HomeMy WebLinkAbout1995-007220 - overlay/re-roof - —
PERM�1�
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/PE MITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BIIILDIN� PERMIT APPLICATION
�' �� � ���� Date Received:
Total Fee: $
Date Approved:
Entered By; �A�
Permit tt: �i v��a
AT•T• INFORMATION MUST BS SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL B$ STARTED
(See Check-off List Enclosed)
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--------------------------
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TgE APPLICANT IS: (circle one) O��iNER or CONTRACTOR
JOB SITE ADDR$SS:
� <�G c- /d�� �/`��="�'E ��' Z IP: 5 � 3��°
(work)
NAML OF OWNER:
�Jc� /�eL� �1 �1�� ` 5,� �— PHONE: (home) y�� - �e�T�
MATLING ADDRESS:
� y��� 2�� ���� f�k" CITY: �C�� �� ZIP: S �� 3%�
CONTRl�CTOR: ��u- ���`; �/ � � L`'�c� i�' �'c.�%-S�� PHONE: ��`�� ^ �� ��
i
� /'� �i `�l�cz�: �'� c�� �`%'� zzP: �-S 7� %
MAILING ADDRESS: /C� �� � ,y' �h �� ��1��/ %R�
STATE LICENSE: # C�'�� ��' � ���
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
CITY: ZIP:
NAME. R.EGISTRATION n
TYPE OF WORR- New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
���' �' ���`t�
PROPOSED WORR (describe in detail) : % �� � �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (egcluding landls $
�C�-�%o r �-zs
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 wi�ha�hl
ordinances and codes of the City and with the State Building Code;
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: ' �� / 5!
APPLICANT'S SIGNATORE:
� ti
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a�� �- �N�
TM��;.: CITY o� OI�
Post Office Box 66•Crystal Bay,Minnesota 55323•H4uniciPal 0���
•
� _ � � On the North Shore of Lake Minnetonka
DATA PRNACY ADVIS�RY
In accordance with M.S. 13.04 , Subd. 2 , "Rights of sub er�t� o�
d a t a", w e w o u l d l i k e to inform you that your request for a p
license from the Citn o r�ate or onf dential e nf rmation m a y r e q u i r e
y o u t o f u r n i s h c e r t a i p
You are notified that:
l. 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 Iicense.
3. The i enciestto the extenthnecessaryhto processcthe permit or
federal ag
Iicense.
4. If your requested permit or Iicense u�equC res Councii ac�io%
to approve, some information may become p
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
pe?�mit.
/ �
� � �-_ -� �. �
���ci �`�.
First
Middle Last
c � S h'� �,?�- %�l':
3 ';�< <2'. �
Address
% ,--- ���' �' s" �y/
�',� �/�- z iP
City State
"7` ��� , �., ->�;
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Phone
I understand my rights as stated above.
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CJ ��- riL� �1-Z'1
S ' nat re �
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
�
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE scHe�u�E� a �
PERMIT NO. co LETED
ADDRESS S (' {_
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION � — ��
� 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next' spection 24 hours in advance.473-7357
OwnerlContra�#�bn s -
��Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED $ '�4-4S �
PERMIT NO. �f eZ� � COMPLETED
ADDRESS ���Ob 0�1U SHDR.C� ��Z
OWNER CONTR.
TELEPHONE NO.
�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANtCAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q�iINAL ��O� 14 SEWER HOOK-UP 06 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� NORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVEAING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra n e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice