HomeMy WebLinkAbout1991-003954 - re-roof/tearing off PERMIT
CITY OF ORONO PERMIT TYPE: 'bi
1335 Brown Rd. South • P.O. Box 66rat;
Crystal Bay, 55323 Permit Number: O- 1 j_ 1
y y Date Issued:
(612) 473-7357
SITE ADDRESS: 1:7,0 ORONO ORCHARD RD :3
_1'B
P. I . N. : 0 -117- -21-003::.
DESCRIPTION: RE-f� 'ING OFF
Building Permit SF-ADD_ /REMODEL
Bui lditl W'-'t' � r� E-R OOF
4 CITY OF ORONO
OFFICE
rr-1'4140116" M 4$471a 1313100000
55.54
� �, TOTAL 55.54
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REMARKS:
FEE SUMMARY: VALUATION $3,000
Base Fee
$54.00
Surcharge
Tvt•al Fee $55. Sia
ApplicantER
CONTQP3 HMtF I NG CO 18668324 O f �i`CHANT LOU
7314 17TH AVE S 120 ORONO i t�RCHAD RD :a
MINNEAPOLIS MN 55423WAYZATA MN 5 _= 1
(f1,;1*-.)) 866-8324
THE UNDERSIGNED
f-I r ... HiRK
IN TITt_t MPLRL
VE= MIETrlO•
F'F fQE� � ERMI3IOt r Pr
- IP EN# _ .F_IFIED AL _ tG %i ( i ORONO LFDiNN •� _� -Nii ka r _ A B! ILC
APPLICANT/PERMITEE SIG ATURE ISSUED BY:SIGNATURE (If
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee:
Ss o 0 Date Received: /? 9/
Date Approved:
Entered By:
Permit#: S
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: / D ZIP:
(work)
NAME OF OWNER: PHONE: (home)
MAILING ADDRESS://A9 CITY: ZIP:
6 v
CONTRACTOR: /.2/1/ja? � i PHONE:
cf---VN
�j
/'r'_I/ $
MAILING ADDRESS: 7 //-/'7— CITY: /��U ZIP:
3
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : l ‘. '-714-41/ 1v�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�f\ 0)
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 the approved plan.
APPLICANT'S SIGNATURE: i'oz:-/L,:x4 )1_ a /
- DATE: - / .
(Please fill out the reverse side of this form)
- ,,-.:.�r
: CITY of ORONO
(TY - Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
" _ '•
:ai�RD: On the North Shore of Lake Minnetonka
ND".
DATA_ PRIVACY ADVISORY
In accordance with M.S. 15.165, "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. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
aiLlain if_Ale_.:2-
d)92/
First Middle Last
V/e//- /2___Z4" 4C2._
Address
City State Zip
p‘‘.- .k3 -- z .
Phone
I understand my rights as stated above.
---44, 7422,1_
Signature
BUILDING&ZONING—473.7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
E
CITY OF ORONO CALLED IN - ,DAT-.9
/ / (M
l � -
INSPECTION NOTICE T SCHEDULED _ 41-9/
�
PERMIT NO. �� COMPLETED .9`q(/ei
ADDRESS 0/4- O— ° �����GC ftd
OWNER CONTR. D •
TELEPHONE NO. CP,
DESCRIPTION� J
W 11 ECHA AL RI '' 16 WELL TEST PUMP
`02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
H 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
LiJ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
' OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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W
CC0
W
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• ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
•ofe"❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
O
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContracto�on sit -
Inspector. p�/
White Copy/Inspector's File Canary Copy/Site Notice