HomeMy WebLinkAbout1993-005678 - tear-off/re-roof PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815BUILDING
Orono. Minnesota 55356-0815 Permit Number: O.]_b7_;
(612) 473-7357 Date Issued:
SITE ADDRESS:
485 ORONO ORCHARD RD
LSV
. I . N . . 02!-11 r-.2::,-_;2-0001
DESCRIPTION:
TEAR-OFF/RE-ROOF
Building Permit Type SF-ADD,/REMODE L
F;ui1ding Work Type RE-ROOF
CITY OF ORONNV
,L1WALE OFFICE
1-T13100000
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1222200000
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REMARKS: 1;.' `c:
FEE SUMMARY:
VALUATION 4:010
Rase F e $72. 00
Total I Fee $74 . 01
CONTRACTOR: - Applicant - ST .
_ LIC .OWNER:
iEiFcF � J . DO1LE rSONS l ���f
EDWARD
' E44 'E HER I DANT AVE 4R5 I RONO ORCHARD RD
RICHFIELD MN 5.542'3 I,ORONii tiN 55391
(61,71) 866-9669
HE UN RS ++1E p SY ` ( t :TS PERMISSION To E THE REAL IMPROVEMENTS
SPEC IF IED AND AG TO DOL WORK I N TR ICT COMPLIANCE 'Wrill: ALL CITY OF
L OROWO w OR NANO t A •. AtiiploTE c MINNESOTAI L[ I #C CODE REQUIREMENTS.
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PPLIC T/P MITEE SIGNAT/E ISSUED BY:SIGNATURE
CITY OF ORONO -JttiDING PERMIT APPLICATION
Total Fee: $ '2V• ' Date Received:
Q Date Approved:
Entered By: )
Permit#: J 6 7
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: 7 Orono 0.4e/,id Pc/ ZIP:
(work) !9i-Ozit
JJ ,, (( PHONE: (home) Mr-OF F
NAME OF OWNER: Ed i x"r(S t1A rn'DS/ c� nn //(�7� -�
MAILING ADDRESS: Y6 SaeS `.t�/�S/'cITY: S/ /'Z et/1 t,AIPs. ?3
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t
CONTRACTOR: .0 L e \D C.S t PHONE: CA (e)(c C1
ADDRESS: // / 7 Y `�/!Fr era4'7 4 • . CITY: Al"? ° /c/ (ZIP: �`
MAILING CO�
STATE LICENSE: # Sp OC)C3.7lo/f0
ARCHITECT/ENGINEER: 047G/1ie PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration & Renovate Land Alteration
�) � jtQ f C)C��
PROPOSED WORK (describe in detail) : c10-4A -JT
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
(40
CONSTRUCTION VALUATION (excluding land) : $ -(/ /`'
ESTIMATEDJ
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 DATE: /() -Zi-9-6
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
QRONO _ 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.
,3-e_ t-SPLat
First Middle
q S`1e / U ?dl /4,e,71lP
Address/KC. //i)(Vai fri!twv. _
Vp
City State Zip
Cool? -9a 7
Phone
I understand my rights as stated above.
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Signat rel
BUILDING&ZONING-473-7357
• ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING
I
DATE TIME
CITY OF ORONO CALLED IN /0-,,t er-93
INSPECTION NOT1�F� SCHEDULED
PERMIT NO. �S COMPLETED /1 / 6/3
—
ADDRESS (9-5- 61,1,611,14-1( ( —S
OWNER � � CONTR. '" // " ' -'13P"z
TELEPHONE NO. 0944 - 9 (, 9
DESCRIPTION !�
LU 01 FOOTING 11 ME ANICAL RI 16 WELL TEST PUMP
FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
ULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
04 ++. 12 WATER HOOK-UP 34 TREE REMOVAL
13 METER SET/TURN ON 17 SITE INSPECTION
0—SITE 14 SEWER HOOK-UP O6 PROGRESS
`I 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
LIJ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c0„ COMMENTS:
a;
a
CC
O
Cc
W
CC
d 'WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W vv
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 0 CORRECT WORK,CALL FOR REINSPECTION- TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
IDSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrrr e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice