HomeMy WebLinkAbout1993-005077 - tear-off/re-roof P��=�� ;�IT
CITY OF ORONO � PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 . `���1.i C���d{2
Orono, Minnesota 55356-0815 Permit Number: �:;;:;;-{�:;�
(612) 473-7357 , Date Issued: _;�.,1,:,�,�,::;
SITE ADDRESS:
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APPLI T%PERMITEE SIGNATURE . ISSUED BY:SIGNATURE
CITY OF ORONO - �IJI�ING PERMIT APPI.ICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: X��� Permit tt: '` L� '�? �
AT,T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI,AN 12EVIL�1 WI� B$ STARTED
(See Check-off List Enclosed) ____________
------------------------
THF APpZICANT IS: (circle one) OP7NER or CONTR.ACTOR
� JOB SITE ADDRSSS: � /U�� ��1GF��i�� �'� ��'�� ZIP:
(work)
x� oF owrrEx- /�<.�4� 09°frfi/i''� PHor�: (home) �7 y y09�
MATZ,ING ADDRESS: S�A"J�
CITYs ZIP:
CONTRACTOR: A/,4,✓ (��i/'1 ��� --��G _ PHONE: �,'7�-�l��
r�,,t. � L cz�: �K J'� zzP: j��y�
MAILING ADDRESSs /7 —
STATE LICENSE: #
PHONE:
ARCHITECT/ENGINEER:
MAIZING ADDRESS:
CITY: ZIP:
REGISTR.ATION T
NAME:
TYPE OF WORR: New
Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : S�Q�� /''I�9/�✓ h��ls� ' �✓��Q Sl�l�
l�1
STORIES: SQ. FEET OF EACH FLOOR=
NO. OF BEDROOMS: C,�RAGE STALLS- ATT. DET.
ESTIMATED CONSTRIICTSON VALIIATION (excluding Iand) s $ ���0• �d
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 W1thathI
ordinances and codes of the City and with the State Buil.ding Code;
understand this is not a permit and work is not to start without a permit; and
that the work wil 1 be in accordance with the app roved plan. �
� DATE: GI`�� �
APPI,ICANT'S SIGNATffRE:
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- �� CI'�'�' O� �RO1�0
.� �
" a3_ Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� _ � � On the North Shore of Lake Minn.etonka
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
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 Iicense.
3. The information may be shared with other local , s�ate or
federal agencies to the extent necessary to process the permit ar
license.
4. If your requested permit or Iicense requires Counci3. ac��o%
to approve, some information may become public.
�. You have certain rights under M.S. 13.04 to review private
data on yourself.
6 . Your full name is required to proc�ss this application or
permit.
.ST���� � �!'N���
First
Middle Last
17.��—�ia'�a�s'� �,�6 7/�
Address
� � �����
j''Ii�t/v✓t'.7�G ,�� Z1P
City State
�j� °z�'�
Phone
I understand my ri ts as stated above.
�
Signature � �
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE--373-7358 � PUBLIC WORKS —473-7359
ASSESSING
G�
D^ATE TIME
CITY OF ORONO CALLED IN �d`+2— �
INSPECTIAN NOTICE SCHEDULED ` �2 �_
PERMIT NO. ,SO 77 COMPLETED
ADDRESS /I�� � ���
OWNER��'�;,y.: CONTR. �� �
TELEPHONE NO.
� DESCRIPTION Q�eriC�
� 01 FOOTING 11 MEC ICAL RI 16 WELL TEST PUMP
Q FRA 11 MECHANICAL FINAL 18 EXCAVICRADING/FILLING
y 03 LATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
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 5EWER HOOK-UP 06 PROGRESS
J 07 UEMO—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:
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W� WORKSATISFACTORY:PROCEED �I PROJECTCOMPLETE
W [;CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
� u CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContract n i e:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice
v
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED .3
P�RMIT NO. �� 7 COMPLETED
ADDRESS �`
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION 'r I°� —rdd�
W 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
�
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 5 FIN L 13 METER SET/TURN ON 17 SITE INSPECTION
{� DEMO—SITE 14 SEWER HOOK-UP O6 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW�WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑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
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r�site:
Inspector. �-
White Copyllnspector' File Canary CopylSite Notice