HomeMy WebLinkAbout1991-003869 - roof/remodel/ceiling PERMIT f
���;�"� �F ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �'`''�='=#`-r'��
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Crystal Bay, Minnesota 55323 Date Issued: i�;=:;��°�;''_;�.
(612) 473-7357
SITE ADDRESS:
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� APPUCANTPERMITEESIGNATURE ISSUEDBY:SIGNATURE
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� CITY OF ORONO - BUILDING PERI�IIT APPLICATION
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Total ree: $ � �'��' ' Date Received: � ! !
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Date Approved: � �i �
Entered By: �� ��� _ -,
i _ � �
� Permit#: ����'� �
ALL INFORMATION MOST BE SIIBMITTED IN FULL BBFORS PLAN REVIEW WILL BE STARTED
--------------------------------------��----------------------------------------
THE APPLICANT IS: (circle one) �.OWNERr or CONTRACTOR
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JOB SITE ADDRESS: �I.� �C���i� J + � "
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(work) � � � �
NAME OF OWNER: �,� : � -, I �� ; � �1'( ,�, ' �'�' � PHONE: (home) �� / � 7����
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: ��r� n� '' ��,�1�( � PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration_� Renovate Land Alteration
PROPOSED WORR (describe in detail) : 1 <_, � , � �
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STORIES: SQ. FEET OF EACH FLOOR: ,.'�+ ' ' ' ' ''
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. -' j�� -°f��' •t }�'�
<.�>�,P-c
ESTIMATED CONSTRUCTION VAI.IIATION (excluding land) : $
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 �ermit and work is not to start without a Fermit; and
that the work will be in accordance with the a��rove� plan.
,
APPLICANT'S SIGNATURE: �� _- � � .. i��� �� ' DATE: �� �� � �
(Please fi 1 out the _ --� / '
reverse side of this form)
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���������� CITY of ORONO
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�r���'� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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�'�-`: On the North Shore of Lake Minnetonka
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DATA__PRIVACY ADVZSORY
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:
1. The inf ormation you f urni sh wi I i 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
federa 1 agencies to the extent necessary to process the permit or
�icense.
4. If your requested permit or Iicense 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 ap�lication or permit.
- ---- --- . -- _ _-
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---- _ _. __ -
First Middle Last
Address
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_ _. __ --- - --�--- - -- - ----- --___ __. __ __ -
City State Zip
- -._ _ .
Phone
I understand my rights as stated above.
Signature
BUILDING�ZONING—473-i 357 � ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
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DATE TIME
CITY OF ORONO CALLED IN I—,L�=����
INSPECTION NO p SCHEDULED � - �y � d
PERMIT N0. / COMPLETED 41 u
ADDRESS ��d � ��
OWNER �Sf"sP %vl K�e— CONTR. �
TELEPHON E NO. ��'� - ���-3 `{�3 ' �`'"�'ly�c`
� DESCRIPTION ��n-t'�rC-e� I
ly 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y
0 TION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
� 04 WALL D. `� 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� DAT TIME
CITY OF ORONO CALLED IN � �q �� D
INSPECTION NOTICE � SCHEDULED – " � -�
PERMIT N0. '`- � � COMPLETED U �
ADDRESS � � a- �
OWNER��>��'i ��f� i i� lC�.� CONTR.
TELEPHONE N0. `� 7��' �7�3
� DESCRIPTION
� 01 TING 11MECHANICALRI i6WELLTESTPUMP
Q 02 FRAMIN 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN 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 MEEf YOU:_YES_NO •
� COMMENTS: , !� � ', � U� � � ��l�'�—
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� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra on te:
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice
v"
CITY OF ORONO CALLED IN /Z D�6 'g/ �:T��
INSPECTION NOTICE SCHEDULED (�Z 3/� 9/ �
PERMIT NO. 3b'�J" COMPLET fZ-31-51 1 '.1 S
ADDRESS � � .l �"�'.� �' oQd-L-��
OWNER��P/h �_ CONTR.
TELEPHONE NO. �73��"� � �
� DESCRIPTION
Ly 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FR 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
�
3 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR T MEET YOU:_YES_NO
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� �CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
Owner/Contractor on ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice