ME OF OWNER: �I Q V►�P_ �, �-l�e � � ( F �t Vv��J�;ti,� _ PHONE: (home) -�--[ / -�{'
MAILING ADDRESS: � 1 S� �� `'1 s �, I P�uce CITY: (�c�,..� z�, '�-� ZIP: SS ��' (
Na v��v,r� - E-I.�1�.
CONTRACTOR: (v o•�� - - �Y� e v�Q s- Yv��S��� "F PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : T�a v �: �� ��� i v�c; lc s� '�� �c� ��t�5
as Y����P�} r� �; i�`�� .
STORIES:�_ SQ. FEET OF EACH FLOOR: � � 0 ���'
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. �
ESTIMATED CONSTROCTION VALIIATION (excluding land) : $ � � G.�U� � N� `�j,����<<,,��
I hereby a�ply 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 Fermit and work is not to start without a permit; and
that the work will be in accordance with the apFroved plan.
APPLI CANT'S S I GNATIIRE: ��-yr�e�p !/�'� " ��'� DATE:�' �� ��
(Pleas� iIl out the reverse side of this form)
- � .
�''�'+=.
�.��l�
,y'� J,� N�
a� k t w > n:n Wz��Wi
��Zr��'��;ry�����`y�� �� CITY o� ORONO
M TT
�c�s+f�`�
45.iry.J1J�A_� 4�fi�3� x'(i��
:..^4.5+�..'�'yP�*-.v..�"' .
�� v
' "`'i Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
M:���,.
::v:,4-�+=�
a;G:.:m�sf.c.�"
��`�o �� �A�"' On the North Shore of Lake Minnetonka
DATA_ PRIVACY ADVISORY
In accordance with M.S. 15.165, "Rights of subjects of data", we
would like to inform you that your request for a permit or license
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 wi13 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 local , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some inf ormation may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
��cv�P s ���<, lu S S ��� �s2_4,-�-- __. _.
First Middle Last
��L S "� ��►� �s �-�, ` C� 1��� - -__ _. - _
Address
'� �, �� � ��S 5 ��t f
I�t...��.�-�,���.-��-� ---- ___.- - --�-- -- _ .- -- ------
-- - ------- ----- --�----. -
City State Zip
7� � - �� � � l� - ---------- - ---
Phone
I understand my rights as stated above.
. �
�y�_ �_-.. . ��n'' . -��'�.�_ _ .- -- ---_ --- _._- --- -
Si ture
L
BUILII[NG&ZONING—473-7357 • ADMIIVISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
�
� �
�� ATE� TIME
CITY OF ORONO CALLED IN � ,I��
INSPECTION NOTICE � scNEou�E� ``� � ��� � ���;
PERMIT NO. � �'� � COMPLETED 'N
ADDRESS � � ���
OWNER �" CONTR.
TELEPHONE NO. J = o' l ; �%
� DESCRIPTION � /r- ��'LT
� 01 FOOTING 11 MECHANI�(L 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 0 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 INAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEP IC FINAL
Q OWNERICONTRACTOR TO MEET YOU:�YES_NO
Z
� COMMEN S:
�
�
a ` ►�"DO
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
� �ORK SATISFACTORY:PROCEED u PROJECT COMPLETE
W
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract �e:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice