HomeMy WebLinkAbout1997-008966 - window replacement PERMIT
OF ORONO PERMIT TYPE: -:: :-: - �
2750 Kelley Parkway- P.O. Box 66 "_'=' '-'�`�"`-�'
Crystal Bay, Minnesota 55323 Permit Number: '=fi i;�;`=�r.:�,
(612)473-7357 Date Issued: i:;�;:i a�;°��
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITE SIGNATURE ISSUED BY:SIGNATURE �i.�� +
CITY OF ORONO - BQILDING PERMIT APPLICATION
Total Fee: $�/��_ Date Received:
Date Approved:
Entered By: ,Gfl • Permit A: ' /��/(o�
AT•T• INFORMATION MIIST B$ SIIBMITTED IN FDLL BEFORE PLAN REVIEW WILL BS STARTED
(See Check-off List Enclosed) �
---------------------------
TgE APPLICANT IS: (circle one) 0��1NER or CONTRACTOR
Jos si� Annxsss: �fi//� � Om� � i n�'Gt �/Q _ z1P: ��3 D�/ -
(work) ;� D -9��l�D
NAME OF OWNER: %�'" �� ��%�P�� PHONE: (home) '�I7/- �CO��
MAILING ADDRESS: � �/� ��i/Y1/.t �.("bl�G( t✓(. CITY: Y nC ZIP: 5�,3�O1
CONTRACTOR: �E-Y�lb 1!� . PHONE: ��'7' ���
CITY: ' � � �
IKAII.ING ADDR$SS: ,��� �7 /U! L' ���� �L'�2 _ Z IP: 5 ���—
STATE LICENSE: #�0�ID��
ARCHITECT/ENGINEER: pH���
MAII,ING ADDRSSS:
CITY: ZIP: _
N�- REGISTFtATION �
TYPE OF WORR: New Addition Accessory Structure Move �
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (aescribe in aetail) : re��1a cem�.r>f �x�c��a�s `� Q� �''��- _
G�C G�� �U l,f'l 1'Dl,� ��' �l/1�'c��J ��D GL�`:f�-C�G��'�.0
STORIES:__ S4- F�T OF EACH FLO�R:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $��*�i �"� Gl� —
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 I
understand this is not a permit and work is not to start without a _permit; and
that the work will be in acco ance with the approved plan.
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APPLICAN
T'S SIGNATORF: G� DATE: ��^ / �
�
CITY of ORONO
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:
l. The information you furnish wi11 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 Iicense.
3. The information may be shared with other Iocal , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or I.icense requires Councii ac�ion
to approve, some information may become public.
S. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
�<n.n �t�1 tT ��m c��nr�
First
Middle Last
�G I� Il� I�l ( 1�fi � �.F �SG
Address
, f i ��~��l
City State Zip
�f�7'- �La! � -
Phone
I understand my rights as stated above.
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Signa r
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
DATE �IME
CITY OF ORONO CALLED IN � -,�a��l� 9• �Sa�-i
INSPECTION NOTICE SCHEDULED
PERMIT N0. � COMPLET ��=�-x �1
ADDRESS �' O G�/
OWNER CONTR.
TELEPHONE NO. ���� g�0�PR
. n .
� DESCRIPTION !f
� 01 FOOTING 11 CHANICAL RI B D(CAV/CiRADIN(3/FIWNO
y 02 FRAMING 13 ECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z�BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
OS FI 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMQ--SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINCi FINAL 28 CEDAR SHINGLES 3g FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT�
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� C WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
W ['CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY
� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL REfURN
O STOP OROER POSTED.CALL INSPECTOR '– CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73rJ7
OwnerlContractQcer s't :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice