HomeMy WebLinkAbout2001-P04374 - re-roof � ,
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po43�4
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: 9i2si2ooi
SITE ADDRESS: 1990 Shadywood Rd
Wayzata, MN 55391
P ID: 17-117-23-24-0027
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesicientiai
Permit Class: Building
Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: � 167.25
Valuation: $ 8,185.00
State Surcharge Fee: $ 4.10
TOTAL FEE: $ 171.35
APPLICANT: Reliant Energy OWNER: Robert Mack
700 LaSalle Ave 1990 Shadywood Rd
Minneapoli,MN 55402 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITI�ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
-_�Ii/�. c=--�� — L,�`i-- ��'k �'-., �-`� l� ) ' , %� l.,!J'1? � '�'? C '"�l�L
APPLICANT PERMITEE SI NATURE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Reguired), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
Sea—�6�20u1 1C:'�am From—CiTY OF ORONO *9522494616 T—c:o F �o2/G�J ��J42
� t• ►
Total Fee: $ Date Received: /
Entered By: Permit#: 1�6
CYT'Y OF O1tON0 - BUILDING pERMIT APPLICATION
All information must be submitted in flill before plan review will be started.
(please print all information)
--------------____.._��------- --------,___--.___�..-------- ------ --------------------
THE APPLICANT YS: (circle one) OWNER OR ONTRACTOR
JOB srrE annx�ss: . l `�°�0 Shadl�, v�cs� �� Z1P: 5'S 3� J
Nt1Lr��. O� O♦�'l�iwL�: � be�� �vF► rAO�. ��mei) L��{� � T J�O��J
(work)
MAILL'�TG ADDRESS: ITY: Dron.o zIP: �-1
1 �•50 o�rort..t�4 P�tm ¢d S5 3�4�
,
CONTRACTOR �t'z�' ����`( PHONE: �2-�2 I - S�3�
CONTACT PERSON: jLr�. Co l e�•l� MOBILE/PAGER: Co1 L-�'-t�o-zy,0 9
MAY7.IlVG ADDRESS: '7 0 o C,�s�,t l,¢.. �,�. CITY: M.a l S Z�: Ss o �t
STATE LICENSE: # �G �� �9 8S�
� � �2 - 3z1 - ���9
ARCHY'TECT/ENGINEER: P�YONE:
MAILING ADnRESS: CITY: ZIP:
NAME: R�CLSTRATIOh#
TYPE OF 'V1�ORK: New Addicion Accessory Structure
Move , RemodeUAlceration� Land Alceration
P�tOPOSED WORK(describe in detai�: ���'��F 'Q.�"(1-a'4� Q.eSI��3T►2�- W�'�
STORLES: SQ. FEET O�'I:ACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUAT'ION (excluding land): $ gI 8S �
I hereby apply for a building permit and I ackr�owledge that the information above is complete and
accura[e; chat rhe work will be in conformance with the ordinances and codes of rhe Ciry and wich
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 ccordance with the approved plan.
APPLICANT'S SICYNATURE: '�i���' DATE: � `� �''�I
NOTE! Pnrade q�'Hnnees events �equi�e separate permit approval by Police Depamnent and
City Counci160 days prio�to the event. Non perneitted events will not be allowed.
. SE�-19-2001 14�06 MGCO HSP-3RD 612 321 5279 P.02i05
�
Total Fee: $ �� ' � Dace Received:
Encered By: PermiL#: �� i'- -jc-; C' 1
C," -���; ����
f�'�'��
CYTY' O� OR�O � BUILDfNG PERMIT APPLICATYON
�
• All information must be su6mitted in fla11 before plan review will be started.
(please print all information)
TI� APPLICANT YS: (circle one) OWNER OR ONTRACTOR
aoB srrE A.nnx�ss: . l �°�o Sh�,��, v� �� zrP: 5s 3°� )
�
xa� oF o�: � b���" I��k Pxor�: �o�� asa•��s�o�6s
(work)
M�LL�TG aDDRESS: rrY: p�ay...o Z�: �4-1
1 �So o•ro�2.n4 �m � S5 3��
COl\11�ClC1ORi 'w��� /YhC7�� \ iAO�� Vl �� ✓ZI � ✓�✓�
CONTACT PERSON: �L.s•� rt,l,oe,��.�- MOBA.EIPAGER: Ccl L-ci�o-a4,09
MpiII.Il�1G ADDRESS: '�o o c..�s�,�lA„ � CrrY: 111p 15 ZIP: Ss o �
STATE LICENSE: � �G �� �9 85Go
�C G I 2 � 3 21 � S�'19
ARCHITECT/ENGIlVE,ER; P�ONE:
M�1II,Il�IG ADDRESS: C1T'Y: Z]P:
NANIE: R�GYSTRATION fl
TYPE OF WORS: New� Addicion Accessory Structure
Move RcmodeUAt�eration_� Land Alteratian
PROPOSED WORK(describe in detai�:��'Z-'�� �22��-(La'6� Q�SI D�3112St- f�'''�
STORIES: SQ. F�ET OF)'sAC�Y�'1�OOR:
NO. UF�BEDROOMS: GARAGE STALLS: ATT. DET.
ES1'TMATED CONSTRUCTION VALUAT'ION (excluding land): $ g) $S r
I hereby apply for a buildin�permit and.I acla�owledge that the informa�ion above is comple�e and
acrurare; rba,t the work wiU be in coafornsanc� wirh the ordinances and codes of che Ciry and wirli
the S�ate Building Code; that Y uuderstand this is not a permi� arld work is not to star[ wi[houc a
pernnit; afld chat the work will be in ecordat►ce with che approved plan.
APPLICANT'S SIGNATCJ1tE: DATE: � �� ��I
NDTE! Par�e o�onees events�egr�ire separate permit approval by Police Depam�aent and
City G'ounci160 days prior to �he event. Non pern�itted events will not be allowed.
. SE�-19-2001 14�06. MGCO HSP-3RD 612 321 5279 P.03i05
I
See.�3.04 RIGR'TS OF SVBI�G1'5 OF DA7'�1
su00. 1. 'lype ot dsa. T'6c ri�h�s of iodividua!oo Whos me dsa is smeed or m Ee stotr0 ssyl bs as sec io�d1 io�+s seccoo.
Su6d.2. Iafoetm�o req�rsd►u bc�veo lodiridoal. ,V,uidividwl ukcd m srPPly priva�e or oonlideadal dao woeee�ain�6unicrf shzl
�isloeme4 of: (i�d�e puepole sad iotended use ot me tsqne�md dya wi�ln rue coUada3 3Wt�geo�Y.polidal suEdivisioA.or st�ewidc sysmm;
` (b)WD���be��Rf�se or i:kg�ll!►ro4uiced eo�upply me Rquesoed usn:(a)soY kaowa wascqueae�uisieg hom�is wPP�Y�S oc rell�sins�o svv0�i'
ppv�or eonf dendsl d�;uid(aI ths idenoq ol e�Der poesoat ee�oones wQ�anted br s�w or t�d:ral law to traive tJsc aaa. TAis tequir.raeo��s�!
ao�spplr WAen�n in4i.idu�f is asred co s�pper i��eso�ad+n dao.pu.�iu�at o�secoon 17.53�s96di�ision S. [o�(iM entorremeac o�ecr.
TM- �emntissioner_eLrevcm+�nw olus�e n�=reeai�� under fiis svbdi ision i��h�i ividu�l�soeu nx or +�—roee_� �i�reR+na
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Susd.9. Aeeat te dan Oy iAd�►d�o1- vOpn�equesa m a rcsponsible a��lwriqr.an iadi�idual sh�U be iaioaead whetAe�he is the su�je:c
ol s�oe�d�on individr�t�.�w�edur u is cL�ssifiod as publi�.Oriva�e or ean6d�eoo�1. Upoo�it KtNfae Rquest�a iodividual Wbo is d�a subjcct
of soo�ed pdvaoc or publie d�en mdivi0u�s�AsU be sbown me dso wimouc an�cea�e a 6im�nd:S tie desitas.shW be inlofaled af ma eonaeae
snd ene�t�ias ol d�dsv.. A[u�an indi.idu�!�ss bemn shoWn�e pri�aie Eslt�Ad iofoe�ot is ausoi���he daa ae�d oo�bc eiselote0 ro eia fo�
:is monQis d�erssher uoleu a ai�pwe or seoea puc=uan�m this seetion is pendio�e��didoesi Osts on tbt cldiv�dual4ss beta wlkcs0 0�ceesQd-
T�e tetpo�s;ble�wbe�shsll Pro•ide eepies of Ne peivsre or publie dw upon eequest br d�r iadirdusl�4l�e��dass. !�C Rsponsibk+uewdry
�iequiee tAe reque�dog pe�n r pay Q�e zeal�t!�osa o!ro�in�.•::rCfyinL.�nd eompiling�be�opies.
The Ktpens'Ek�ud�oey►s6�ll eomp{y uMl�iaealy.if posiDlo.rid��r�cqueu midc puauane�o this�vbdivi�ion. or wiQ�five days of
pk d�e of tbe ieques�,c�eludiae S�m�dsri�SuRdsrs aod lega{Aolidays.if i�nAediue aompliuier is noi poss�3le. �Fhe esaaa�eompty y►id�C1t r.Susc
wiJ�in�hu d�.be sb�U so inlbtrf�he in0i�i0us1.�nd n�sy have�n adlidoai!t��c dsys Wid�in Wbieh m¢oteply uri��e eeqWSR ez:luaia�SsNrO�ys,
3undsrs oed lt�sl holid�ys.
SYbd.�. A'ooedase M�s d�m is aoe aa+�rate o�eemPlece. M In�ilriduil rtvy CW�es�e iCeuluy of Cofnpkoe0ess oF pubiiC Of p��ict
dsa eaKeraiOa Aunself. To eseteisc�i5 cijh�7u iedi�idWl Sb�ll tlotl(y ea wei�mg me tespootiole wd�erq dtscribt��tum�e ol d�e disiCRtOun[.
T!e R�oaest�bl!�Yf�a�iqr fll���wiNie 50 days CnhtC la1 cn�ecc d�e o�a fov�d m 6e iaeeu�a or iacomplea u�d 3�oempt��adyr patt eeupienes ol
Wep��yfe pc itlCol�lc�daq mClYd{e=�eGpleots aaeftd by�Ge IOdlvidl�l:or lb)eoufy r!w iadinidual�Ot believe!rbe daa zo be coefec�. Di�
4,dispure s�l�pe diufoud edr it tbe indi�rnlual•s soaemrne ot disttroemenc is iacl�ead wirh me d�selosed dss�.
TAe de�enairoae6 of rbe eesp0�iple mul�oripr�asy E�3pFr.ated Ounu�t�o tlie pre�ruions of d��atiwsteaci�e proaedure au rcl�daa�0
coeoesa4 Csm.
in aetotdaace wic!►M.S. I3.04,Subd.�, 'Rig�tts of subja�s of data'.we wouid like�o iAFoc�t you�bac your reques�
for a permiL oc lieepse ftom ehe Ciry of Omno ar�ay uf i�s dep�ttmeats may nquire you to fun:isb. Car[ain private or
confideatia{ infatm�ciou.
' You ete �otifud rbat:
1. The iaforti�acion you furnish will be used co dacamiae your qt�alificstion for s�permit or Iicat�se requesced.
2. You ma�y refuse tv supPly data, bu�teittsaJ rasy requica ��c rbe Ciry deay rbe permit or liaense.
3. ?'he iatot��t�ioa may be sha�red with ocbet loeat. srate or Fedual ageocies co�e exceot aecessary to proctss
the pumit os liceose. �
4. If yotu�equesced pernsic or l'uease requires Couacil ucio� oo approve� aome iaformuion tuzy become
publie.
5. You have caiaui tighcs uade� :�t.S. 13.C� (available upoa teq�es�) �o review peivate daw on youaelf.
6. Your fytl aara�r is required co process �d.is ipplic.uion or permi�.
REu�.-�- �7� �
Fvsc �tiddle Lis�
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r w�ers m,► ri�kw a� :ruea ��o��. C���ca�►'�s..s Ma...�,�.
si�ns�ure '
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE scHE�u�Eo �
PERMIT NO. � �/� 3�y COMPLETED - �"z"=� �,
ADDRESS�9gO� � -��� G�uO�
.�
OWNER CONTR. -
TELEPHONE NO. � �5 `f r'
� DESCRIPTION /l, d /�'
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
O 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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��WORK SATISFACTORY:PROCEED �P OJECT COMPLETE
W; ❑CORRECT WORK 8 PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�IERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
Inspector. �;����������
White CopyllnspectoPs Ffle Canary CopylSite Notice