HomeMy WebLinkAbout1994-005941 - reroof/tearoff � , PERMIT �
'��ITY OF ORONO PERMIT TYPE:
2750 Kelle Parkwa • P.O. Box 815 �'`=`;=;=�-,��'`'�'
Y Y Permit Number: i_;i;.;�•.��.
Orono, Minnesota 55356-0815 -
(612) 473-7357 Date Issued: i}::;:i:;�;���.
SITE ADDRESS:
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APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��-L• �
�.
t� CITY OF ORONO - BIIILDING PERMIT APPLICATION
'�'otal Fee: $ �,��•Z 2� Date Received:
Date A�oroved: '
Entered Hy: Permit u �`I`�1
AT•T• INgpgMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII�L BE SgARTED
(See Check-off List Enclosed)
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--------------------------------
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THE AppLICApT Ig: (circle one) O��TNER or CONTRACTO
• Z`-(`j5 �>c c�c� 1`�'�" (,v�-% ZIP:
JOB SITE ADDRSSS.
(work)
, PHONE: (home) `! % �-3 3`,/�
NAME OF OWNER: S/��'� ��'r��'`� r- )�'
MAIZING ADDRESS: Z�1�'j S S cc�-4r�, �;�� L`v CITY:��a,�2.✓���14 ZIP:
CONTR�CTOR: �� ����� v�,'`� L x� ^-��%� PHONE: �/ � �j -/�'/C�,
^ l CITY: r'�%?nl� r�l.�� r.�✓ ZIP: `-��"35 f
MAII,ING ADDRESS: (;CJ;�'C,' i�c� ; L ,
STATE LIGENSE: n Lj� �x�
PHONE:
ARCHITECT/ENGINEER:
MAII,ING ADDRESS:
CITY: ZIP:
REGISTR�TION �
NAME:
Addition Accessory Structure Move
TYPE OF WORK: New Land Alteration
Demo Remodel/Alteration Renovate
� �` � r�� r �(�t� I nJC T 1J l 1 /�'-�v
PROPOSED WORR (describe in detail) - ��• % � •
�
;ti;���
STORIES: SQ. FEET OF EAC.H FLOOR=
NO. OF BEDROOMS: G�GE STAZ�LS: ATT. DET.
��= _
ESTIM�TED CONSTRIICTION VALIIATION (ezcluding land) : S � � �� ' �
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 Co eLmithaand
understand this is not a permit and work is not to start without a p
that the work wiZl be in accordance with the approved p lan-
� •'..'_,__ / /f . v��� � i ic-�f-
�� � DATE.
APPLICANT'S SIGNATURE: / �'� �� '� �-"'�� "���
.7 .
1
-� �.:,� -
- C���' o� ���I�TO
� ' oi Post Office Box 66•Crystal Bay,Minnesota 5a323•Municipal Offices
0
� _ � ' On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. Z, "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 wil3. be used to determine your
qualification for the permit or license requested.
2. You may refuse to suppl.y 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 perntit or
Zicense.
a, If your requested permit or 3icense requires Councii ac��or.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full. name is required to proc�ss this application or
permit.
��C � ���r- i.vl '�.�
J �:� � r� ��
First iddle Last
� 7 � > > l���c� �'�✓'CC f�r'���'j
Address
(_ �� Y �., �� /Li c�- ��� U�l�
City State Zip
�/�) / ._ � l �/ V
� � > /
Phone
I understand my rights as stated above.
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Signature •
BUILD(NG&ZONING—473-7357 • ADMINISTRATION&FINANCE—�73-7358
• PUBLIC WORKS —473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN – F'� " ' �L ��'Y/
INSPECTION NOTICF ;/ SCHEDULED ���
PERMIT NO. �5 9v l � COMPIETED '
ADDRESS � �� -�-� �
OWNER��s�.�-��_ CONT ����iC(����
TELEPHONE NO. '� 7� " /9i�
� DESCRIPTION "
� Ot FOOTING 11 HANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINC�IFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 W LLBD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINAL 13 METER SETITURN QN 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO ME�YJ�1:_YES_NO
� COMMENTS: U
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� EFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN
INSPECTOR WILL RETURN
r CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract n e:
Inspector.
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