HomeMy WebLinkAbout1992-004547 - re-roof/tear-off P�.RI�IIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'��� �j��
Permit Number: ���y�t�4.
Crystal Bay, Minnesota 55323 Date Issued: C�c�;.l�t�.!'��
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — AF�F�1 i c�nt� —
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APPLICANT/PERMI SIGNA RE ISSUED BY:SIGNATURE
CITY OF ORONO - E�►:IILD:�NG PERi�SIT APPLICATION
� �L�, c�� Date Received:
Total r^ee: $ %
Date Approved :
Enter�d By: u• � ��
Permit,r• f��
ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off List Encl.osed)
----------------------------------------------
THE APPLICANT IS: (circl.e one ) OWNER or CONTRACTOR
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JOB SITE ADDRRSS: 1 �� ' !�� �� ����
(work) '
NAME OF OWNER:��� (� r ����K� PHONE: (home)�0���/ �7 J�
MAII,ING ADDRESS:���f _i,�`.clj' -� �%�(j,� CITY: ��(� 1�!l� _ ZIP: !��� (� f�
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CONTRI�CTOR: lz�'����� ��- l� !%�� _ PHor�:�7� -=l 7��
MAII,ING ADDRESS:1�j'�; �l�dL�'�� �f�-j ''�� CITY: �"l�Uc��� ZIP: � �J' j�-'
STATE I�ICENSE: �
ARCHITECT/ENGINEER: PH��'
MAII,ING ADDR.ESS: CITY: ZIP:
NAME: REGISTRATION �
TYPE OF WORR: New Addition Accessory Structure biove
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : [( ��_.�.:�
STORIES:___�___ S4- F�T OF EACH FLOQR: (/(�C��
NO. OF BEDROOMS: GARAGE STAI,.LS: ATT. DET.
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ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ �� �—
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 approved plan.
APPLICANT'S SIGNATORE: DATE:
s .
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C ITY o� OIiONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
0
� . � e 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 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 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 license.
3. The information may be shared with other Iocal, s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your reguested permit or Iicense requires Council ac��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 ful.I name is required to process this application or
permit.
lZorf�l �R-c�� lG l�C�
First Middl.e Last
��E�� �«G�� L.�e��
Address
��c9,r�D D���l 55��� _
City State Zip
�����r/I
Phone
� un rstand i ts stated above.
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BUILDING&ZONING—473•7357 • AD ATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�
ATE TIME
CITY OF ORONO CALLED IN >��Z ^
INSPECTION NOTI E SCHEDULED � � /%'3D
PERMIT NO. � � COMPLETED. ��� ��'d�
ADDRESS �O '� '�✓ l-'��
OWNER . CONTR. .-���?
TELEPHONE NO. '��,�77�
� DESCRIPTION . T �
W 01 FOOTING MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING� 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP VAL
Q 05 FINAL 13 METER SET(TURN ON
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �CNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL RETURN
- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra on te:
inspector. " •
White Copyllnspector's File Canary CopylSite Notice
��
pATE TIME
CITY OF ORONO CALLED IN �,< <
INSPECTION NOT CE SCHEDULED � G'L �`cZ%
PERMIT NO. � COMPLETED '�I j�=�
ADDRESS �` S� � l�+`-�-0�
OWNER CONTR. ��
TELEPHONE NO. '�7.�-/�I�i�/
� DESCRIPTION ��'�.i<�
� 01 FOOTING 1 ECHANICALRI 16WELLTESTPUMP
Q FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 0 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
�
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 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ,�WORK SATISFACTORY:PROCEED = PROJECT COMPLETE
W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. rpHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr or,o�site: _
Inspector. U
White Copyllnspecto's File Canary CopylSite Notice