HomeMy WebLinkAbout1995-007274 - partial reroof PERMIT
� L��Y OF ORONO PERMIT TYPE: -
2750 Kelley Parkway- P.O. Box 66 -��r;_�`'��
Crystal Bay, Minnesota 55323 Permit Number: _
(612) 473-7357 Date Issued: -
SITE ADDRESS: . .__._
_ , , , ._. . -� - - - -
_, : .. _ . -
. ,.v _. : . ,..... -
DESCRIPTION: �
- - _ ..�._ :.. _
t-�`''��� r ...F��_ . ._..---�... _..
�' �� ' :�:��:� �i�_:i i. _ � .�j,-::" _ .._i..5 S"';.
._t—'— — .... _. . _ . .�. . _.....
�., _
.. .. _ .. . _.. . . -. . , .-��'�.' . ... " .
p� : . ... . ... ,
� ;.;�- ,
J.::..�.__ ' .
'iue . _. ^ ' �
L�.�L+�
R ENf A R KS: - -------------------_ -- -- — - — ---
FEE SUMMARY: - -
-;��,-�s�. .����:_�::�� ____--__ - I
-. -��._..-. -_-:. . � - ".:
I
.. _, .
CONTRACTOR: OV1li�iEFi:� _
- - �:,�.-
�:�..,_�=;i•�- - : � : ;; i;°;;
. _. _ , _ _. ._.,���;� =�:� _ �
. . ., -. -.--,-: > - -
. . i.:�.... . t � , . .� i ( ....� f " ��i i N_ .-:. .: :� . . . s .i£..� �. �t
'`. � .r'' . ...
. ._ ' .'"
. i�.
.. . . ..... _ z�. ��..._� ._. ,.. ._� -:.,_��.,,...... �. ., .,_:�.. .... .: _ �. ... '_ . .. . ..._ : . ... »_t"i�.. ,,.. , #�:,. . _.. c._.� ? '
r.. _,_ _._ _ _� ' ' , . . _
:-,,_' � :.. �: ; s r, i .-s _ . e -r � t ' � - -
, a. � � : ..
_... ...z ..`.f...�•` . . ._.. . .... ,.._._... . _. � • :,_. ' '• �y .... . , � . ._ . e
.. � .� .. . . .. . �. .','", i'v it i- �. .. �.
. r
�s'�'._± f-._� �._.��__ �: . .3?...'..._-�:� �-�;•t�-.._ : z '�i�i_ �_ . ._! .. ._._ ._� f . . .. _ .�_ .� .'... ..._ .. .. __._ ,�.._ �'! .._. .__. . _,z . ._ .
_ i
� ___... � . . � . �
� �--� � ,e _ �_ �
��''v� ��r_,�,�i /'��
� . - ---- _.. - _ ._ _ �
APPLICANTPERMITEE SIGNATURE �
�� � CITY OF ORONO - BIII�DING PERMIT APPZICATZON
, , / r `
� �� �� Date Received: � =%� � �� `"'
Total Fee. $ J "�� �
�� . � j -�� '>
� Date Approved : _ J _
. �, r
;
Entered By:_ �' � � � ��
�
Permitn: ,� .i� —
1\JI
ALL INFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL B$ STARTED
(See Check-off List Encl.osed)
-------------------------- - ------
---------------------------
THE APFLICANT IS: ( circle one) 06VNER or CONTRACTOR
__ ___ C�--��'--
Jos sz� AnDx$ss: /�SS .,�',A�'rs'-.�-��.�s� �'" �c� zzp:_
Gl�.4y�:�T�t, J�l�11 �S3�>/ (work)
NAME OF OWNER: PHONE: (home) _ �,
. . e
MAILING �Dx�ss- 1755 Fzr emess Pt. Rd. cz�: zT�:_ ._
yia a, 1
CONTRACTOR: PH�h��
MAILING ADDRESS: CITY: ZIP: _
STATE LICENSE: �
ARCHITE�CT/ENGINEER: PHONE: -
MAILING ADDRESS: CI�: ��P:
NAME: REGISTRATION n
TYPE OF WORR- New �ddition Accessory Structure riove
Demo • Remodel/Alteration Renovate Land Alteration
PROPOSED FTORK (describe in detail) : /✓����v'� q` ���%�f� ����'L� �
�
i � � .'� -�
�€�c��' � � -
STORIES�_�_ SQ. FEET OF EACH FLOOR: ���� _...
NO. OF BET)ROOMS:_� GARAGE STALI.S: ATT. DET. ���c`�
� � ¢
ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $� --� ----
I hereby apply for a building permit and I acknowledge that the informa�ic;r
above is complete and accurate; that the work will be in conformance with t.i_:
ordinances and codes of the City and with the State Building Code; th�t 7
understand this is not a permit and work is not to start without a permit ; a:la
that the work will he in accordance with the approved plan.
�-
i, �__ .,
� -- -�, �, -�_z-E DATE: � Z���S�
AFPLICANT'S SIGNAZ'URE:_
�
l����1U�Z. ;3;�.�
� ��
� . �
;�� CI_�Y of ORONO
:� _
Post Office Box 66•Crystal Bay,Minnesota 55323�Municipal Offices
:wM 2�
R
/
� _ e � 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 like to inform you that your request for a permit or
Iicense f rom the Citn �r�ate or conf dent a3 e nf rmationma1 require
you to furnish certai p
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 refusal may require that
the City deny the permit or license.
3. The information may be shared with other local , 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��or.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to rev�ew private
data on yourself.
6 , Your full name is required to proc�ss this application or
permit.
P.,i. �ozonie
1755 Fargemess Pt. Rd.
Wa ata MN 55391
First
Middle Last
Address
City State Zip
5�"7/, �5�56 �
Phone
I understand my rights as stated above.
Signature
BUILD[NG&ZONING-473-7357 • AD?�tINISTRATION&FINAtiCE- 473-7358
• PUBLIC WORKS -473-7359
ASSESSING