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HomeMy WebLinkAbout1992-004318 - tear-off/re-roof : : � __ _ __ �ERMIT CITY OF ORONO f t PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: �iii[��`�;-It�� Crystal Bay, Minnesota 55323 Date Issued: t:��/i�:�:/_=1t (612) 473-7357 SITE ADDRESS: :�4?•�` LYR I C: AVE t L'�V ' �'. I .N. : 17-f 17-�:;-�=:-i>i�74 DESCRIPTION: TEAfi-i�jF�'/RE-�i�E��F Bui l��if�� F'er�rrii t• Ty��� �=�F-��;�3:'�Eti�=�GEE E:uil��i��� W������:: Ty��� F;E-F;�=+�M�F `i �i����.� '��^-�'� ;�+ A �� �v�: � � � � � � , � ��� �W � �� ��� � ;r �- a �" � � k-�� � �`���, � y .. �'��ir x� "�,'�°�"�r' "`�,���,.� .l� ��" � �.� . � �, � �' "�. ��t��-i �'� * u,� '�� k= �.-� �'� ^n-�M1 �. . ��x�-� �" � �� �,����'`��+�� �. �,v� ��'���� � a��r, i•TTr fit' ir�i�f�?�f�'} �eu'. y�� �.r1! Llt L' 1 1: �" , ,a°�� � �,gk� �' �u���p��v w � �'�a �"��'��F�µ� � E " u � � � �° L'3�tl:i r�� t ti CT��t ,� ! 1lt171�LL il! ! 14L 1 �°ic 9�k�'�� 4 i u�'�v�'���'1 t ��� � { 3 i�f i kjlf r�I j, �+q' l "� r �r�� w m. � i r, lrJ1+J1LtY1�V 1'!' � � ��� �µ�".` a�, ^ fi�� . t�i rCkj i� '�j► f.0� ,�rd�+� n � =�'"�'�. r `,1 VL!-�t 1! s V�{! � .,�����r'�-�'-� � �. ,�� - �,�q�k 1LLi.t�J{f�V�V t'! � �� t} �j J� ���,�� ''���°� )m,.•�: �9wa. .: � 1�1 VLIF aJV L��LV/t !�L 1?.u%V .'_.'.__"—_'__'-'--._._._"____'—__.'_____'_—_'_'_—'—_ 1 CLLLl���t�171T% lfUt! �������, , i;:':y ir,%�t t't tt tt* t , �a'` Ti.�T2TLV 4�V1 1 V1 !td'J�.J �,j ��. � V�JJ,VLf/��• -"�=:�; iUMMARY: � V#�L!1�T i��af� �r,i y�_� E��Sc Fe� �+l? , [i;j '•=:C.�It'C�"!c"t Y`�� _`��..r-�°{) ---------, _ -;<,�i.Vt�, �-tif= 3i � ; Ci) r, . 'r$"^; —__-----------�_._�..W___ ,, OWNER: ��'�'I 3.�cSi��• � ';R�LEA�_;��r� :�r�r1�_. '�.'��4!i L_�!l J.�• HY� �#_f�'�—lr��—� ��� S�i:;'!�, �,(F.�.��.y���.—:��F�t):�; .�".�;�:. t t�t��r�;°=�I��i�lkG F-�Ei;;EE�� r��{:��-!�`_;T'�; �'�:f;t1 I`_�°_�T i i�1 Ti i t1€=�t�::E THI� �:E€�L I t1t=`���t�'�i�1L h�T'=� °��F'��f�:?�I i:� F��•��:� nCa�;c E':� T��i C;��3 ¢KL_L 4��i i��t��: I Iv :�::�;3�:� �,:;_i���L I�t�t�:� �1I►N �1L� �::t j�� ��i� E��hi�+�#+=s a�l�;�;I i�#�i�`•��=E:� ��t�i�i '��T��fi�: E�I=" t�I it�t�as��;i��{"t� E���1 I��I�`dt; c_:��t��' ��Et:�!:i i�EhtEt�aT°=� . � C' ��� ��� APPLICANT/PER ITEE SIGNATURE ISSUED BY:SIGNATURE �G�..�i—� CITY OF ORONO - BUIL�ING PERMIT APPLICATION . Total Fee: $ Date Received: Date Approved: Entered By: Permit#: =� �� y; AT•T• ZNFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BS STARTED (See Check-off List Enclosed) --------------------------------------= ------------------------------------- THE APPLIGANT IS: (circle one) �., OWNER�r CONTRACTOR � � ����z P: s�-�y � JOB SITE ADDRSSS: ����Z �� i"/C; / �4� (work) � NAME OF OWNER: �f�i�1'� �"JiC��CdL��-� PHONE: (home) ��l ''�E�C� � MAILING ADDRESS: ��7z �%r r��� �v� CITY:��r2.r�� ZIP: SS� ' �ONTRACTOR: PHO�= I�iAILING ADDRESS: CITY: ZIP: STATE ZICENSE: # ARCHITECT/ENGINEER: PHO�= MAILING ADDRESS: CITY: ZIP: N�yy: REGISTRATION # TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration f�. Renovate Land Alteration PROPOSED WORR (describe in detail) : �� ��"J/� �c�t-c.�_. STORIES: 2- SQ. FEBT OF EACH FLOOR: ? NO. OF BEDROOMS: � GARAGE STALI,S: ATT. DET.� ESTIMATED CONSTRUCTION VALIIATION (egcluding Iand) : $ ��� � 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 accordance with the approved plan. � APPLICANT'S SIGNATORE: � �� �tCk-�Z� : DATE: S� � ��� �� . . ��� � � x s�z;�, �- -� "` �"� `�=�� ����� CITY of ORONO , ::.,_��:...,_r'. � ��� Post Office Box 66�Crystal Bay,Minnesota 55323•Municipal Offices :�wy 'e &,� � , `m�°_ � v On the North Shore of Lake Minnetonka DATA PRIVACY 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 Iicense. 4. If your requested permit or Iicense requires Councii ac�ior. 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 full name is required to process this application or permit. �J�i�k_S ��' '7 �Y `1?�1'`y�'c'�� First iddle Last `�7 Z 1���-��� �;� �� Address L��/��r� 1�,c.� S����I City State Z1p �7/ -�-�s Phone I understand my rights as stated above. � � L �� Signature ��� ',")� BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359 ASSESS[NG