HomeMy WebLinkAbout2002-P04989 - re-roof PERMIT
CITY C�`r ORONO
2750 Ke,�ley l�rkway - PO Box 66 Permit Number: Po49g9
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 3i2��2o02
SITE ADDRESS: 3572 Shoreline Dr
Wayzata,MN 55391
P I D: 17-117-23-43-0151
DESCRIPTION: UBC Occupancy R3
Proposed Use: Commercial
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: Pernut Fee: $ 97.25
Valuation: $ 3,400.00
State Surcharge Fee: $ 1.70
TOTAL FEE: $ 98.95
APPLICANT: Grussin Roofing, Inc. OWNER: Lake Minnetonka Animal Hospital
4305 Shady Oak Rd 3572 Shoreline Dr
Hopkins,MN 55343 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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�PLICANT PERM[TEE SIGNATURE � ISSUED BY SIGNATURE ��
Copies: 1-File(SiQnitures Required), 1-Applicant 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO - BIIILDING PERMIT APPLICATION
♦
Tota� F�: $ Date Received:
Date Approved:
Entered By: Permit�:
AT•T• INFORMATION MIIST B$ SIIBMITTED IN FIILI� BEFORE PL�1N REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRAC 0 �
JOB SITE ADDRSSS: � 7 S � � h D r�� �, �l✓� � 1�'� ZIP: � hr� G
(work)
NAME OF OWNER: �Q- !� �� /`- �,`, � � � PHONE: (home)
MAII�ING ADDRESS: � � S � �hQ �'�- 1 i�/'�� �i--CITY: �r G�/U L� ZIP:� `J 3 9
CONTRACTOR: �Y +" (,L S S! /!J� ��O t`I l�J(�� �I11�'i • PHONE: � 3 J- �.S 5'�
MATLING ADDRESS: �'(� � �� [ �/v 5
CITY: �VI,�L� z IP: S 5' � ��
STATE LICENSE: # Q' �. 1 �-
ARCHITECT/ENGINEER: pg���
MAILING ADDRESS: CITY: ZIP:
N��: REGISTRATION n
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : ��' lL 1� D �t-� � � �
J C � �., � �--}- � � �� �"� � �
STORIES: SQ. FEET OF EACH FLOOR%
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. f� _ C �\
, s �D�� �`�
ESTIMATED CONSTRIICTION VALIIATION (escluding land) . $
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 wil 1 be in accordance with the approved plan. �
� �/ DATE: � �7 �� --
APPLICANT'S SIGNATORL�: �' -�
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C ITY of ��NO
Post Office Box 66•Crystal Bay,Minnesota 5532.3•Municipal Offices
•
� � � � 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 Iike 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 wi13. 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, s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your reguested permit or Iicense requires Councii ac��or.
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.
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First Middle Last
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Address
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City State Z1p
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Phone
I understand my rights as stated above.
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Signature �
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
v DATE TIME
CITY OF ORONO �ALLED IN
INSPECTION NOTICE �y/ SCHEDULED 3 0� _� = 30
PERMIT N0. ���I7b q` COMPLETED
ADDRESS �i�'� � CSY�(�I��i�-f�J/l,� ��i
OWNER CONTR. �
TELEPHONE N0. � q5a - q.�5—�J`-57
� DESCRIPTION �-�h •
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMINCa 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL� 14 SEWER HOOK-UP O6 PROGRESS
� O7 DEMO� 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
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTORTOMEETYOU:�YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PfiOCEED O PROJECTCOMPLETE
W RRECT WORK 8 PROCEED ❑ ISSUE CERTIFIGATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
'V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION FEQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContra
Inspector.
White Copyllnspector's File Canary Copy/Site Notfce