HomeMy WebLinkAbout1993-005461 - reroof/tearoff PERMIT
CITY OF ORONO PERMIT TYPE: BUILDING
.2750 Kelley Parkway - P.O. Box 815 Permit Number: 005461
4 Orono, Minnesota 55356-0815 Date Issued: 08/26/93
"12) 4730357
SITE ADDRESS:
it
-170S Ni.-jl;,"7H SHORE D.
P . I . N . ; 07-117-23-32-005!z';
DESCRIPTION:
REROOF/TEAROFF'
Building Permit Type SF-ADD/REMODEL
Building Work Type RE-ROOF
REMARKS:
FEE SUMMARY:
VALUATION $7, 30C)
Base Fee $99 .0()
Total Fee $102 . 65
CONTRACTOR: Applicant - OWNER:
ENIURBAN EXTERIORS INC 14791910 4,RAWFOF-0 FROID
6000 HWY 1:2 4705 NORTH SHORE DR
MAPLE PLAIN VIN 55359 OFROP40 MN 55364
(612) 479-1910 472-4494
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL wIC-IRK IN !_TR ICT COMPLIANCE WITH ALL CITY 01:7
GRONO ORDINANCES AND STATE OF MIN NESOTA BUILDING CODE REQUIREMENTS .
APPLICANT/PERMITEE SIGNATURE _WISSUED
BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
dotal Fee: $ /d Date Received:
Date Approved:
Entered By:�r j Permit n: _5q(0(
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
------------- -----------------------
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THE APPLICANT IS: (circle one) ( OWNER or CONTRACTOR
JOB SITE ADDRESS: Ll70S NaZIP:
n II (work)
NAME OF OWNER: �` v C r A` '� Q PHONE: (home)
MAILING ADDRESS: �17C'S �1>� S �e�e ✓�''' CITY: ✓400, 0 A ZIP: SS3�7
II-- PHONE: Lr
79-l S I O
CONTRACTOR: v V)�� I��4y� L xe.^ ����> n
MAILING ADDRESS: �,�iGC� %f C, <_. / Z CITY: /''19 �e /' I w zip: -5-�35�
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE.
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION n
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
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 withathl
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 acc r7ce with the approved plan.
APPLICANT'S SIGNATURE: '- DATE:
' a
CITY of ORONO
Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
0 1 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 information may be shared with
h other local , tate or
federal agencies to the extent necessaryto process the permit
license.
4. If your requested permit or licensepublic.requires
res Council action
become
to approve, some information may
7. 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.
Last
First
First Middle
17 3 Z 2--
Address Address
LA Uk l
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—373-7358
• PUBLIC WORKS —473-7359
ASSESSING
ATE TIME
CITY OF ORONO CALLED IN .S 93
INSPECTION NOTICE SCHEDULED
PERMIT NO. / COMPLETED
ADDRESS
OWNER CONTR. a,94,Zf�J?
TELEPHONE NO. 4/717-/9/0
DESCRIPTION Obhe-p
WMECHANICAL RI 16 WELLTEST PUMP
2 0FRAMING 11 MECHANICAL FINAL 16 EXCAV/GRADING/FILLING
y INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
a
J
O
O
W
cc
Q
Z
W
W
UjWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C) BEFORE COVERING 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 neinspection 24 hours in advance.473-7357
Owner/Contra o te•
Inspector.
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