HomeMy WebLinkAbout2007-P11307 - re-roof ` PERMIT
CITY OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P113o7
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
8/7/2007
SITE ADDRESS: 2140 Shevlin Dr Unit#
� Wayzata,MN 55391
PID: 03-117-23-34-0021
DESCRIPTION:
Proposed Use: Residential
Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
Tear off front half of house, insulate,re-shingle
FEE SUMMARY: Pernut Fee: $ 125.25 valuation: $ 5,500.00
State Surcharge Fee: $ 2J5
TOTAL FEE: $ 128.00
APPLICANT: W.F. Smith Construction OWNER: Wendy Peterson
6585 So. Saunders Lake Dr. 2140 Shevlin Dr
Minnetrista,MN 55364 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 ISS ED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
,
Tota� Fee: s 12$� n�a�e�ed: � '1 �
Entered By: C,L'd�4'V` Permit�: I I
CIT'Y OF ORONO - BUI�.,DING PERMIT APPLICATION
All informa6on must be�ubmitted in firll before pian review will be started.
(please priirt a!!infonrw�ian)
THE APPLICANT IS: (circle one) OWNER OR CON'�RACTUR
JOB STTE ADDRESS: `� ( -I � `-J�G� �� � �r � ZIP: S S 3 << �
Will tbis be a Parade of Hornes,Remodelers S�owc�se Home or othcr Display Home?
❑Yes �No If Nes.a sp�eciul event perrait is required wrth Polrce Deeparrment a�d City�Couruil approtial
60 days prlor to the event. Shuttle bus service will be required unless applicant demonstrates
su�icdent on-sire parTdng is available. Non permitred events wt11 not be allawec�
NAME OF OWNER: ���N��-i (�� ��� PHONE: (home)
tW�)
MAILING A►DDRESS: CITY: ZIP:
CONTRACTOR:�%� I`. ��rin;f-��Cc� r�'S� PHO?�tE: �i�,� -�7� -�S S y
CON'�ACT PERSC)N: � �n MOBILElPAGER: C��a -���, -3 r � �
MAILINGADDRESS:�S`�s���3 SN��r-D`rhd L1�.L�s; CITY�'`� ►�%�Ir•s fi ZIF: Ss��c.�f
STATE L[CENSE: �k EXPIRATION DATE:
A�tCHI'I'ECT/ENGINEER: PHO1vE:
MAILING ADllR�S5: - - - -- CITY: ZIP: �
NAME: REGISTRATIQN: �M ��
TYPE OF WORK: New Homo Addition Acceasc�ry Structure
Mave Home Reanodal/Altoration{ie: Siding, Windows) _
Any eartn m�vement may rec�uire MCWD review and permitsl
PRQPOSED WORK(dcscrib�i»detait�: �G/�-- ��"' "�n��.;� I�L�F 6-{
( i �t t rJ S,� � �� t �:_.�� `,��l a
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STOItIES: SQ.FEET OF EACH FLOQR:
NO.OF BEDROOMS: GARAGE STALLS: ATTACgIED DETACHEDq
ESTIMATED CONSTRUCTION VALUATtON(eacluding land): $,� , �� �'�
I hereby apply for a building pernnit and I acknowl edge that the information above�s comp{ete and accwate;
that the work witl be in conformance with th�ordinances and codes af the City and with the State Building
Code;that I understand this is nM a pern�it and work is not ta start without a permit;and th$1 the work will be
in accordancx with the appmved lan. `� �
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APPLIGANT S SIGNATi,'RE. DA']CE:
31
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sR.ia.« �atrra oF sus�ccrs oe awrw
Subd,1. Type af data. The righte of individual on wkam t6e deta ia st ar W be eWmd at�all be es set forth in ttue eecY�an.
Subd.2. Irtfonpation requircd to be�iven individw�i.An individwi aek to aupply priveb or so�8enti�l data co�i�himseltshdl he
iet'ormed of: (s)the purpo�e ad irrtetded we ofthe roquesbed date within tAe coYl ting etaro sgency.poliacal subdiviaion,or salewide syeta�,;(hl
w6alfier he may refuse or ie 3cgdly�equir�ed fo�upply the requeeted dsts;(c)my k consequec►ce uising from hia auppPying a rofueing to eupplY
priv�e or oonfedmtid da4q ud(d)tho identity of otha pweons or entitiee�uthmi bY�tate or federtill�w to rooeiaro Uie data. Thia raquiranem ehel I
not apply w6en�n ufdividlrl ia askod t��upply inv�esog�tive dm,pwswmt w eec on 13.82,eubdivision 5,t�n Iew snfaroement offioer.
3ubd.3.AoaeN 6o data by iodividwl.Upon roq�at to t respnrteible au rity,an individwJ shalt be irdonned whelixr he ie the subject of
�oorod data on individwls,��d whethee it ia clawi8ed ae public,priv�Ue a confiden 1. Upon hie fiatfier rcqtket,m'sndividwJ who i�the wb}�t of
aW�ed pttiv�e ar public datK on iadividutls shell be�hown the data without any c e W him end,ifiw beeiraa,ahall be infortned ofthe oontertt and
mesneng of tlut ds4. ARet an individwi hu 6ea��hown the privabe data and inf of i es me�ning.tha data t�ed not be dieeloeed oo him fot eix
morAhe thereaftw unlos�a 4i�pute or action Qurtuant to thi e sevtion ie pending or�d 'tionai d�h oa tho iidividual 1w been oollecled or e+�etad.The
rorpomible authoeity eh�ll provide oopiee of the ptivate or public dau upon requee by the i�dividual tubject of the d�h. T!w reeponriDle w�oriry
may requin t6e�equestin8��eo P�Y khe aatwl casls of ineking,certifying,and cwmpsling tl+e c�pia.
17�e re�pomiblaauthority�Irll aomply immediateiy,if poea�bk,wi th am request rcude panwnt m thir�ubdiviaion,or within Sva dwa of
the dat�of the mquat,exolldin�SaWtd�y�,Sund�ye�nd kgal holid�ys.if immed' compfianee i�nd poseibk.If he oannot aomply wiffi the tequ�
witltin tlrt time,he alull so infonn the itdividwl.�nd may have an�Iditiaul five d s wiriein whioh to comply with the reques�t,excluding�teadsys,
Surdays�nd lep!Aoliday�.
9ubd.4.Prooe�rto when dau u�t aoaurate os aomptete.An individuel y oonteet the acawscY ar�omplele�of puNic or ptivaee A�u
oaaxmin�him�etf. To exdrai�e tlrie nghl,�individwl slull mtify in wrilirtg d�e 'bte authosity dexoritang tl�e nahre of the diagroetnent.The
IO/p01WM0�I1�10[fly/A�II�VIlI1tD 3O dly8 Clth4t: (A)COfICCt�t16 7�h COLSId SO bE 1 wate or inoomplete ud�toempt to eiotify paet recipionts of
irooay�ye a�noomplele d�4,iaeludiag roeipients named by tlro individusl:or(b) 'fy the individus}tlue he believee the data to be oorreot.Dm in
di�pute�hJi 6e disolosod ardy if the individu�l'e s4�lement of diwgteement ia inc�! with the dixloeed deM.
The detatminstian of the roepansible wtiatiry msy De�ppeved pursuan w the proviaiorro of tbe admimsh�tive prooedure aet relating W
ca�tn�ted o�re�.
In acoordence witt►M.S. 13.04,Subd.2,"Rights af sub,jeds of ",we would like to inform you dtat yow request
for a patnit or licmae from thG City of Orono or mny of its de ts may require you to fumish certaet►private a
canfidenti�l infoc�r�tipn.
Y�ara eotifiod that:
1. '[he uif'ormetion you fumish will be usad to d your qualification for the permit or lica�se
�9�.
2. You my refuse'to supply data,but refusal may req re that the City de�ny tbe permit or lica�se.
3. The infotmetian may be shared with other le�cal, s a federal agencies W tha extent necessary W
procxse the pernrit or lioense.
4. [f your raquosted perm�t or lica►se re9uires Council action to approve,some inforntittian may becan'�e
public.
5. You halve certaict nghts nnder M.S. 13.04(availabie request)to review private dutta on yo�uself•
6. Your fWl nerne is required to process dtis aQplicati or t.
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\Iv`�`�'V- DATE J TIME
ITY OF ORONO CALLED IN �� '`'�
INSPECTION N IC SCHEDULED $-7 C�_ �_
PERMIT NO. II� COMPLETED
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ADDRESS �Q.0�i I�
OWNER CONTR. " .�- � .
TELEPHONENO. �2-4�IZ-v.t�`t ' �Q�2 '�(1� "����7
� DESCRIPTION ���� C�I I �.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAG
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� J�WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED C- ISSUE CERTIFICATE OF OCCI�PANCY
� ❑CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY I
� BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN I!
INSPECTOR WILL RETURN i
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �I
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. a � 9�l'
White Copyllnspector's File Canary CopylSite Notice
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