HomeMy WebLinkAbout1995-006857 - tear-off/re-side PERMIT
CITY OF ORONO ^ • � PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: ��'' � � ``��` -
Crystal Bay, Minnesota 55323 = _ - W ...
(612) 473-7357 Date Issued: : _ _
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _ . . . _. ... _�:..,� _ °=��: . __ _ °:� OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF OROI�,� �,,�RIIILDING PERMIT APPZICATION
Total Fee: $ Date Received:
Date Approved :
Entered By: " C" )
Permittt: �, .7�_�
ALL INFORMATION MIIST BE SIIBMITTED IN FIII�L BEFORE PLAN R.E�7IET�7 WILL BE STARTED
(See Check-off List Enclosed)
------------------------------------------
TgE APPLICANT IS: ( circle one) OPINER or CONTRACTOR
JOB SITE ADDR$SS: i'��L�S� ���1'1 � �- � r"`�-� /��`''!-_ ZIP:
(work) _.
. ��- �;` ���`,�1 �t_ !- �`- �� %� PHONE: (home)
NAME OF OWNER. ' �
MAILING ADDRESS: CITY: ZIP:
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�,�.�\--�,`�---�, --L�- �j ��r.�� r��� PHor�: � - '�-
CONTRACTOR:
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MAII,ING ADDRESS- � . �.. Z`�� fivF�� CITY:"�`�"'' ZIP: _
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STATE LICENSE: � (�,c.� ��7��
ARCHITECT/ENGINEER: PH���
MAILING ADDRESS: CITY: ZIP:
N�: REGISTRATION n
TYPE OF WORR: New Addition Accessory Structure riove
Demo Remodel/Alteration Renovate Land Alteration
/C ,� rL ;', � 't �.., C} ���,-�. �._�l�l�C��`i:�...��'�-�,f�t�
PROPOSED WORR (describe in detail) : (
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��J= 'L C�C�
STORIES: � , L-- SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRIICTION,VALIIATION (ezcluding land) : $ �
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 _T
understand this is not a permit and work is not to start without a permit; ana
that the work will be in accordance with the approved plan.
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APPLICA.NT'S SIGNATURE:
������ �.�,%c��..,C�'�J�.. DATE: .5 �S^ -
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� - NO
�ITY of ORO
Post Office Box 66•Crystal Bay, Minnesota 55323'MuniciP� ���
•
� _ � � 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 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 yoe�fi�or Zi ensebrequested, determine your
qualification for the p
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 oth�ocesscthe permit or
federal agencies to the extent necessary to p
license.
4. If your requested permit or license requires Council ac��or.
to approve, some information may become public.
7. 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.
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First
Middle Last
���C- i_��,`(., � � �
Address _
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t� �r�-��-��7���'�--
City State Zip
�;J �. �- j�; <,/ �-
Phone
I understand my rights as stated above.
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Signature
B[JILDING& ZONING-473-7357 • ADMINISTRATION&F[NANCE-473-7358
• PUBLIC�4'ORKS-473-7359
ASSESSIN G
DATE TIME
CITY OF ORONO CALLED IN 3-i�- 9�
INSPECTIONNOTIC SCHEDULED � 'i� /�—
PERMIT NO. ���� COMPLETED
ADDRESS O ZS �
OWNER � GU��!%L��'�� CONTR. ��
TELEPHONE NO. `�7������
� DESCRIPTION �
� 01 FOOTING 11 MECHANICA I 18 EXCAV/GRADING/FILLING
Q 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITIOPI WITHIN HOURS. p pHOTO TAKEN
►NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ion 24 hours in advance.473-7357
Owner/Contract site:
Inspector. /
White Copyllnspector's File Canary Copy/Site Notice