HomeMy WebLinkAbout1990-003280 - tearoff/re-roof PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 E;��I LC}I 1'+IG
Permit Number.
Crystal Bay, Minnesota 55323 Date Issued: ''"}='''�''{�
(612) 473-7357 C='���:��/�=��1
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BIIILDING PERI�IIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By:
Permit#:
ALL INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTEI3
-----------------------------------�_.�-----------------------------------�
THE APPLICANT IS: (circle one) ER or CONTRACTOR
.
JOB SITE ADDRESS: � T� /� l� / S�/1� � �z � ZIP: �� `� � �
(work)3.3/�� J^U
NAME OF OWNER: �l ,l�'/j�\ � ���x�''' � ! / PHONE: (home) �7�7��
MAILING ADDRESS: •� �S� `�( '� �"`�S�1Gw /�`;CITY: ��4�Z���'f ZIP: s��� � .
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CONTRACTOR: PHONE:
MAILING 'ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORR (describe in detail) : C U o !�-�' �' � ''t�� r ,
.
�`'r-��i��� ��, "'"``��-
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAG$ STALLS: ATT. DET�
ESTIMATED CONSTRIICTION VALIIATION (exclnding land) : $ � � G �
I hereby app ly for a bui lding permit and I acknowledge that the informata
above is complete and accurate; that the work will be in conformance with
ordinances and codes of the City and with the State Building Code; tha
understand this is not a permit and work is not to start without a permit;
that the work will be in accordance with the approved plan.
/ � � � �� �or��
APPLICANT'S SIGNATQRE: (�'`' �'� DATS:�
� _ (Please fill out the reverse side of this form) � _ �
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CITY of O�iUloTO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
8.
� On the North Shore of Lake Minnetonka
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DATA_PRIVACY ADVISORY
In accordance with M.S. 15.165, "Rights of subjects of data", we
would like to inform you that your request for a permit or Iicense
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 Iocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself .
6. Your full name, and date of birth are required to process
this application or permit.
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I understand my rights as stated above.
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Signature
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BUILDiNG�.ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PIIBLIC.WORKS—473-7359 -`'_�
A3SFSSING
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DATE TIME
CITY OF ORONO CALLED IN IO'�- 9v
INSPECTION NOTICE SCHEDULED �a-/ '9'� %
PERMIT NO. 3 a �� COMPLETED � �L'__
ADDRESS � �7'�-s�� �
OWNER �YYI CONTR.
TELEPHONE NO. LI' J '" � �oZ 3
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Q O DEMO—SITE ❑SEWER HOOK-UP ❑SITE INSPECTION
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. TEMPORARY
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ^—PERMANENT
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in adirance.473-73�J7
OwnerlContract n si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN � '" '��`�G �'�/ '�v
INSPECTION NOTICE SCHEDULED �=''�S- O �
PERMIT NO. �7 � L' COMPLETED ! Q�
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ADDRESS ��- w�v �
OWNER ' �-t-����' ONTR.
TELEPHONE NO. ���/ � � ��' ='
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� C1 INSULATION ❑ FIREPLACFJWOODBURNER ❑ EXCAVIGRADINGIFILLING
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WALI BD. ❑WATER HOOK-UP ❑ LAKESHORFJWETLANDS
Z FINAL ❑ METER SET/TURN ON ❑TREE REMOVAL
Q Ci DEMO—SITE ❑SEWER HOOK-UP ❑ SITE INSPECTION
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� ❑ DEMO—FINAL ❑ SEPTIC MAINT. ❑ PROGRESS
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p Cl CORRECT WORK,CALL FOR REINSPECTION �PROJECT COMPLETE
� BEFORE COVERING ISSUE CERTIFICATE OF OCCUPANCY
Ci CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
C STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contra�tpr o�site:
Inspector.
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White Copyllnspe tor's File Canary CopylSite Notice