HomeMy WebLinkAbout1993-005724 (re-roof) �l�llilIT �
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 =���1.`.-����'�`='
Permit Number: :-,,�,�,.?�,�;�
Orono, Minnesota 55356-0815 - � _
(612) 473-7357 Date Issued: ; ; ;�i;:=;;�-�:_;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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j APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BIII DING PERMIT APPLICATION
�
Total Fee: $ � �� ss Date Received:
� Date Approved:
Entered By: rermit�: 5 �a
ALL INFORMATION MIIST B$ SDBMITTED IN FIILL BEFORE PLAN REVIL�i'n1 WILI+ B$ STARTED
(See Check-off List Enclosed)
------------------------------------------
TgE APPLICANT IS: (circle one) Oi�7NER or CONTRACTOR
JOB SITE ADDRSSS: �2/�b ��'Y G�ada� cr�19��l ZIP: �J' S 3 �,�
(work)
� ' PHONE: (home) �7/�g1Z�
NAME OF OWNER: �[til/ b £ ��
MAILING ADDRESS:�/9'v !�f S'�J W nD� ��9-�7 CITY: �Qp/�� �! ZIP: ��SJ��'> �
CONTRACTOR: O rn w�
PHONE: '7 7/ ' �T Z l
MATLING ADDRESS: O [a0e (/��v CITY: �l �/Ld _ ZIP: 5 5� �7 �
STATE LICENSE: # ""
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure Move �
D�o Remodel/Alteration Renovate �� Land Alteration
PROPOSED WORR (describe i.n detail) :
STORIES: SQ. FEET OF EACH FI+OORa
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�' �o
ESTIMATED CONSTRIICTION VALIIATION (exclnding landj : $ ��� ' -
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in con£ormance with the
ordinances and codes of the City and with the State Buildinq Code; that I
understand this is not a permit and work is not to start without a permit; and
that the work will be ' a ordance with the approved plan. •
DATE: �/ / ' � �
APPLICANT'S SIGNA
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�
C I�`Y of OI��NO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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� � � � On the North Shore of Lake Minnetonka
DATA PRNACY 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 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:
1. 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 act�on
to approve, some information may become pub3ic.
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 appl.ication or
permit.
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First Middle
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ddress
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Phone
I understand my rights as stated above.
� gnature •
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN �J ' ��–�-3
INSPECTION NOTICE SCHEDULED 1/ - �� !L '�
PERMIT NO. �:� �� COMPLETED v{ �
ADDRESS � 1 �� �G2�-u,v-9-o-� ��'Q.c� -
OWNER `�rf�``���� CONTR. '
TELEPHONE NO. y�� � � �`'7�
� DESCRIPTION /t -
l� 01 FOOTING 11 ECHANICAL RI 16 WELL TEST PUMP
Q2 FFi/k� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� ION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FIN � 13 METER SET/TURN ON 17 SITE INSPECTION
� 0 EMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 P�UMBING 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 ORK SATISFACTOFY:PROCEED � PROJECT COMPLETE
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� C7 CORRECT WORK&PROCEED _^_ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTOTAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �; CITATION ISSUED
� INSPECTION REQl11RED.CALL TO ARRANGE ACCESS.
Call for t inspection 24 hours in advance.473-7557
OwnerlContr n s e:
Inspector. �
White Copy/lnspector's File Canary Copy/Site Notice