HomeMy WebLinkAbout1993-005365 - tear-off/re-roof � �����
CITY OF ORON�� � PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 L:R� �,?��1���€L
Orono, Minnesota 55356-0815 Permit Number: {,,; :��,c
(612) 473-7357 Date Issued: i 3?;���:.,:,j<i
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: — f�����i i c a,��. — OWNER:
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APPLICANT� SI ATURE ISSUED BY:SIGNATURE �,�
CITY OF ORON� � �LDING PER�IIT APPLICATION
Total Fee• $ �� �` � C Date Received:
�:/�� Date Approved:
Entered By: . �
germzt n: : �
ALL INFORMATION MIIST BS SIIBMITTED IN FIILL BEFOR.E PI,AN R.EVIEW WILL BE STARTED
(See Check-off List Enclosed)
------------------------------ --- -------------
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TgE APPLICANT IS: (circle one) OS�TNER or CO TN Rr'�CTOR ,
JOB SITE ADDRSSS: �, ��,> �i ���D�u== ZIP:
(work)
NAME OF OWNER: V � Ic� U T���t� �1.-�'�.��..�' ��a�`'�oeJ PHONE: (home) �'-l3 . 39�+--1
MATLING ADDRESS: (03� � �E�+�-��t�c..��. _ CITY: �Jtz.�t..:ic.� ZIP:
CONTRACTOR:�.� .� 1-�u� 2s��S�''� PHONE: 1�- - (0�4��
MAILING ADDRESS: 3411 �P.-T�S � !J. CITY: ��Q,/�t A�-- ZIP: �j>�-Z.'Z
STATE LICENSE: #
ARCHITECT/ENGINEER: PH���
MAILING ADDRESS: CITY: ZIP:
N��_ REGISTR�TION n
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration�_ Renovate Land Alteration
PROPOSED WORR (describe in detail) :�2�c�c:s� ��vt�- /�-� J`�� ��0'`�� �
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STORIES: SQ. FEET OF EACH FZOOR=
NO. OF BEDROOMS: GARAGE STALI�S: ATT. DET.
AU
ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ �[aC�G�
I hereby apply for a building permit and I acknowledge that the information
above i s comp 1 ete and accurate; that the work wi 1 1 be in conf ormance 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. �
APPI,ICANT'S SIGNATDRE:. �� _ DATE: � - Zlv'4�
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.������ �� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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� - e �; On the North Sh.ore 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
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:
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 reguire 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 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 review private
data on yourself.
6. Your full name is required to procass this application or
pe!�mit.
�1�v'�, �s �� �c�/C�Lt: ►��t�l
First Middle Last
"�iL��� "r✓.�-f.-- � /-�c.i�. IV .
� . .-�
Address
Le.-a��a�c� ��'.-� ``�s�t'��7�
City State Zip
1��' ��a ,vA
Phone
I understand my rights as stated above.
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Signature
BUILDING&ZON(NG-473-7357 • ADMIN[STRATION&FINANCE--i73-7358 • PUBLIC WORKS -473-7359
ASSESSIN G
DATE TIME
CITY OF ORONO CALLED IN ����c'"��-3
INSPECTION NOTICE SCHEDULED �J "-2� 3•�`d
PERMIT NO. 33� COMPLETED �� �1
ADDRESS 3s ��-z.t��.iL-�- �n� �t'�
OWNER �'�-�'-�'� CONTR.�CP.u-Q. �zy.�.e_e,.--�-
TELEPHONE NO. 7S�- �D 9�
� DESCRIPTION � �
� O1 FO G 11 MEC NICAL fil 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y LATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 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:
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d �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
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� � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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Q L I CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ," PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r ite:
Inspector. .
White Copyllnspector's File Canary Copy/Site Notice