HomeMy WebLinkAbout1992-004472 - reroof over existing , � .
{ �ERMIT
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1335 Brown Rd. South • P.O. Box 66 Permit Number: `-}`-''��'�i
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Crystal Say, Minnesota 55323 Date Issued:
(612) 473-7357
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� APPLICANT PERMIT SIGNA ISSUED BY:SIGNATURE ���`-�
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a � CITY OF ORONO - BUILDING PER'+�IT APPLICATION
fiotal Fee: $ �� '"�� Date Received:
Date Approved:
Entered By: � /-�
P e rm i t r: ��'-�') �--
ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
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�.I`HE APPLICANT IS: (circle one) O�VNER or TRACTOR
JOB SITE ADDRBSS:��I � ����� ��A��C" ZIP: �����
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(work)
NAME OF OWNER: ��C� � � �'"/-���'/G�'`- PHONE: (home) - ��
24AILING ADDR.ESS: "` G�' �' o CITY: /' •..�f{� ZIP: ��r��'y�/
C:ONTRACTOR: �';?' ��/U�S G-?,Gtt"7J �/,�G� PHaNE: �j�' �J�O
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�.lAII�ING ADDRESS:/E�v"�U � �d �0�;G c� � -�CITY: ���/1 G<-��-1 ZIP: -��'"'C�
��TATE LICENSE: � �J ��
PRCHITECT/ENGINEER: PH��'
IMAII.ING ADDRSSS: CITY: ZIP:
N�I,qE: REGISTRATION tt
TYPE OF WORR: New Addition Accessory Structure biove
Demo Remodel/Alteration� Renovate Land Alteration
� � �
P_ROPOSED WORR (describe in detail) : � '- �� ��J .r G � ^� `
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S`.CORIES: SQ. FEST OF EACH FLO�R:
NU. OF BEDROOMS: GARAGE STALI�S: ATT. DET.
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E�TIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �c��(.� • �
I hereby appl.y for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
oz•dinances 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 wil 1 be in accordance with the approved plan. •
� � ,
AYPLICANT'S SIGNATURE: � _. DATE: � � ��
� �
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C�TY o� URONO
Post O�ce Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
•
� � � � On the North Shore of Lake Minneto�cka
DATA PRIVACY 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 af 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 license.
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 priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
� . ��
First Middle Last
o s d
Address )
� � ��� �
City State Zip
-���� �� ���
Phone
I understand my rights as stated above.
S� a ure �
BUILDING&ZONING-473-7357 • ADMINISTRATIOIV&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
✓
, DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 7-1 7 �
PERMIT NO. ��^E�!..�- COMPLETED
ADDRESS ��T Ll�fo Silti �(Q�'
OWNER CONTR. '
TELEPHONE NO.
� DESCRIPTION
ty� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
�
031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q �INAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTiC MAINT. 21 COMPLAINT
Q
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_ S_NO
� COMMENTS: '�e�6�
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� WORKSATISFACTORY:PROCEED �OJECTCOMPLETE
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W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. y pHOTOTAKEN
INSPECTOR WILL RETURN -I CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract n
Inspector.
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