HomeMy WebLinkAbout1995-006946 - reroof/tearoff - PERMIT
t C1TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ - _ .-
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued: - - _ _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: �� � -
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FEE SUMMARY: - �� . --
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CONTRACTOR: OWNER: � - _ ._ :_.. _ -
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE �-.
_• CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: �1 permit$:�p��C� .
ALI, INFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Encl.osed)
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TSE APPLICANT IS: (circle one) Oti+INER or CONTRACTOR
JOB SITE ADDRSSS: 3S'�l� L, V�� r�e�S-{-U,J -�CU `c• �✓�ca'�c� ZIP: �3� �
(work) 'SYS-oz-7 S�
NAME OF OWNF.�t: �A-�-�� Ck� PHONE: (h ome) ��/'��'�� �
MAILING ADDRESS: 35412- L.ivlv�-e_�-�-c�� �`� CITY: w�1�'�i ZIP: .�-53� �
CONTRACTOR: S L L F PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: /V � 19' PHONE: _
MAILING ADDRRSS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate� Land Alteration
PROPOSED WORR (describe in detail) : ,�L�� ' ���� �='"s T�� �' �°u5 C�
STORIES:�_ SQ- FEET OF EACH FI+OORs �o � �-
NO. OF BEDROOMS: � GARAGE STALLS: ATT. � /�E1•
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ESTIMATED CONSTRIICTION VALIIATION (ezcludi.ng land) : $ /�-a'�
I hereby apply for a building permit and I acknowledge that the informaticx�
above is complete and accurate; that the work will be in conformance with ti: :
ordinances and codes of the City and with the State Building Code; that �
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 SIGNATURE: � DATE: sl� ��J -
�
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t
� oRONo
CITY of
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal 4ffic�
•
� � � � 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
Iicense from the Citn o r�ate or confidential e nfo ationmay require
you to furnish certai p
You are notified that:
1. The information you furnish will be used to determine your
quaZification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other local , e�i� or
federal agencies to the extent necessary to process the p
license.
4. If your requested permit or license requires Councii ac��or.
to approve, some information may become public.
�. 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.
�E� � ���
Fi st Middle Last
�S'?� L�v�� S ,� A��S�
Address
� ?�. ,J �3G}'�
City State Zip
-�-� �-� � ��
Phone
I understand my rights as stated above.
S �
BUILDING�ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN � —:S=9s'�
INSPECTION NOTICE�,�1 cl�; SCHEDULED G � ,� f��'!
PERMIT NO. coMP�ErE� (� �_
ADDRESS � S��" �-��r--
OWNER �� CONTR. �"
TELEPHONE NO. �7�' �J�S
� DESCRIPTION /�-'� %�U//�
l� 01 FOOTING 11 MECHAN AL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 W L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 0 MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC�NSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� C1 CORRECT WORK&PROCEED
W Cl ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. —, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContra t r n i e:
inspector.
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