HomeMy WebLinkAbout1994-006229 - tearoff/reroof PERMIT
`� L�7Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ��`r_ = _��.f'����
Ororio, Minnesota 55356-0815 Permit Number: - = `-= =
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(612) 473-7357 Date Issued: -.- - �
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: - t:;�.::��:; ; �-�;;,;.. _.
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A PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
t' � CITY OF ORONO - BIIILDING PERl`�iIT APPI.IC�TION
�j-5 � �= 5 � Date Received:
' Total Fee: $ -
Date A�Droved: �
Entered Bv: '�"`�L� Pe_^.nit� �' ,�� � � - - - .
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�� N MIIST BS SIIBMITTED II`7 FTTLL BEFORE PLAN REVIL'W WILL B$ SggRTP.D
`' AT,T, =27gOgtiATIO
(See Check-off List Enclosed) _____________
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�� �PLI�NT Ig: (circle one) !Oj�7NER or CONT_�ACTOR
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�>> f- ZIPs ' � '
JOB SSTE ADDRSSS: � �';``�� , , � ���� � #��� �
� (work)
_� �, � � PHONE: (home) � a'� /
NAME OF OWNER: ' ' ' �
, � ; CSTY: ` l � ZIP: - �`
MATLING ADDRESS: ,� I �';1\Lt`� � —
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PHONE:
CONTRACTOR:
��,: ZIP:
j�pTT ING ADDRESS:
STATE LIC�.�NSE: �
PHONE:
ARCHITECT/ENGINEER:
CI,I•�: Z IP:
MATI�ING ADDRESS:
REGISTFtATION z
NAME:
Accessory Structure Move �
TyPE OF WORR- New Addition Land Alteration
De�o Re.*nodel/Alteration Renovate
_ ,
detail) = � t %�� �� �� ,' -�
PROPOS�D WORK (describe in + �-
STORIES: � SQ. FEET OF EBCH FLOOR=
NO. OF BEDROOMS:
�gp,� gTAT.T,S: ATT. ,� DET.
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EST�SATF.D CDNSTRIICTION VALIIATION (e-aclud�-nq land) : $ �� ; '� � "\
r I hereby apply for a building permit and I ackriowledge that the iziformation
above is complete and accurate; that the work will. be in confo�Code;aithathl
ordinances and codes of the City and with the State Building e�it; and
understand this is not a perasit and work is not to start without a p
that the work will be in accordance with the approved plaa. _
. _ �,
P I - %
F DATE:
"- APPI.IC.�IT'S SIGNATURE�
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' � ����' o� ���11T0
Post Office Box 60•Crystal Bay, Minnesota 5�323•Municipal Offices
H� � .
� On the North Shore of Lake Minnetonka -
• - • •
DATA PRNACY ��SORY
n hts of SubjeCts of
13.04 , Subd. 2� R1g ermit or
In accordance with M.S. our request for a P uire
data" , we would like to inf orm you th Q f its departments may req
license from the City oi Orono or any
Y
ou to furnish certain private or conii dential in�ormation.
�ou are notified that:
The inzormation you furnis?i ense�requested, aetermine your
1• e*-�nit or
cualification for the p uire that
refuse to suppl.y data, but re=usa� maY req
2. You maY e�i� or license.
the City deny tne p
be snared w�th oth�Y local , s�ate or
3 . The information may
rocess the permit oi
f ederal agencies to the extent necessary to p
license.
Iicense requ�res Councii a�-=°r
a. I� your requested Per:nit °r ublic.
to apvrove, some information may become p
- You have certain rights under M.S. 13.Oa to review priva�e
J •
data on yourself. .
�
-ocsss this appl-ca��or. o
6 . Your ful.I name is required to P�
pe�it.
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Firs�
Middle
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Address �
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City
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Phone
I understand my rights as stated aba�e•
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� Signature
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� � pUBLIC WORKS -473-7359
I BUILDING&ZONING-473-7357
• aDMpYig-�FtpTIpN&FINANCE-;73-�358
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DATE TIME
CITY OF ORONO CALLED IN ��T�
INSPECTION NOTICE h SCHEDULED 'a ,- �
PERMIT NO. � ��`� COMPLETED � �_
ADDRESS %� y� r /�G1
OWNER "�t[� CONTR. �0�
TELEPHONE NO. �oZq' � 7��
� DESCRIPTION '`-e `�
� Ot FOOTING 11 MECHANICA I 16 WELLTEST PUMP
Q 02 FRA 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 0 ATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
Z 04 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 PROCaRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�,, COMMENTS:
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d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract
Inspector.
White Copyllnspector's Fi e Canary Copy/Site Notice