HomeMy WebLinkAbout1992-004456 - re-roof house/garage �► PERMIT
� ����, �� ��0�� PERMIT TYPE: E:IjILGIl�G
1335 Brown Rd. South • P.O. Box 66 PermitNumber: Cytf�.q.St�.
Crystal Bay, Minnesota 55323 ���•�����-}�='�i
Date Issued:
(612) 473-7357
SITE ADDRESS: .iyi�•� Ni ERTH :�Hfa�iE D�i
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CONTRACTOR: F'�' ��``n '
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��
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., CITY OF ORONO - BUILDI�IG PER�'yiIT APPLICATION
Total Fee: $o�'�� �0 Date Received:
Date Approved:
Entered By:��` � ,����
Permittt:
ALL INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off List Encl.osed)
------------------------- _
THE APPLICANT IS: (circle one) O��INER r CONTRACTOR
JOB SITE ADDRSSS: � '2� Z J�`'r'7`� `� �v� ��� ZIP: '� �3 � 1
(work) �7�1�_ `�a�l
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N� oF owriEx: / o � ��f'e����h� P$orrE: (home) �7�'_����`/
MAILING ADDR.ESS: �����-- CITYs ��`��v ZIP: J.S�R�`� �
CONTFtACTOR: ���/��� PHONE:
I�3AII�ING ADDRESS: CITY: ZIP:
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STATE LICENSE: �
ARCHITECT/ENGINEER: ����� PHONE:
MAIZING ADDRESS: CITY: ZIP:
rIAMF: REGISTRATION T
TYPE OF WORR: New Addition Accessory Structure biove
Demo Remodel/Alteration < Renovate Land Alteration
PROPOSED WORR (describe in detail) : �1 e' J � ���'��"a ���� ���
/�L v � /�•r�t� ��3/4J � � -
STORIES: � SQ. FEBT OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALZS: ATT. DET. X
ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $
/ f�UOr o0
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 wiI 1 be in accordance with the approved plan. �
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AP
PLICANT'S SIGNAZ`URE: ✓ ��� � DATE: v /3 ��l�
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� • Post Office Box 66•Crystal Bay, Minnesota 5�323•Municipal Offices
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, s - s o 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 Iike to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidentia3 information.
You are notified that:
l. The information you furnish will be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to suppl.y data, but refusal may require that
the City deny the permit or license.
3. The information may be snared with other Iocal , 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��or.
to approve, some information may become publ.ic.
5. 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.
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I understand my rights as stated above.
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
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�i DATE TIME
CITY OF ORONO CALLED IN 3�� ~9�
INSPECTION NOTICE _ , SCHEDULED �� � `�'^--�
PERMIT NO. l7`'1��= COMPLETED �L� �-
ADDRESS -3:� O �- /Z� ,��u--c.� /t. %l .
OWNER � �L G���._�c��L`f�-- CONTR. —
TELEPHONE NO. �7� � `�,�1'S�
� DESCRIPTION `t ���-`�
l� 01 FOOTING 11 CHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
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03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 0�5 FIN�AL ? 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 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
Q OWNEHICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ` pHOTOTAKEN
�NSPECTOR WILLRETURN
❑STOPORDERPOSTED.CALLINSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr r site:
Inspector.
White Copyllnspector' File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN '�
INSPECTION NOTICE, SCHEDULED 7 —��- a� o a
PERMIT NO. � `/-5 �' COMPLETED � � 2 Z-'�! ' `�' % ��
ADDRESS��a �' � �"`�``"'`�° 'L'� �
OWNER /' �������� �� ```' �� CONTR. L'
TELEPHONE NO. y 7�� 4 �'�l
� DESCRIPTION ��� `�/�.U-�`�
lL 01 FO TING 11 MECHANI L RI 16 WELL TEST PUMP
� 02 FRAMI G 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
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03 INS LATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SETITURN ON 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ,
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. G pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �- CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
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Inspector. , y %
White Copyllnspector's File Canary Copy/Site Notice