HomeMy WebLinkAbout1992-004261 - re-roof/windows/garage PF�RIi�IIT
CITY OF ORONO � �
- ,:� PERMIT TYPE: �::,;����j��
1335 Brown Rd. South • P.O. Box 66 Permit Number: +��J4��1
Crystal Bay, Minnesota 55323 Date Issued: i1�i i ti:i���
(612) 473-7357
SITE ADDRESS: �
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PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �����
CITY OF ORONO -�UII,DING PERMIT APPLICATION
.
Total Fee: $ � Date Received: �-/.3� %�
,, Date Approved:
Entered By: � ,�>
"�" Permit#: ���� /
ALL INFORMATION MUST B$ SDBMITTED IN FLTLL BEFORE PLAN REVIEW WILL BS STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: 3 7� L'��cG ��"� ZIP:
(work)
NA1�II: OF OWNER: �Ru�D M N 5�'�"'�'� _ PHONE: (h ome) ��S-V y�2
MAILING ADDRESS: 3 7 � �.�-�'+tr" `�� o CITY: p�,p�a Ca ZIP:
CONTRACTOR: TtRJR.� E VA'�IJ.S Atl�1�i"�""t Q�'� PHONS: "1 �T 4�"I�Eo L'J
IKAII.ING ADDRESS: �.t0'�u �xC�e�3�o� ��VD CITY: G�X.�►JW��7 ZIP: �'�3�j�
STATS LICENSE: # a a� Sy 4 to
,
ARCHITECT/ENGINEER:�/ �. PHONE:
MAILING ADDRESS: CITY: ZIP:
p�E: REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure Move �
Demo Remodel/Alteration�_ Renovate Land Alteration
PROPOSED WORR (describe in detail) : �+C'�K�pF �G�7(.�FG@. '3 �V I111�c�W�� 5�►c��
'r-�'�G�, �+�cRRt�G. C t t Lr�ti�
STORIES: SQ. FEST OF EACH FLOOR:
NO. OF BBDROOMS: GARAGE STALLS: ATT.�_ DET.
BSTIMATED CONSTROCTION VALIIATION (escluding Iand) : $ 31E� �
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance 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 appraved plan. �
/� '�^.-�t%*/�- DATE: /�` '�Z.
APPLICANT'S SIGNATUI2E: �C-�
. �
�
C ITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323�Municipal Offices
•
� � � � On the North Shore o�Lake Minnetonka
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 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 3icense.
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 Counci3. act�on
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 process this application or
permit.
f �U A�NS
)��� �e��
First� Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
�' �i��--
Signatu .
BUILDING&ZONING-473-7357 • ADMINISTRATIO[Y&FINANCE-473-7358 � PUBLIC WORKS-473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT�E SCHEDULED Y'�y-�iZ 2 /5 H
PERMIT NO. ��� COMPLETED
ADDRESS 3�D L�AF S"�
OWNER �b�N �-f�w.�L� CONTR. 7'�l2Ra-f F7��S
TELEPHONE NO.
� DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
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 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTAL�. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAI
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS: �-�o'F "�`C.W-2 D(=i4
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITH�N HOURS. pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on si�e:
Inspector. � U Aµ0
White Copy/lnspector's File Canary CopylSite Notice
V
ATE TIME
CITY OF ORONO CALLED IN ��x� `�''
INSPECTION N 110E SCHEDULED �!l2g!9i � :30
PERMIT NO. �o COMPLETED u_ t�
ADDRESS ' '
OWNER �,���� CONTR.��� L��
TELEPHONE NO. �7�f- 7-3�0 0
� ,
� DESCRIPTION ���p��Q ^i�=�'.7 ��.��2:�t,�T.c�o
� 01 FOOTING 11 MECHANICAL RI 16 WELITEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWEfLANDS
� 12 WATER HOOK-UP 34 TREE REMOVAL
05 FI 13 METER SET/TURN 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
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:.JLYES_NO
��., COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� � ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑COFtRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RE7URN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne�tt inspection 24 hours in advance.473-7357
OwnedCon n site:
Inspector. �
White Copyllns tor's File Canary CopylSite Notice