HomeMy WebLinkAbout1994-006438 - tearoff/reroof PERMIT
� �;I�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 L�:"c.:;�.L:F j�a3;
Crystal Bay, Minnesota 55323 Permit Number: _ .�:_i;;r
Date Issued: '}"'='
(612) 473-7357 r�y:=;:;'3r,;';=;�.
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — ►=_��;�x =::����:�.. --
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE "'"'1 ,
� • � ''' CITY OF ORONO - BIIILDING PER�i1T APPLIC�TION
� Dat� Received:
� Total Fee: S -
; Date Acproved: '
red Bv: Permit� i��`�3��
Ente_ - _=
AT.T• INPORMATION MIIST BSt S� Chec�of FIIiStBEFORESeLAN REVIEW WI7�I,-BE-S�RTED----
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�rTl'�1ER or CONT�ACTOR
�� A.PPLICANT I5: (circle one) I
' x�o���� rJ i71r� ZIP: � ��V`�
_ L� ,.��,
JOB SITE ADDRBSS: �
(work)
�-- \f�� �'2�:. �So,J PHONEs (home) �-1��-`{�'S `�
NAME OF OWNER: - -
^ CSTY: (`nc�v �1 � ZIP: �� ��'`�
MATLING A.DDRESS: �(��-' V l-`�'"^s� ���,'''`�`�
PHONE:
CON�C'rOK=
C=�: ZIP:
T•(ATT ING ADDRESS:
STATE I.IC._.�NSE: �
PHONE:
ARCHITECT/ENGIN�ERs
CSTY: ZIP:
MATI,ING A.DDRESS:
R.EGISTRATION ?
NAME:
Accessory Struc�sre Move
T'YPE OF WORR- New Addition Land Alterat�on
Demo R�*node�/alteration Renova�.e�_
,, � � � �, ;�`� \��� ��-�� '�� - �CG
PROPOSLD WORK (describe in detail) -�_
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STORSES� � SQ. EFEET OF E�C.H F��R=
NO. OF BEDROOMS: �.5 G?�RAGE STAI.ZS: ATT. �� DET.
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?c)� _
ESTIMA�ED CDNSTRIICTSON VALUATION (e.aclnding I�d) : $ �
I hereby aoplY for a buil.ding permit and I acknowledge that the information
above is complete and accurate; that the work will be in conform coae W th the
ordinances and codes of the City and with the State Building e�it; and
understand this is not a permit and work is not to start without a p
that the work wil.l be ia accordance with the approved pla.n. _ -
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, �. DATE s /" I•G - 1 �
APPI�IC1'�NT'S SIGNA?'URE z �---� --_
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Post Office Box 66•Crystal Bay,Minaesota 5a323•Municipal Offices
FI! �
� Orz the North Shore of Lake Minnetonku -
• - •l + •
DATA PRSP�� ��SORY
13.0� , Subd. 2, "Rights af subjects of
with M.S• ou that your request for a permit or
In accordance require
we would like to inform y of its departments may
data", o= Orono or anY
license from the City rivate or con=;dential insormation.
you to furnish certain p
�,ou a+e notified that:
mhe information you furnisii ensebrequested, Qetermine your
1. eT-nit o�
qualification for the p � requiro �hat
refuse to supnly data, but refusa_ may
2. You may the permit or license.
tne City deny ar local , s�a�e or
3 . mhe information may be snared wYth �throcoss the permiL °1
f edera� agencies to the extent necessa�y to P
�icense. , ac��or_
�, �i yaur recuest=a pe='n1t
or Iicense requyres Councis
; ation may become public.
some nf orm
`o �porove. • ; vate
� , you have certain rights under M.S. 13.04 to re�"-eW �r`
data on yourself. • or
6 _ Your ful.l name is required to proc=ss this apnZ�C3`=-On
pe�it.
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First
Middle
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�Cv��� � , .� ��
Address
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' �� i� Z ip
� r'' State
Ci�y
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Phone
I understand my rights as stated above.
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Signature
BUILD[NG&ZON[NG—473-7357 • ADhtINISTRATION&FINANCE—�73-7358
� PUBLIC WORKS —473-7359
p5$ESSING
DATE �lE J
�'_ C �l ' ,L%
CITY OF ORONO CALLED IN �� j �
INSPECTION NOTI E � � � �� scHE�u�Eo ���' '`�� 3 '�`
PERMIT NO. �-�' � " k c PLETED '�
ADDRESS �� � '���' K--'`='-
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OWNER �� � � - '1���'��--� CONTR. ��
TELEPHONE NO.
� DESCRIPTION , r� �- � ���"
� O�G, 11 MEC ICAL RI i6 WELLTEST PUMP
��02 FR�6 11 MEC ANICAL FINAL 18 EXCAV/GRADINGIFILLING
031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d C WORK SATISFACTORY:PROCEED �� PROJECT COMPLETE
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� ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �� pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContrac s't :
Inspector.
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