HomeMy WebLinkAbout1994-006088 - reroof-tearoff �
PERMIT
.� �CITY OF ORONO PERMIT TYPE:
2750 Keliey Parkway • P.O. Box 815 `�_�i�=L7�.(��C�
Orono, Minnesota 55356-0815 Permit Number: ;^;�;;�,;};_�_
(612) 473-7357 Date Issued: ;i�f i i�:l,��.
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — :��=_��1 i c a�-��. --
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APPLICANT/PERMITEE SIGNATURE ISSUED BY�SIGNATURE .G�,
_ r� CITY OF ORONO - BIIIZDING PER�iIT APPLICATION
i Date Received: ,
Total Fee: $ �-S•7 S .
Date A�nroved: �
Entered By: ,P°�: Permit a: ����� _ .= .
. ,
F.T.T. INgORMATION MIIST BS SIIBMITTED Il`1 FffLL BEFORE PLAN REVIEW WII�L BS ST`BRTED
(See Check-off List Encl.osed)
--------
-----------------------
T� AppLIC�T IS: (circle one) O��TNER or CONTRACTOR
Jos sz� p,nDxsss: 3�(ob �� Sha�- �C' . _ Z1P: 553(g� -
� (work) y ��'�ylo�
(1 ���c� � PHONE: (home) ���' �`�LQ�f
NAME OF OWNER: v��s '�
NATI�ING �nDx�ss: 3�(o� �, �ln�rn. �_-_ cz�r: M���n ziP: � 5 3(��-
PHONE:
CONTR�CTOR:
' ��: ZIP:
MAII�ING ADDRESS:
STATE LICENSE: �
PHONE:
AgCHZTECT/ENGIN�s
MAII�ING ADDRESS:
CITY: ZIP:
` REGISTRATION a
NAME:
Accesso Structure Move •
TYPE OF WORR: New Addition � Land Alteration__
Demo Remodel/Alteration�- Renovate
,, � �
PROPOSED WORR (describe in detai.l) :
STORIES: SQ. FEST OF EACS FLOOR:
NO. OF BEDROOMS: GARAGE ST�LI�S: ATT. DET.
g,STT1KATED CONSTRIICTIoN VALIIATION (escludinq 1a.ad j : $ � Q� ��
I hereby apply for a building permit and I ackncwledge that the information
above is compl.ete and accurate; that the work will be in conformance w h �hi
ordinances and codes of the Ci.ty and with the State Buildinq Code;
uaderstand this is not a permit and work is not to start without a permit; and
that the work will be ia accordance with the approved plan. _ •
nA�: 5 ` i 1� -°14
APPLICANT'S SIGNATORE:
t�
� ����� �����
�
Post Office Box 66•Crystal Bay,Minnesota 5532:3•Muaicipal O�cas
!
� _ � � On the North Shore of Lake Minnetonka _
DATA PRIVACY ADVIS�RY
In accordance with M.S. 13.04, Subd. 2, "Rights of sub erm t or
data", we would like to inform you that your request for a p
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 informati�hey�erm tnor licensebrequested. determine your
qualification for P
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The informat�io the extenthnecessaryhto processcthe permit or
federal agencies
I.icense.
4. If your requested permit or Iicense recxu�res Counci3. ac�ior.
to approve, some information may become public.
�. You have certain rights under M.S. 13.04 to rev=ew private
data on yourself.
6, Your full name is required to proc�ss this appl.ication or
permit.
1Jan 4- h�sa�o �,�1���a-
First
Middle Last
3P�Coc� �U 5 ��c �c
Address
Jv
City
State Zip
���-���a .
Phone
I understand my rights as stated above.
� � � 4� ��-�--� -
Signature � � �
BUILD[NG&ZONING—473-7357 � ADMINISTRATiOiV dc FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
g DATE // 7 TIM�
CITY OF ORONO CALLED IN .�" �� "��` ��= ��{-'����
INSPECTION NOTICE G, �y SCHEDULED ��' ��`�l
PERMIT NO. � COMPLET � -� � �� �'3�'
ADDRESS��L�' � /����1 '��2'�-� �
OWNER C���4�-�- CONTR.
TELEPHONE NO. `� 7� — � �� ����
� DESCRIPTION �-�--
� 0 IN 11 MECHANICA I 16 WELL TEST PUMP
02 FRAMING 11 MECHANICA FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETfTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 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 MEEf YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED �—, ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pHOTO TAKEN
INSPECTOR WILL RETURN
I l CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CA�LTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr r site:
Inspector. -
White Copyllnspector' File Canary CopylSite Notice
�
DATE TIM�
CITY OF ORONO CALLED IN �L�� a� �
INSPECTION NOTI/CE �Jv SCHEDULED L -�- '�' 1,��c� ,�
PERMIT NO. CrO04 COMPLETED G� .�
ADDRESS �3��d ti� - �� �'L—
OWNER� r•...� ��1�l�/1/.X� CONTR.
TELEPHONE NO. �7 � —�(y SI
� DESCRIPTION —
� 01 FOOTING 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 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 FINAL 14 SEWER HOOK-UP 06 PROGRESS
-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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 MEEf YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W C CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
C' CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
OwnerlContractv�F site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�
DATE TIME
CITY OF ORONO CALLED IN ,` � ���
INSPECTION NO ICE SCHEDULED C_" "" ��-'
PERMIT NO. � � j _ COMPLETED � ��� '
ADDRESS �� �f r��� /' '��'� !� �
OWNER �j t�c 1�`. CONTR. -
TELEPHONE NO. j� �� "i `� �' `J
�
� DESCRIPTION ��f :`'''`-=-.
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WET�ANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FIN�, 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 UEMO—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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W� WORK SATISFACTORY:PROCEED 1�PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED /C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUEO
❑STOP ORDER POSTED. ALL INSPECTOR
❑ INSPECTION REQUIR CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance.475-7357
OwnerlContr r n site:
Inspector.
White Copy/lnspector's ile Canary CopylSite Notice