HomeMy WebLinkAbout1991-003837 - reroof garage PERMIT � �
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�IT� C��' OF�Of�IC, PERMIT TYPE: -��;;.,��:,�t.�:;
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1335 Brown Rd. South • P.O. Box 66 Permit Number: �?'���__��_��`
Crystal Bay, Minnesota 55323 Date Issued: `-"`.A�'��=''�
(612) 473-7357
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
' � CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By:
Permit#:
ALL INFORMATION MOST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
----------------------------------/--s- -------------------------------
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THE APPLICANT IS: (circle one) �OWNER)or CONTRACTOR
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JOB SITE ADDRESS: :.u.l.�titi �, ZIP: �\,7
(work)
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N�ME OF OWNER: � ' �G� '�� ,c-� PHONE: (home)1����`��� I G
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MAILING ADDRESS: �j�,� .5`" %�„��cu��, v�� CITY: ��� L��c� ZIP: ,y��.� � Y (
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessor Structure Move
Demo Remodel/Alteration Renovate� Land Alteration
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PROPOSED WORK (describe in detail) : ..� � *��-r
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (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 permit; and
that the work will be in accordance with the ap�roved plan.
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APPLICANT'S SIGNATURE: t%v� "' DATE: �
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lPlease 11 out the reverse side of this form) � � '
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#���`������ �ITY of ORONO
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'��e � i+��'� �I Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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��}=�t� �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 reguest 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 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 license.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Council action
to approve, some ir.f 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.
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First Middle Last
Address
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City State Zip
Phone
I understand my rights as stated above.
Signature
BUILD[NG&ZONING—473-735 i • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473•7359
ASSESSII�G
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u
ATE TIME
CITY OF ORONO CALLED IN I�
INSPECTION NOTICE SCHEDULED `a/��l��/ �-r ' ��
PERMIT NO. 3� COMPLETED _� ��
ADDRESS S ���
OWNER % _f_'��'t�t: CONTR. -
TELEPHONE NO. "�`�� 'D-3� �
� DESCRIPTION ��C� a � ��
� 01 FOOTING 11 M HAN L RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 5 F AL 13 METER SETITURN ON 17 SITE INSPECTION
� DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL �/
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO C�< -G.c/z� �C<_.�Y_ct,c�_,� ,
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� COMMENTS:
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d �WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
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� ❑ CORRECT WORK 8 PROCEED I 1 ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ �NSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contr o te:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice