HomeMy WebLinkAbout1995-007119 - gar re-roof/tear-off PER�:�V�[.T
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 � .
Crystal Bay, Minnesota 55323 Permit Number: J
(612) 473-7357 Date Issued: _ .
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- . _ _ _ _. _ -
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AP ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BIIIbDI� PERMIT APPI�ICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: � Permit�: ���� 9
ALL INFORMATION MIIST BS SIIB ChTTED II�1 FOLL BEFORESeLAN REVIEW WII'r' BS STARTED
---------------------------
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THE APPLICANT IS: (circle one) 06�1'NER or CONTRACTOR
JOB SITE ADDR$SS: 3y�a ���'i JI b� �11J`� _ ZIP: J�� 3c1 �
(work) 3 » c� 3�a'
N� OF OWNER:
C`l1C.� v.�.Y SG:i ���'s pHox�: (home) y 7/-�(�5 /�
MAILING ADDRESS: ��a � �i!�S�cl�'� l.C�t1e CITY: lJ`� �lO _ Z IP: ��3c7 �
PHONE:
CONTRACTOR:
IKAILING ADDRBSS: CITY: ZIP:
STATE I,ICENSE: #
ARCHITECT/ENGINEER: PH���
MAILING ADDRSSS: CITY: ZIP:
N�_ REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure Move �
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �^ .r���'� Gn��� 4
.sz��.
STORIES: S4• �T �F �� ��R'
NO. OF BBDROOMS: GARAGE STALLS: ATT. DET.� �
. �
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ a�
I hereby apply for a building permit and 2 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 wil 1 be in accordance with the approved plan.
APPLICANT'S SIGNAZ'DRLr: DATE: !-(o' ��
J! ';
� ONO
CITY of OR
Post Office Box 66•Crystal Bay.Minnesota 55323•Municipal Offices
•
� _ � � 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 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 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 ac��or.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your ful.l name is required to process this application or
permit.
e
First Middle Last
��lZ2, ' .
Address
City ` State Zip
�?�-a(��i �- � s� � ^0�_ �`�
Phone
I understand my rights as stated above.
Signatu e
BUILDING&ZONING—473-7357 • ADMlNISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
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DATE TIME
CITY OF ORONO CALLED IN ���-`�b
INSPECTION NOTICE g SCHEDULED �f .� 9 � --�
PERMIT NO. ���/ COMPLETED
ADDRESS ' /� �7� + � d/� L�
OWNER U2�CC�i CONTR. �
TELEPHONE NO. �7�" O�S9
� DESCRIPTION
� 01 FOOTINd 11 M ICALRI iBIXCAV/(iRADINd/FIWNO
�Q 02 FRAMIN(i 13 MECHANICAI FlNAL 18 UI�SHORFIVVETIJWDS
Q 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WA7ER HOOK-UP 17 SITE INSPECTION
Q
= p$FINAL 14 SEINER HOOK-UO O6 PROORESS
~ 07 D ITE 27 SEP71C MIUNT. 21 COMPWNT
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W 07 DEMO--FINAL 15 SEPTIC INSTALL. 22 FOLLOIN-UP
= 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 38 FOUNDATION REMOVAL
Z OWNER/COM'RACTOR TO MEET YOU: YE8_NO
y COMMENTS: � � ��"� �
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d RKSATISFACTORY:PROCEEO C PROJECTCOMPLEfE
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� CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE COND�TION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspecti 24 hours in advance.473-7357
OwnedContractor on it •
Inspectoe
White CopyAnspector's File Canary Capy/Sita Notice