HomeMy WebLinkAbout1992-004640 - re-roof/re-side �'ERMI�
���I�Y OF ORONO PERMIT TYPE:
� 1335 Brown Rd. South • P.O. Box 66 Permit Number: �'`}��=����f�
Crystal Bay, Minnesota 55323 Date Issued: �-'�f����i;
(612) 473-7357 t�-�'��_'f��'"
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLIC NT PERMITEE SIGNATURE ISSUED BV SIGNAT��
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' CITY OF CRC2.0 - BJILDING FER:�ST APPLIG�TION
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'otal. Fe�: $ 1� � � `� Bate Received:
Date A�nro�ec:
'-.1te?"2� B�: Pe�-mit �: � �`0
'xI.L INFORI�iAT10N MIIST BE SDBMITTED IN FDLL BEFORE PIu'�N REVIEW WILI+ B$ STARTED
(See Check-aff List Enclosed)
--------------------------------
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`'°'3E APPLICANT IS: (circle one ) 0��1ER CONTRACTOR
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�OB SITE ADDRBSS: � 7 S� ����v, C%L��+�; i��k ��% ZIP:
(wark)
'�AMI: OF OWNER: � 6�7`�'�', (��`l2��� , �, I PHONE: (hcme)
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'�+AII,ING ADDRESS: �,� � (- `"''�'����� �G-��- CITY: �i �'� �i'Z�1 ZIP: �
� ..� PHONE: S� � ._ �> t> <( 7
�ONTItAC�'CR: (�f' c,�c c' L't'( � _ �
uAII,ING ADDRESS - �W �� � ` �vl��'t c r� L �i�� CITY: �c, ZIP: ���-/ �
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STATE LIC�:`7SE: ' U`O�� (�� �� ( �
:�CHITECT/ENGINEER: Pg��
��:AILING ADDR.ESS: CSTY: ZIP:
��E_ REGIST?�TION �
'�"rPE OF WORR: t7ew Addi�ion Accessory Structure rlove
Demo R�*nodel/Alterat�on_� Renovate Land Alteration
?�?OPOSED WORR (describe in detail) - P a^�'i2 �' /?�u i `��
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STORSESs � SQ. FEET OF EAC3 FI,OOR-
�Q_ pg BEDROOMS: G�RAGE STALI�S: ATT. DET.
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T_:STIMATED CONSTRIICTION VALIIATSON (ezcluding Iand) : $ � � / � � '
� hereby apoly for a buil.ding per.nit and I acknc+�ledge that the infor:nation
_bove is complete and accurate; that the work will be in conformance with t�e
-rdinances and codes of the City and with the S�ate Building Code; that I
_nderstand this �s not a per:n=t and work i not to start without a per:nit; and
=hat the wor'� will be�rdance with t aporov a�• �
AppI,ICANT'S SIG:`7AZ'IIRE: -
\ DATE:%G' �/ Z'�.
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a� Post Office Box 66•Crystal Bay, Minnesota 5�323•Municipal Offices
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: � - � g;- On the North Shore of Lake l�finnetonka
DATA PRIVACY 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
license from the City of Orono or any of its departments may require
you to furnish certain private or confidentiaZ information.
You are notified that:
1. The information you furnish wiil be used to determine your
quaiification for the per•nit or I.icense recuested.
2. You may refuse to supply data, but re=usal may require that
the City deny the pernit or I.icense.
3 . The information may be s'r.ared witn o�zer iocal , s�a�e or
federal agencies to the extent necessary to process tne permit or
iicense.
a. If your requested pe�-�nit or Iicense _ecuires Council ac��o%
to approve, some infor:nation may become pu�?ic.
:, . You have certain rignts unaer M.S. ?3 . C� to rev_ew private
data on yourself.
6. Your full name is required to process this appZication or
pe�-mit.
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Address
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I unde_stand m rights as stated above.
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Signat re .
t3U1LDING& ZONI�G -473-7357 • AD,�tINiSTRATION& FIV��NCE - 473•73_3 • PUBLIC 1VQRKS -473•%3�9
ASSESSIV G
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DATE ,� TIME
CITY OF ORONO CALLED IN /G�-1�/-`� ��
INSPECTION NOTICE SCHEDULED /C' -�� ? � ��
PERMIT NO. �� y�� COMPLETED � H
ADDRESS �� ,'S �:�'�,��-t�_e'�'%Cr{' j�C.��
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OWNER z'% ��� c�� �/�7��;,�F��-h.�e.c�.ONTR. ���-E-�- /��Zc�
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TELEPH�NENO. ���} � �`� `� —�
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� DESCRIPTION L-��`" -� �
� 01 FOOTING 19 MECH ICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICA�FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
�IN�AL , 13 METER SETITURN ON 17 SITE INSPECTION
� UTDEMO—SITE 14 SEWER HOOK-UP 06 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORK SATISFACTORY:PROCEED i- PROJECT COMPLETE
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� �7 CORRECT WORK 8 PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑COfiRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
f-1 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor it��`
Inspector. �
White Copyllnspector's File Canary CopylSite Notice