HomeMy WebLinkAbout1994-006112 - re-roof/overlay � i�IIT
CITY OF ORONO PEl�MIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ``�'E j��C��h�#t�
Orono, Minnesota 55356-0815 '-jj}'`'' �s-'
(612) 473-7357 Date Issued: ;y�f y:r,�_��
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGN RE ISSUED BY:SIGNATURE
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CITY OF ORONO - BIIIZDING PERMIT APPLICATION
�S', � �; � Date Received:
Total Fee: $
Date A�nrove�: '
Entered Bv: �-�`J Fermit�` � /� �Z _ _
pT.T. INPORMATION MIIST Bg(S�I`'1C�T�D offFLIIistBEFORESeLAN REVIEW_WI7�L_BE_Sg�RTED----
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�� �pLI�rJT Ig: (circle one) Ol�7ER or CONTLtACTOR
ZIP:
JOB SITE ADDRBSS:
(work)
� ���_�jC� .�' PHONEs (home)�7��' ��l -
NAME OF OWNER: �
�Z L� s��' ,4��"L CITY: ZIP:
MATLING ADDRESS: � � J�-� �'
( � �� P$o �' ,�--� -� S S 7
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CONTR�CTOR: W • -�
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MAILING ADDRESS- � J 7 S � �� �'L�C 3�<� CITY: I
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STATE LIC�lNSE: � �-�'-'� �
PHONE=
ARCHITECT/ENGINEER:
CITY: ZIP-
MATLING ADDRESS-
REGISTRATION 4
NAME:
Accessory Structure Move
TypE pF WORR: New Addition Land Alteration
Demo Re.*nociel/Alteration Renovate
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PROPoSED WORR (describe in detail) = ��
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STORIES: SQ. FEET OF EgC$ ��R:
gp. pg BEDROOMS: G�Fi�GE ST�I.I�S s ATT. D ET.
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ESTSMATED CONSTRUC'SI�R VALIIATSON (eacluding
land 3 : S �� �
I hereby apply fo= a building p
ermit and I acknowledge that the information
above is complete and accurate; that the work will be in conform c dei"� th t e
ordinances an d co des o f t h e C i t y and with the State Buil.ding e�it; and
ua d e r s t a n d this is not a permit and work is not to start wit hou t a p
that the work will be in accordance with the ap o v e d p l a n- .
;' DAZ'E: �— ��� __ �L
APPI�ICANT'S SIGNATURE: "�r
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C���' o� ��►�I0T0
r1!1 Post Office Box 68•Crystal Bay, Minnesota 5�.323•Municipal Offices
•
� _ � � 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 inforination may be shared with other Iocal , s�ate or
f ederal agencies to the extent necessary to process the permit or
Iicense.
a. Sf your reauested permit or Iicense requires Councii. ac��o%
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to rev�ew griva�e
data on yourself.
6. Your full name is required to process this application or
p e,-mi t. ���}y2-�j/��'/"� l, �� �� / �
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Address
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City State Zip
L-� "7� � S"�' �J
Phone
I understand m ' ghts as stated above.
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Signature •
BUILDING&ZONING-473-7357 • ADMINISTRAT'ION&FiNANCE-473-7358
• PUBLIC WORKS -473-7359
ASSESSING
DATE TIME
CITY OF ORONO CALLED IN �'��- 9`�
INSPECTION NOTICE SCHEDULED S'�� -�
PERMIT NO. (� f/ � COMPLETED N �
ADDRESS J�`��'� yl�,d�2G`2.x ��
OWNER (�L CF'fz�-te-v CONTR. � � ��_�
TELEPHONE NO. � 7 � - �' � -3
� DESCRIPTION ��
l� 01 FOOTING 11 MECHANICAL R 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
ti
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
� 04 WA�L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
05 FINAL 13 METER SETlTURN 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
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� �� CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
C]STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Li INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-73�J7
OwnerlContract sit :
Inspector.
White Copyllnspector's File 1 Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPL T
ADDRES ��-E C� �d'/�� �d'L-�. c�1-�-i
OWNER v CONTR.
TELEPH NE NO.
� DESCRIPTION lS
� 01 FOOTING 11 MECHANICAL RI XCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 9 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z0 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� AL 14 SEWER HOOK-UP 06 PROGRESS
DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
D COMMENTS:
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d WORKSATISFACTORY:PROCEED ❑ OJECTCOMPLETE
W
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDERPOSTED.CALLINSPECTOR `' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473�73 'rJ7
OwnerlCo cto si -
Inspector. �
White Copy/lnspector's File Canary Copy/Site Notice