HomeMy WebLinkAbout1995-007248 - tearoff/reroof ' ! PERMIT
C;�i Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 `: `�':`;:=,
Crystal Bay, Minnesota 55323 Permit Number: .'_':�-:��-'`�--
, .-�;�.:_:
(612) 473-7357 Date Issued: - 1 � .-
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS� - .
FEE SUMMARY:
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I CONTRACTOR: �� -: ' _� � - . :,': . OWNER:
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APPLICA PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
, CITY OF ORONO - BIIIZDING PERM.IT APPLICATIaN
� , � `� Date Received:
Totai Fee: $ �'`��
Date Approved:
Entered By: �'l � - �
,-
Permit�: �% ,�
�L INFOFZMATION MIIST B$ SIIBMITTED IN FIII�I� BEFORESeLAN REVIEW WII'I' BS STARTED
(See Check-aff List ______.
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�HE p1ppI,ICANT Ig; ( circle one) OS�T�tER or CONTRACTOR
JOB SITE ADDRRSS: I�C;Z-�% ��u- S' ZIP: �� �� �
(work)
N�ME OF OWNER: �1�cc�. 1�
�C.N�.�.�. PHONE: (home) y-1-3-�b2-t
MATLING ADDRESS: �`•���= F�� S i
CITY: c�a��= ZIP:
CONTRACTOR: �u3�CZ��J 1;'��C.2���-� ��L
PHor�: �-t`�R-S�`��
MATI�ING ADDRESSs �S�IS 5-�-`D�`�'CL���.. `S�-�ro CITY: �,.cti�
L��.c� ZIP: 553SU
STATE LICENSE: � �a�c2
PHONE:
ARCHITECT/ENGINEER:
CITY: ZIP:
MAIZING ADDRESS:
R.EGIS�RATSON T
NAML:
Addition Accessory Structure Move
TYPE OF WORR: New Renovate Land Alteration
Demo Remodel/Alteration�
� ��xs�:
PROPOSED WORR (describe in detail) : ��(`�� � �� � �`�`Z`�'9 ' ��`"'��
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S, 7� U i- Sa tl P � � v^��-
STORIES: SQ. FF.LT OF EACH ��R'
NO. OF BEDROOMS: C,ARAGE STAZ..LSs ATT. DET.
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ESTIMATED CONSTRIICTSON VALIIATION (ezcluding la.na3 = $ � Z�� !
I hereby apply for a building permit and I ac?�cnowledge that the informatic
above is complete and accurate; that the work wil.l be in conformance withath
ordinances and codes of the City and with the State Building Code;
understand this is not a permit and work is not to start without a permit; an
that the work wil 1 be in accordance with the approved plan.
7 '
� DATE: uU-15�-9�
APPLICANT'S SIGNATURE:
� �
� � � '��' O� O�iONO
CI
Post Office Box 66•Crystal Bay,Minnesota 55323•Mumcipal Qffices
•
� _ � � On the North Shore of Lake Minnetonka
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
Iicense f rom 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 wil.l 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 oth=o e scthe permit or
federal agencies to the extent necessary to p
license.
a, If your requested permit or license requires Councii ac�ior.
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 proc�ss this application or
permit.
,� �� ��� �;v�r.�"�n
First
Middle Last
�S�t s 1 S- i� (�"� S
Address
� � �s`�t z3
2����`c� z�p
City State
� �� �331
Phone
I understand my rights as stated above.
Signatur
BUILDING&ZONING-473•7357 • ADbtINISTRATION&FINANCE-473-7358
• PUBLIC WORKS-473-7359
ASSESSING ,
DATE TIME
CITY OF ORONO CALLED IN ��/�7�=-�
INSPECTION NOTICE' / scHE�u�Eo �� ���-� !%�-��� ' =�� ����hr
PERMIT NO. ��`'� �{ COMPLETED � '�
ADDRESS � 0 �-��
OWNER - ����A-��� CONTR. �-�
TELEPHONE NO. `���� - `� 7���
� DESCRIPTION /�.�'z�-z�-�
� 01_FflIIT1�LC� 11 CHANICAL RI 18 EXCAV/GRAOING/FILLING
� 0�II1lCi_ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ^� pROJECT COMPLETE
� C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
C CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-73�J7
OwnerlContra r n it :
Inspector.
White Copyllnspector's File , Canary CopylSite Notice