HomeMy WebLinkAbout1995-007230 - tearoff/reroof � _
� PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ;
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued: - _
� SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY: ` ��� '`'
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APPLICANT/PERMtTEE SIGNATURE ISSUED BY:SIGNATURE -f/�-
� CITY OF ORONO - BOILDING PERMIT APPLICATION
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Total Fee: $ . ��--� ' � 'J Date Received:
Date Approved:
Entered By: r'�� Permit R: � �/�'��
AT•T• INgpRMATION MIIST B$ S� Che�offFListBEn�closed N �vl� �� B$ STARTED
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�HE AppLICANT IS: (circle one) 0��7NER or CONTRACTOR
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Jos sz� AnnRsss: /5 �> ��/N�'%f� .�t-�' m���/�D ��V
(work) �I�2C� "� �1 72 C.�
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NAME OF OWNER: ����L(,�N 7�C�/,5�/�{.'' �/�i PHONE: (home) `���- I� ��
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MASLING ADDRESS: /S•�J� / "//,�-'�-'�� � '
CONTI2ACTOR: �.�/�� Psorr�: �' y ���
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MAIZING ADDRESS: _-_____ CITY: ZIP:
STATE LICENSE: #
ARCHIT�CTjE.IGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration � Renovate Land Alteration
PROPOSED WORR (describe in detail) : /L�f''C�C� � ��'L���" '� �'��'� �� �
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STORIES: � � SQ. FEET OF EACH FLOOR= �C�C�
NO. OF BEDROOMS: .� GARAGE STALI.S: ATT. DET. �-
ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ /L' C C � �- `
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 SIGNATURE: ��� �a���7z- �����— DATEs �
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CITY of ORON
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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� � � � 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 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 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 Iocal, 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 full name is required to proc�ss this application or
permit.
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First
Middle Last
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.Address ,/
• � �� � �� �S3�Y
City State Zip
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Phone
I understand my right as stated above.
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Signature '
BUILDING 8c ZONING-473-7357 • ADMINISTRAT[ON&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSiNG
DATE , TIME
CITY OF ORONO CALLED W `� /� �S
INSPECTION NOTICE SCHEDULED � �/��J % ` �Q
PERMIT NO. ��� � COMPLETED _�� /�_
ADDRESS /'�� -.�,.�- �r . �i r-=
OWNER /�������%. CONTR. _C�/
TELEPHONE NO. `�'1/ -;' 3 3'
� DESCRIPTION _/�_��.-'<_r,�--�
lL� 01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING
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�02 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED G PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY
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Q �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO AR NGE ACCESS.
Call for t in e tion 24 hours in advance.473-73�J7
OwnerlContra ite:
inspector.
White Copyllnspector's File Canary CopylSite Notice
V� �4�E,,,� TIME
CITY OF ORONO �rZ3�� CALLED IN � /`l
INSPECTION NO ICE ✓ SCHEDULED `1� a?'• �
PERMIT NO. 9d COMPLETED � ���
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ADDRESS •
OWNE t * CONTR. ����
TELEPHONE NO. 'y7/ � ��3/ r
� DESCRIPTION �Q -� - ��� � oc- /�v.s��
� 01 FOOTINQ 11 MECHANICAL.RI 18IXCAV/(iRADINCi/FIWNd
�Q 02 FRAMINd 13 MECHANICAL FlNAL 19 LAI�SHORE/NIETLO�NDS
Q 03 INSUUTION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z 04 W�1,�. 12 WATER HOOK-UP 17 SITE INSPECTION
e � 14 SEWER HOOK-UO O6 PROORESS
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v 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
�Q 07 DEM�FlNAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBINQ RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAI
v 1 NQ FINAL 38 FOUNDATION REMOVAL
Q OWN NTRACTOR TO MEET YQU:�8_NO
�„ MMENTS:
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d WORK SATISFACTORY:PROCEED
W� ' PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
I for the next in pection 24 hours in advance.473-7357
Owned tra sit :
Inspector:
YVhita Copyllnspector's File Canary Copy/Slts Notice