HomeMy WebLinkAbout1993-005544 - tear-off/re-roof �:�,��MIT �
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CITY OF ORONO PERMIT TYPE: �;t�����l��
2750 Kelley Parkway • P.O. Box 815 Permit Number: -
Orono, Minnesota 55356-0815 `-'`7��'��'_ _
(612) 473-7357 Date Issued: i�°�.i;�;:;�i:;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLIC T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�� 1
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CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ !��°' °� Date Received:
Date Approved:
Entered By: � - Permit�: J�5 y7
AT•T• INFORMATION MUST B$ SIIBMITTED IN FIILI� BEFORE PLAN RES7IEW WILL B$ STAFtTED
(See Check-off List Encl.osed)
---------------,�'�-� ----------------------------------------
TgE APpLICANT IS: (circle one) �-���or CONTRACTOR
JOB SITE ADDR$SS: S � �`�'�L"`'� `1 ZIP: ���� -
Gt� h�3 i � 11�� (work) �..3"' � � 7
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. i1 i � � > �'(�C�s lZSo r� �4 S�l ��C��A'�PHONE: (home) j� -��
NAML OF OWNER.� � �
MAII,ING ADDRESS: �s �?`��7'�`��� "1 ,� cl�: l,Jr� A n� ^N zlp: �..�
CONTRACTOR: p$��
MAII�ING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PH�NE:
MAILING ADDRESS: CITY: ZIP:
N��_ REGISTRATION #
TYPE OF WORR: New Addition Access � Structure Move �
Demo Remodel/Alteration Renovate�/\ Land Alteration
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PROPOSED WORR (describe in detail) :
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oZ 5�-- � � 1l AJ'?.QS T ��9� o� la S'�� �CP �A�o��- [.���1�(^ 2
STORIES: SQ. FEET OF EACH FLOOR= ( ��
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NO. OF BEDROOMS: � GARAGE STALLS: ATT.�- DET.
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IICTION VALIIATION (eacluding land) : $ ��� `
ESTIMATED CONSTR
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. •
� DATE: a� .�
APPLICANT'S SIGNATURE: `
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C ITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� � � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of sub e�� t or
data", we would like to inform you that your request for a P require
license f rom the City of Orono or any of its departments may
you to furnish certain private or confidential information.
You are notified that:
1. The in'on forltheypermit or licensebrequested. determine your
qualificats.
2. You may refuse to supply data, but refusal may reguire that
the City deny the permit or Iicense.
3. The information may be shared with other local, s�ate or
federal agencies to the extent necessary to process the permit or
I.icense.
4. If your requested permit or Iicense requires Counci3 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 procass this application or
permit.
�'i�liT � ��D�/�sa�.J
First
Middle Last
'f s rn�lR.r��.�c�a a� af+l�
Address
- ORa�o M,J 5�39�
City State Zip
��S- 3z�-3
Phone
I understand my rights as stated above.
Signature '
BUILDING&ZONING—473-7357 • ADMINISTRAT[ON�c FINAIYCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
r DATE TIME
CITY OF ORONO CALLED IN -7 "� � ��
INSPECTION NOTICE SCHEDULED 5�� �� ��
PERMIT NO. S�� COMPLETED � -����
ADDRE�S �� , Q-�ti'`�'�'�
OWNER �f� ���'ti-- CONTR. �
TELEPHONE NO. �7� " l- lr-' J 7
� DESCRIPTION �� `-��"7�,
� 01 FOOTING 11 MECHANICA RI 16 WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
05 FIN—A--� 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
? 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 ��/VORK SATISFACTORY:PROCEED PROJECT COMPLETE
W �❑CORRECT WORK�PROCEED D: ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR fl CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-73�J7
OwnerlContrac n si :
Inspector.
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