HomeMy WebLinkAbout1993-005362 - tear-off/re-roof PERMIT
CITY OF ORONO or
PERMIT TYPE:
275UKeUeyParkway ^ P.O. Box 815 Permit Number: BUILDIN6
Orono, Minnesota 005362
Date Issued:
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(812) 473'7357 07/23/A3
SITE ADDRESS:
980 NORTH SHORE DR W
LSV
PIN � 07-1124
DESCRIPTION:
TEAR-OFF/RE-RD[)F
Building Permit Ty cle SF-ADD/REMODEL
Building Work Type RE-ROOF
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FEE SUMMARY:
VALUATION $2,
Base Fee $45 .00
SurcIx,rn�
Total Fee $4600
CONTRACTOR: OWNER:
DI
URCINCI
THE UNDERSI8NEO HEREBY RE�UESTS P�RMISS7ON Ti MAKE THE REAL IMPROVEMENTS
SPECIFIED A�� A�REE� TO DO ALL �DA� IN ST�l�T C0MP�I�����E WITH �Li �IT; DF
OF�ONO URDINANCES AND STATE OF MINNESOT� BUI�DING CODE RE(�UIREMENTS
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CITY OF ORONO '- BIIILDING PERMIT APPLICATION
Total Fee: $ Y7 Date Received:
Date Approved:
Entered By: -5- 3 � �
Permit#:
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) OPTNER or CONTRACTOR JJ //
JOB SITE ADDRESS: L� ' ZIP: .� � -V
-
JOB
(work)
NAME OF OWNER: ,,/���G����- PHONE: (home)
MAILING ADDRESS: 0�22/1Ji -!!!!5 '�i�, CITY: ZIP:
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED WORK (describe in detail) :
STORIES: aZ SQ. FEET OF EACH FLOOR: /4-5-r�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ a2 �1�e��
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 will be in accordance with the approved plan.
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APPLICANT'S SIGNATURE:1z
DATE: 7
E CITY ®f ORONO
Post Office Box 66•Crystal Bay, Minnesota 55323•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 information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some information may become public.
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.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
i
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
DAT TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED 9.3
PERMIT NO. 1-362> COMPLETED tl u
ADDRESS 'ZF0 91-7W .
OWNER�, r��_o��, r CONTR.
TELEPHONE NO. "t 7.?' S qc(o
DESCRIPTION
44 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENIIETLANDS
Z 04 LL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINA 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINTT, 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
Zt
y COMMENTS-
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LU tORKSATISFACTORY:PROCEED 1-1PROJECTCOMPLETE
ac WORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac r o site:
Inspector.
White Copylinspectl File Canary Copy/Site Notice