HomeMy WebLinkAbout1991-003939 - re-roof .
PERIiiIIT
°`�CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: c��}I�_C�i i�fC
Crysta� Bay, Minnesota 55323 Date Issued: `-'`'��'�=�•���
(612) 473-7357 �i�t r`f _..`''_1�,
SITE ADDRESS:
j.'�'r'.� f=t=���iL-.�ii�1�:=�'•_� ;='=i i�I i rii:�
������f
F`. i . i�i. � i�_—i i7—,�_iii—t;i�lii'-!
DESCRIPTION:
r� • r-,r:-r-
!'1 '.`P5�_�i_�t'
��u i 1��i i��� �`�i'�i�i�. T:���r�• :=;F=--t=ii��1 r't�;ci°ti iij��
c���I J. 1�t 1 1"!� t+1�_�1-F; � ',r C��+ r..,�-. _. .. ..r-
t1G""!'t�_it_Ir
� ,.�rre�"�� �< • ;� ��"rr w�+� f
„�`t'r,� �n �, ��'x. �^�. ,�. -. �• " � ;
i �c x' �` � ��° s, t
� s�� � ��t4 � ��a � • � � : ��.
_ , 96k.i� � h �, � • .,.
REMARKS: �',�'� ��� �����;]
E'7t�r:i;tir•� it�'CTf`C
! 1/ !7!!4L V! ! 1LrL
'tY� Tek yf}(j/!
itiJ1�.�VVVV ,
'}7 7 L A1 � �! f}�•) 1
V� YF/.i�rrFr�
'�:':•:':�'}i}r}!!i
FEE SUMMARY. tti.ii_VVYV�
1!1 VLt� �'�1f�i
!°i.:��/��'� ��
�f�����i i 1s�1�3 �j!'_i�t'lta{_i �•r:��•n �L �c:'t,i�i
�'•C'i'E'Fr T_�"i1�•{�}( Viri i
i1A..1,�L1! ! !!!!"/tT(�• 1 L'iJ
��w � ,r
s�+d�C I'CC �'+1 �-' . tJ() i+:��ii"%i i•itii* T�tt9 Ti'r
_., f nc.,:.✓���r t.vvi ��bt i v°s•t
;-.��.�!!'��'7c'il''�C _._....._._._...__ ��.�()i} �:�ii?%t?
-- 1! 1J//.
�"r��s.•�I r�� �1;�::_'. t:)i�i
CONTRACTOR: OWNER:
�.__ ,
.._.� N���,�� 7 C%tlt�• --
r
C�'�•.��-�t'" �:31•��'',��
� 1F-�� ��''•" �^ _ ' -�- r:r�.
("!-i��r+.±`��._:-�:_. �--'I I i i4 f ('��.
��t+� j�`i j s-�.<-
_,.,_t�... }-1�,� �:,._�Z
; - , -,.. _ :-.
, f-. � . . .. ... .-
.....::,;.. ,
I------- -- --- - — � __._______..�
�.
t��'.nfi\� i":f"i•t f�r.•
!+`ii�_ '.'���t��'Y.i:��i43i���1 ��i�k�c;=�i' i:C_'.lr:j(y_��I '= f i..i':�'�1�':. '�i�_#f4�1 !t_i ;��;y;.a.. �;-- nr-:�� -• - �- .
- ' ' � � .t F.� (�� �:�r-i� i�''i£-;;i i:���=i°���t��'=s
r•r„.,,..}...._ �_r,' r, • r:•-•; �� - - - � t., 1-
_.{-�-_y,,.�.s- i C:i.J !-1�'�Li rs;w,;[-��' ' ?%I i ii i ' ' • �:-'-'+.: `i '•.�",=7 •-f- ,--�, r - •
. r" .E'-•�' . ., . _. !"'fz._S_ wt„�Z-tf�., i iy _� F�':}.L. E �1 i i * �' "� } r•.3 r. -
�•..� s-L_l. ''r'�i��•c �:�i ! f, �-��_L �.._T i`i� i i�-
� _._ Y t�r_ _�s_' tt .t:.+:-:'..-;•�r; j''�7 i:. t�
� i_�;;�_��`,l I iV3i�'.�.J.l;t?i-il�l�•_L-�� F-k!`�f� ��4 i-i i i; �i" i':7 E�!`��._•�:��_t� i-t L}1 J,L�.��J.��a=� _i :� :� .._.�e� '^, ',i._+�!T I
- ��-- d.i`•.�_3 i C_ �1 I �� J
�_ ,
� �
11
APPLICAN� RMITEE SIGNATURE ISSUED BY:SIGNATURE C��J-
� CITY OF ORONO - BUIZ�DING PERMIT APPLICATION
Total Fee• $ / .r ��` �✓� Date Received:
. Date-Approved:
Entered By: �"' q
Permit#: � / 3 �
ALL INFORMATION MIIST BE SIIBMITTED IN FIILI. BEFORE PLAN REVIEW WILI� B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR . �
JOB SITS ADDRBSS: �S vL 9 ��. ZIP: �� �7 j�
(work) ���-- 5,��'��
NAI� OF OWNER: �.X PHONE: (home) ���/`���-��
� ITY: ��i� -� . .� ZIP: �_�_�� �
MAILING ADDRESS: �CJ� /" c�;t.t�i�l'�,t's� �f �
CONTRACTOR: �
1 P HONE: `�` C� �
�� (J� ��-�c� C I TY:��6��� ��� -
MAILING ADDRESS: `� �-,��`L �:c� ' ZIP: �� �
TYP$ OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPO
SED WORR (describe in detail) : � �'�- �'`' �
� � _
,�-�� . � ,�-- �•
STORIES:�_ S4- FEET OF EACH FLOOR: ���� ��
NO. OF BEDROOMS:�_ GARAGE STALLS: ATT. DET.� _
ESTIMATED CONSTRIICTION VALIIATION (ezcluding 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 permit and work is not to start without a permit; and
that the work will be in accordance with the approved plan.
� � l � / f
APPLICANT'S SIGNATIIRE: DATE:
�� �� ��
�.� ����'a " � - _
. `: .. �. '�� ''
���� -�� ���� �I'��' Of ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
•
� . � � 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 Iike to inform you that your request for a permit or
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:
1. 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 Iicense.
3. The information may be shared with other IocaZ, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
6. Your full name is required to process this application or
permit.
'� �
_ � C�I'`-�
First Middle Last
,� � , (/
Address
�� � , ,��
City tate Zip
���-- ��-��
Phone
I understand my rights as stated above.
,
�
Signatu e �
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING
513.04 RIGHTS OF SIIBJECTS OF DATA .
Subdivision 1. Type of data- The rights of individuals on whom the data is
stored or to be stored shall be es set forth in this section.
- Subd. 2. Information re�uired to be given in���" An.individual esked to
� ' su 1 private or confidential data concerning �mWit�h�in the collect g stat agency,
PP Y
purpose and intended use of the requested data
(b) whether he ma� refuse or is legally
political subdivision, or statewide system; �o� consequence arising from his
required to supply the requested dat8; (c) any
su plying or refusing to supply private or confidentiel data; end (d) the identity of
P
other persons or entities authorized by s Vadu� �e�ke�to s pplyein est gat ve da a
requirement shall not apply when an indi
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav lace the teo�a�LQucteonsuinsteadh�s
subdivision in the individual income tax or ro ert tax
on those orms. _ --- - -
Subd. 3.
Access to �ata bp in�vidusl- UPon request to e responsible
authority, an individual shall be informed�wheu�ec'hp ygteeor confident al.e Upon his
individuaLs; and whether it is classified p ublic data on
further request, an individuel who is the subject of e to�mrl�aeif he desires, shell
individu8ls shall be shown the data withou fan�y ��ta �ter an individual hes been
�e informed of the content and meaning the data need not be ciisclosed to
shown the private dats and informed of its u���action pursuant to this section is
him for six months thereafter unless a �P
, ending or additional data on the individuh h�gte or public datarupongrequest by
p reouire the
responsible authority shall provide copiesThe res onsible authority may �in the
the individual subject of the data- p ��rtif n and comp g
requesting person to pay the actuBl costs of maldng, Yi g�
copies. ssible, with any request
The responsible authority shall comply immedistelyoff P� date of the request,
made pursuant to this subdivision, or within f:ve days
excluding Saturdays, Sur►dgYs and 1�� �t wa��n thgt timeghe shall so�inform the
possible. If he cannot comply with the requ
individual, and may have er► additional five days within which to comply with t e
request, excluding Saturdays, SundsYS and legal holidays-
Subd. 4. Procediu'e when data is aot ac�s�ate or complete. An individuel msY
- ublic or private data concerning himself. To
contest the accuracy or completeness�of P in writing the responsible authority
exercise this right, an individuel shall notify �ible euthority shall within 30
describing the nature of the disagreemen� The respo leie and attempt to
days either: (a) correct the data found to be inaccurate or incomQ
notify past recipients of inaccurate or incomP�t he bel e esdthe datalto be correcty
the individual, cr (b) notify the individual , eement is
Data in dispute shall be disclosed on1Y if the individual s statement of disegr
• included with the �isclosed data. ealed ursuant to the
' The determination of the responsible authority �Q��tested cases. • '
provisions of the administrative procedure act relating ,
DATE TIME
CITY OF ORONO CALLED IN /D ��I-�
INSPECTION NOTICE�� � SCHEDULED /u-a/ - q� n�i
PERMIT NO. /.>�'/ COMPLETED � U
ADDRESS P
OWN ER CONTR.
TELEPHONE NO.
� DESCRIPTION
l� /0�1�FOOTING 11 M HANICAL RI 16 WELLTEST PUMP
�/U2 VRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
Q� �
Q "b3 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
a `I' � 1i ,
T"
�
J
O
�- � r �{
�
�
�
W
� or �r��P,r'
Q
�
z n
� Y 1 S rt.(.5 S 1f°�, � 1 D�A
W
�
�
d �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� ❑CORRECT WORK&PROCEED ISSUE CERTtFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CfTATION ISSUED
� INSPECTION REQUIRED.CALL TO 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
Cl
� DATE TIME
CITY OF ORONO CALLED IN L1_J•?�L � •�L-�� �r�'�'
INSPECTION NOTICE SCHEDULED '' J '� r c� '� t� C��'�-
PERMIT NO. � COMPLETED ' � – � O'.O(�
ADDRESS � � � _ � � ?
OWNER_s��� CONTR. �C�'1 v►� � C��""
TELEPHONE N0. � � � � �5���
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING � 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION � 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z04 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
� 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 MEET YOU:_YES_NO
� COMMENTS:
� �
a ,C(X�(�5 �l fJ�
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
C CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on si :
inspector. �
White Copyllnspector's File Canary CopylSite Notice
,r, DATE TIME
CITY OF ORONO CALLED IN (J'"�a'4
INSPECTION NOTICE SCHEDULED /� '/ �- P/�'1
PERMIT NO. �93 I COMPLETED �� �
ADDRESS
OWNER CONTR. �`—'
TELEPHONE N0. � ��� � �� ��
� DESCRIPTION -� '�
� 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
� ITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL
35 HARD COVER REMOVAL
v 10 PLUMBINCa FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
° COMMENTS: �✓�m ��3/9i
�
W
�
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d NORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� : CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
� �= CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contracto�sl�e:
Inspector. V
White Copyllnspector's File Ca�ary Copy/Site Notice