HomeMy WebLinkAbout2001-P04554 - re-roof w
CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po4ssa
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: iii2ii2ooi
SITE ADDRESS: 2208 Shadywood Rd
WAYZATA,MN 55391
PID: i7-117-23-42-0005
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,937.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 142.75
APPLICANT: suburban Exteriors Inc. �WNER: B L BENNETT& M E BENNETT
7466 Washington Ave S 2208 SHADYWOOD RD
Eden Prairie, MN 55344 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE IS UED BY SIGNATURE �
Covies: 1-File(SiQnitures Required). 1-Apolicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
' OCYy26-2001 10:22 FROM-SUBURBAN EXTERIORS E +g528818232 T-194 P.001/001 F-810
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t�f o�l Fee: � ��� 7.� -�T.C- Date Received: � �
��" . ,r;�%'"' Permiti�: �'�� `�'.C.s�`�
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CITY OF ORONO - BU�D�.NG PERMIT APPLYCATION
A!1 information uiust be Submitted ia 1'ull befare plaa revisw will be sCarted.
(please prim a!� inforncarivn) , .
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T�iE APPLYCANi' IS: (circde one) OW NER OR ONTRACTO
JOB SIT'E A.DDRESS: lS � �:`r����
NAME OT QV�1VE P�ONE: (houte� � '���'
(work)
MAILING ADDRESS: � CTl`Y• �TP:�
____�
' C�NTRACT4 �
� PHO �, �������
CONTA�T PERSON: ,,,_,MOBIIrE/PAGER:�
MAILING AbDRESS: � CITY: ZIP:�
STATE LZCEN'SE: #
ARCT�I1'ECT/�NGINE�R: ���� .
MAILYNG ADDRES9: CITY: 7-�':�
�AME; REGYSTRA'1'TON#�
TYPE OF WORY�: New Ad�ition,� Accessory Suvcnue
Move Rernodel/Al�eradon Land Al�eration '
P1�O�USED WORI�(describe in derai�:
STORITS: 5Q.FEET OF EACH FI.00R:
. NO. OF BEDROOMS: GrARAG�� STALLS: ATT. DET.
D�
E,5TIMAT'�D CONSTRUCT'ION VALUAT'YI�N (excluding laa�:, $ ��,�.�� -
I hereb� apply for a building pernoit wd I acl�owledge �haL the i�aformation above is complec�aad
accu�ate; that the work�uvi116e in coaforma�ce�vith the ordinances and codes of rhe Ciry and with
�e State Suilding Cade; that T und.entaad this is no� a permic and.wark is not to starc wirhouc a
�ermic; and rhat r.he wor]� will be in accordaflee with the appro�ved plan. .
APPLICAllfT'S SIGNA�[JItE: DATE:
�pT�� p�rnde ef R,��events require sepru'ate permit apprnvaY by Police Depar[�nent and
City Council 60 days prdor to the event Non•permitted events will not be aliowed. �
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Total Fee: $ Date Received:
Entered By: Permit#:
CITY' OF ORONO - BYJII,DING PERMIT APP�CATION (�
AIl informatiun must be submitted in i'ull before plan review will be started.
(please print a/l information)
THE APPLYCANT IS: (circle one) OWNER OR ONTRACTO
_ �
JOB SYTE ADDRESS: � `��� �=_������
� ' PY�ONE: (home� a � J����
NAME OF OVVNER�
(�vork)
MAII.ING ADDRESS: � CITY: ZIP:
� CONTRACTO • v � ^ PHONk�`�'�`���'�/��
CONTA�CT PERSON: .r.G��O�II,E/P���:
MAYT.ING ADDRFSS: ` �CITY• ZIP.y�'���'�
STATE LICEN'SE: # �
ARCHITECT/ENGINEER: P����
MAILTNG ADT�RESS• CI'I'Y• �•
N�; REGYSTRA7ZON#{
TYPE Or WORT�: New Addition Accessory Smuture
Move �2emodel/Alteration Land Alteration �
,�
PT�OPOSED WORi�(describe in detain:
ST�RIES: SQ.FEET OF EACH�'LOOR:
NO. 4�' BEDROOMS: GARAGE; STALLS: ATT. DET.
��
ESTIMATED CONSTRUCTYON VALUATYI)N (excluding lan�: � lD��� —
I hereby apply for a building permit and I aclmowledge rhat the infoanation above is complete and
accurate; that che work will be in conformance�vith the ordinances and codes of the City and with
rhe Stace Building Code; that I understand this is not a permit and work is not to star�without a
permit; and that the work will be in acc 'rdance with c ve pI-zu.
_ ____ DATE: �j � I
APPLICANT'S SIGNAT[JRE: �
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NOTE! pQ�, Nome� events require s a#e pe�mit approval by Police Depardnent and
City Council 60 days prior to the event. Non•permitted events will not be allowed. �
, , .
s�.13.oa wcc�rs oF s�cTs oF aara •
�ed. 1. Type of da�a. The ti8hcs of individw!oo whom the dt�m is troeed or co bs sooRd sbaII be�sa toct4 in�it�doa.
Subd.3. Info�madaa required to ba givea indi�tdwl. �Vs individual�sked to snFPb�Privaoc or wn9d�sdal daa�coacernin�himutt sba11
ba infoeuwd a!: (a)thc putpcse and i�d we of fic cequaaed dao withia tbe collecaas frare ageaeY.polioal sabdlvision.or stsrea+ido symrm:
(h)wlur!►er 6c maY ietuse os is le�ily rtquired m supply tAe�eqaestad dua:(c)eny Imowa wosequeace aris�n�!mm his wpp�Y'�oe nfusin�m suPP�Y
priwsu or aonfdendal dan;�nd(�rhe idaacry of odur peesons o�entiri�:s au�horized by snte or fedetal law to meive me dua. 'L7�ic requirsmaec sh�1l
' noc apply when an individusl is�sked w supply invadgaave dara,punuanc co seccon I3.82,subdiviston 3. w a tsw enlorcemmc oPleer.
The comn+ssionet of revenue mav Olue dfc noti e fem�in� �er G�is subdivisioo� du �adividual ' e tax o wc
i„�.,,.,..�...:na.�.d oP o11 r11�se fo�ttll. ,
Subd.3. Access eo d�ta by iadividuul. Upo��equest to a ro�poosible au�o�cY,ao individual9hall be inMrnaed whethar he is�tte subjecs
of swccd dan on individuals.and whed�er it is elassified as public.Pnva�or cantidzndal.m�����d�������of dtie wbaceni
of uo�ed privace ar publlc daa on indivi�uds shM:tU be shown du dara w�d�wc any charg
u�d r�eaainB of fisc dan. Afur on individuu has been shown rhe privsie dan and infomud ef i�s mosaia$,the dar�*aa�d m�be diselosed oo htm for
six a�ondu rlu:eaf�or�nitu�dispuw or ucion pursusnt m rhis secdnn is Perdin8°T'dd'°°°�1 dan on t�e iadividual hss been eo11Q��,e���
The rtsponsible su�t►odq�shall Provide copias of d�e p�ivar�or publx d�m npon�equen by�he indlvtdual subjcc�of du dan. The tesp
may tequire dfe tsquesriag person oo psy du aca�al costs of making.e�rafY�44�and compilias du eopies.
. Tha rssponsible authoruy shsil comply immediawly.if possible.wid�any req�est made Passv'nc m�Its subdivision,or wirhia fiva days of
fie dao�o[die rcquest,excludin�SaNNaYs.Sundays am leg�l holidays.if immedisu campliance is�e possibla If he caeooc comply wich du reques�
wifiin rhac time,h�shaU so infarcn rha irxfividual,and may have an addiaonaf Rre dsys wi�hin which to comply wish We�eques�,excluding SaaudaYs�
S1�pdays snd legal holidays.
Subd.4. ProcedUTe N�en d�ta�°Ot aa�L°or eomplett. wn individuat maY conres�d�e accurscy or compleaness of pubtic or privace
dua concorning himself. To exsreise�his righ�.sn individuai shall nodty in wridns��Po��b����N describiAg�ha nam�of��`'ua�8��of
'rhe cesponsble sud�oriry shall wichia 30 days eirha: (a)corrcct rhe d��a iound ro be inaccucaco or iaeomple�e sod amzmp�m nedfy p
inaccucaw or incompleae da�a.ic�t�ding r�ipien�s named by du indiv�dus[:ar(b)nodfy d►a iadividual tha�he believes d�e da�a co be corcec� Data
in dispuc�ahall be disclosed only if rhe individual's sntemen�o�i ag�le�n��u���p� up�of die admiaisr�eive procedure act relsaag w
'11u dearminadon of tht rcsponsible wrhoriry msy pP' P�
contLsrsd cnscs. . •
A A P 'ACY ADVLSORY
� In accordauce wirh M.S. 13.04, Subd.2, "Ri�hts of subjee[s of da�a",we wo u�re ou of i�rnish cer[ain pri a�Ce or
� for a permit or licease from �he Ciry of Oroao or any of iu deparnnea�s maY n4 � Y
confidea�ial �nfor�ion.
You are notified rhat:
1, The inforanatioa you furnish will be uscd to decermine your qualificatioa for che permit or license rCquesied.
? Yau may refuse �o supply data, bu�ret'ussa may re4uire chac ch� Ciry deny �he permic or liaense.
3, 'Ihe informaiioa may be shared wi�h orher local�scate or federal ageacies to the exr.ent necessary co pro�ess
the permit or license.
4. If your requesced permic or license requir�s Council aedoa to approve. some iaformacion may become
public.
g, You have cercain rights under M.S. 13.0�4 (availabte upon request) to review privace daia ou yourself.
6, Your full name is required to pracess this applicacion or permi�.
Ficst
Middle �L
Address �
S� Z�p Phone
Ciry
• t uaderscaad my riShcs as scaced above. .
Signswte , • , •