HomeMy WebLinkAbout1995-007146 - tear-off/re-roof PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: ("',-j.1 1'41n
(612) 473-7357 Date Issued: 7 A
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
CONTRACTOR:
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APPLICANTPERMITEE,�<N/URE ISSUED BY.SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ S3 Date Received:
Date Approved:
Entered By: 9
Permitf: /q (p
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-------------------------------------------------------
THE APPLICANT IS: (circle one) 01gNER or CONTRACTOR
JOB SITE ADDRESS: ��S ZIP: S 3
(work) 3 L((- log
NAME OF OWNER: M(�C G� `� PHONE: (home)
MAILING ADDRESS:
�f (� CITY: C9r-o,.,;v ZIP:
CONTRACTOR: S (h fi a 1 PHONE: Z
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MAILING ADDRESS: �� dt� lc-AQ 51�� C TY: S� 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
PROPOSED WORK (describe in detail) : ��� ° 'f Rt fc—. G1 °�'� G 4 -
G f1A
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 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 toe approved plan.
DATE:
APPLICANT'S SIGNATURE:
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CITY of 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 , sate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or licenserequires Council action
become
to approve, some information may 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.
� Last
First Middle
Address
City State Zip
Phone
I understand my rights as stated above.
Signat e
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
ATE TIME
CITY OF ORONO CALLED IN J c�
INSPECTION NOTICE SCHEDULED �E
PERMIT NO. %/'�, COMPLETED
ADDRESS
�_ s_
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION . rt
w 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
5_F_INNALL 14 SEWER HOOK-UO 06 PROGRESS
J —V- EMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
w 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
I
10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z-1 OWNER/CONTRACTOR TO MEET YOU: NO
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O �VORK SATISFACTORY:PROCEED PROJECT COMPLETE
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CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac it
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice