HomeMy WebLinkAbout2002-P05340 - re-roof PERMIT
C IT`'�-�F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P05340
Crystal Bay, Minnesota 55323 Permit Type: Minor aiteranons
(952) 249-4600 Date Issued: �i1�2oo2
SITE ADDRESS: 2054 Shoreline Dr
Wayzata,MN 55391
P I D: 10-117-23-34-0015
DESCRIPTION: LrBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterarions Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Pernut Fee: $ 783•75 Valuation• $ 69,348.42
State Surcharge Fee: $ 35.20
TOTAL FEE: $ 818.95
APPLICANT: St.Croix Valley Contracting OWNER: Paul&Rebecca Miller
2511 Highway 7 2054 Shoeline Dr
Excelsior,MN 55331 Wayzata MN 55391
THE UNDERSIGNED HEREBY RE�STS PERMISSI TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL�Y.(�IN STRICT ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILD��I�15E REQUI .
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PLICANT PERMITEE SIGNATURE I D BY SIGNATURE
Conies: 1-File(SiQnitures Reauired), 1-Aunlican� 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
JUN-20-2002 16:34 FROM:ST CROIX VALLEY CONT 95z4704413 T0:+9522494616 P.002�003
Jun-«�-20�2'-01:26pm Frum-tITY OF ORONO +p6Z24B4616 T-406 P.002/003 F-461
-
���1I�'�/ Tota! Fee: $� r D.�,�� _ Date Receivcd:
� Efliared By: � Pennit#:
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CITY OF O ONO - BUII1D11�G PERNIIT APPLYCATION
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Ali information must be�u.bmitted in iull before plan revfew will be started.
(please print all infornwtioR)
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THE A�'PLICANr �S: (e�rcle one) OWNEI.t O CONTRACTOR
J08 S�.TE AbDRES5: . °2�J�'�' ��r�-� �/ti,e, �� • ZYp: .r.�3 q �
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NaME o� owxER: ���� M � ��-��2 rHox�: cnome) Gr z-�+7s—I���y
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MAIX.Y'NCY ADDRFS9: 02�r� Sl�.,o.�Q..�.�.�Q�,�, CTTY: [K TK,4 Se�c,N ZIJ�':,� �s'3�
CONTRACTOR: �. �� riU�t-�c� �'�ct�,�1� �ON�: 9.l t- `F 70-�.,��f�3
C0�ITACTPERSON: 1,�-�, 3�02 MO�IY.E/PAGExt: `.ri �7�'-�'��4
MAILriv�ADDR�.SS: �.ri � }}r� 7 CI'I'Y: �xce�y�z. ZIP: ��"331
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STATE LICENSF: � C- Zc�3o�}7'f�i'
ARCHI7'�CT/ENCYIlVEER: P130NE:
M�Il�1G,�DIiESS: CI'Y"Y: ZIP:�_ ��
N�: ItEGY.STRATION�
TYp� OF WORK,: New_ Addition Acrxssory Sticucwre
�V1ove RemodeUAlteration Land Alteration_____^,
P`ROPOSE.D WORB(desc�ibe in detai�: �E�-v-F�i -� c/Q c�o� �Ce�•4�
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STORY�'.S: ______ SQ.FEET OF FrACH FL04R
� NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMA�D CONrSTRUCT1aN VALUATYON(eaccluding land): � �9, 3 �I C� - 4�"
,
I hereby apply for�buil.di�g pera�it a�,d Y BClaeowledge that the infotmation above is completo and
�ecucace; lhat the Work will be in conf0�rm8i�ce with�tte ordinanCOS aBd codeS 0t the Ciry arid with
tbe STate Building Code; that i understand tlais is not a permit amfl work is not to start withou� a
permit; and that th� work will be in o�e with the approved plan.
APPYiYCAN�'S SIGNA G'c�-.-- DATT: ` - Z.� - �—
1VOTE! Para�le_e, Homes eve�tts reqti�'e separ�te permit approval by Pokce Deputb»enr a�d �
Cuy Counc�a 60�iys prior to the everu. Non-pernadtted eveRts will nvt be ullawed.
JUN-20-2602 16:34 FROM:ST CROIX VALLEY CONT 9524704413 T0:+9522494616 P.003�003
Jun-�p-2002 `01:25wp Fro�-CITY OF ORONO t95224A4616 T-4A6 P.003/a03 F-411
Scc.l'.Oi SIGti'PS OF SUBJL�GTS aF D.►TA
3ubd. 1_ Type o[daa. Tbc d6�ot iodi�idusl oa wbom��dars ie eooced or oe�Woead eAW be e�se�fo��s ddc inod�oc. ��
Subd.? [a[oems�fion rcq�'�d m be�tm��11do�1. M ladivldud�I�e�oo suPp1Y Oefvoee or confideadal dsa caac�nia6 bims�li�I
M lOtatmad of: (�d�e purpo7c and lll�adrd we aE tbe e�d dan Wlebin I�e�itaua6��•P���1f8t0°�°r�owidb�r}�:
(b)whed�a he msy mtwe ab a logd�l lleqaaed m Wppy�me sequesad dan:(c)snY�own�°°90q°�at�siqg fmmbis snpplyioa o��ONi1�1p q�upV�V
pdv�or�0��1 aan:and(��he ideady of ad�te�ns or�o�s au�orizad by sa�e os 6ed.:ta1 ba m teeeiv�d�e dac�. 111�1�qutro�fbW
vesd are dao. oo�ecoon 13.82.mbdivision 5.m a tiw ealor+cemam otFiaer.
rmt 1ippW whe�sn iadividuai is as�ed oo WPP�M is� W��
er of te�emie
v laee in ind' ' i w�or e
insmte��y;n�ae o(en those tnRes. . .
Su6d.3. ACqu t0 dita by iedisid�l. Upon eeques�m a Kspemlble WdWeIQ�•�11 IndividWL INII 0�INhtmed arha�er he is mc suDjee�
0!SWud dan on audivf�l�,eed wAet6er it u ela�s'�f'ied as publio.Peiv�or contidClRW Up4A hd f1iRLet 1�1eet,ao mdtv�ul a►ho si tAe 6u41a0i
o!sinrca prnrax or publie d�u on mdividuals sbw be showa�e ds�a uridwoc�e�e to him�Id�it Ue��s1uU be ia�aooed of ine conoeoe
sM�o[dne d�d. Atlte an iadi�id�W has been showu d1e pdwm dao,end I�e1Hd at i0e o�e�aio6,me daa ueed mc be disolosed w hita toP
six mondn dlen3t'R��dess a disp�ue or udon puRvaot m fiia 1�ed0�ts�dtn�0�lldaldOml[aata o1►�e iodividu�l has bem oolkcea or ettu�.
� 7�e eespaasfblo v+t6ori�r shatl providc copies of dro p�lv�os or publle d�w�►��'��divi�sal subjea o[�e darr. The��'Me audwriq
P0° aod couiP��e wpiei.
maY sequise t!�nqu�s�i P�n�Pay dw acotal oout of sN�lt'�.oa'�lyla��
'i�aaponsl�oufin�uy shsU oo�ply�d1a�q►.If pe�elote,wl��71�lue�msd�pd�m�is snnd�vision,or wi�lo fiw dsYi of
�e datt o�ide teq�ic.exctudi�g�edyrs.9uadsye�ad le�l 6ollGsys.if IO�a�P�is uot�bk. IEhe e�nnot ootpply wW►d',o mquou
wsrhin dwe tune�he sbsll so infoim die iiedhrldoel.ub n�Y Wve ra add�oml five d�ys w�in vrhieh w�oply wi�me etqW�6 exr�YdiaB Saoordye�
sandars�od l��l ho�ldys.
� . SU�od.4. pruad�oh wb�dua Es not accue�ta o�eomplate. M iodi.i�may conus�r�acwrecr or c�pleenee�oP puelk ar pri�noe
dep cooarninB himse�f. To oxeeelw�his ri�.an iodividuu shall no�if�tt�w�ieit�g d�e�dpoasbli amboa9�des�in��e a�n ot Ne e,�.n`t���f
The esspo�ss�l�audfC�iq�It wifiin 30 dsys eirher. (U WReCt d»dYa FOuIId to EO(Dtcoucs�ee or iocompl�tod aloe:upC W 110�►Pde M
lae�u�er incoaoPlem dt►s,Ineludin6���smcd 6Y�o indlvdual:oe�b)�Y me indN�l mu be believes�a daa oo br aoaoea Dsm
i�dlip�ta s►�au b�aisc�d ody K��+��w��:�ent or ai�6�V�eluded widi me discl�a�.
Tt►�dearai�ndoa of dx Kspoas�"b1e a■mo�icy soqi ba�PP�P�ou�e prdv�iaos of du admiais�tulve p�ecl0uee oc�relodog o0
conpesad c�ses-
ne�trA �Ri'VACY ADYYSQSY ��
La accordancx wirh M.S. 13.Q4,Subd.2. 'Rie��s oI subje�ets o!d�ta',we would l�re w ir�orm you ri�at your t'eque9t
fo�a per,amic or 1'uxn.0 trom�he Ciry of Omaa or a�r a!!�s dep�s msy r�i�e You to �lu�aish eer�aiu privace or
co�fidenusl infaramcion.
You are aociflea that:
1. 'L�e infotQlutioa you furaish a►ill be used to detttmW�Your qualifiWt�fo��he peemit or license requ�ed.
Z. You u►ay �se co supply data� but retl�sal may requ�re ctu� c�e City een�►sbe Per�ic oe liceoao.
3, 'ihe it�ot�ion may be shar�d whh osher loeal,s�ace or foderel eEeaeies co r�.e euest aeces�ary w praes9
thc pvcmi[ or licwse.
�. If youe tequesLed pe:mit ot UCea�e nqwres Couac�l e�doa co app�rove, some iafbr�ioa ca�y beeome
public.
i. You hava cectiain righ�s uader M.S. 13.0� (mailablo upon requesc) w reviea► ptiva�e data oa yout5elf.
6. Your t�11 Aame is required �o pr�ess chis aPPlicecio�►or permi�.
LA,w R.a� �A� _.._.�
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JUN-20-2062 16:34 FROM:ST CROIX VALLEY CONT 9524704413 T0:+9522494616 P.001�003
+ � . ,
t. ro ' �al Contrdctin
S C �C
ZS11 �Ahzvay 7 �xcelsior JK�V:SS331
9S2 936-2380 �F 9S2 4T0-4413
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To: e rr�, o � 4�.�0 - - Frona: �� �Ac.e _
Atten: � , ' � � Pages:
Pk�one: Date:
Fax: 4�'z -ZW � - 4�� _
Re: ^
Claim#;
Notes: ���1� � �.�,� c� ;.� �e.�� t � s;=
�
signature:
Contact #:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED �-�,7-CL �R�,�(�._
PERMIT NO. C � COMPLETED
ADDRESS �
OWNER ���-(.-- ONTR. v
TELEPHONENO. ��� — `-��d "' ����
� DESCRIPTION /`c.F - /<-�'��
�y 01 FOOTING 11 MECHANI RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q INAL 14 SEWER HOOK-UP 06 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL�NSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
C the next inspection 24 hours in advance. (g52) 249-4600
ownerl ntractor site: l`
Inspector. �
,
� opyllnspector's Ffle C na CopylSite Notice