HomeMy WebLinkAbout2003-P06830 - re-roof ITY F R N PERMIT
C � � � � Permit Number:
2750 KPlley Parkway- PO Box 66 P06830
Grystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: io�i�2oo3
SITE ADDRESS: 3605 Shoreline Dr
Wayzata,MN 55391
PID: 2o-i i�-23-2i-oo2g
DESCRI PTION:
Proposed Use: Commercial-Business
Pernut Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernrit Fee: $ 783•75 Valuation• $ 70,000.00
State Surcharge Fee: $ 35.50
TOTAL FEE: $ 819.25
APPLICANT: McPhillips Bros.Roofing Co. OWNER: QWest
2590 Centennial Dr. 3605 Shoreline Dr
St.Paul,MN 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 SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT P ITEE SIGNATURE ISSCIED BY SIGNATURE
Conies: 1-File(SiQnitures Required),1-Aunlicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1
McPHILLIPB BROS 6517702891 09126103 12:07pm P. 008
Sep-25-2Q03 06:09am Froe-CITY Of OROKO +A521494616 T-195 P.002/003 F-13B
�
�� Date Received; �l-o?.5-O�
Total F�: ��c>` • �5 Permit.�l:. �'b a�� — —
Encered 8y: .�
CITY 4k' OR�NO - BUII.DING pER� �.PP�•����"�ON
x� 'I�' lan rePiew will be started..
�' A� A!1 information must be subtwltted tn ttill beiare p
�� �Io �p/ _.�_ �lease prinr all infornradon) �� __ ��__.-_�__ .
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�Y3�; APPI.,ICAN7'�S: E�trele o►te) 0'�VN�R 0 CONTRACTOR
JOB SI�'E AnDRE.�+S:
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PH4NE: (hom�e�.
NAMB.d�'OWNER: �� � fwork) a- -
n�nvG aaupx�yS: a���.� - �� � z�:��!�
c�ro�: _hn� �.: l� s �ro '�p ,�P�o�: GS1 - 7�U aa�2
corL� L� II�l.PAG.ER: a
CONTAGT P��ON: S � ��
MAIE,YNG AI)DxESS:�
CY'i'Y: ZT�:,,,�,..
STAT�LIGENSE: �_�� -
�s cil PHON�: `°h I� °� .��
AR(.`FH.1`�CTlF.l+i(�IlrIEER ►�'`e CITY: �/-1°a�---�
1yqYL1NG AADRFSS: `"`� REGYSTRA'1`ION� �
NAME: Ol � �
Addition,�, A��ss°ry 5t��,
TYI�OF.'WORK: New ��1/Alteration Land �ration�.....
Move �,_„
PRO V�OYtH(describe in 4�tai�: �eMn £
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'�D CONSTR�(1C7'ION VALUAT�ON f e�cc��o��l' � �o �
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X bereby aPP1Y far a buildinS permic and I aclawwledge d�ac t�e i�o�rion.abave.is complete and
accura�e; that ttLe work will be in couformaace with rhe Qrdit�anc�o ��t�o�st��rt without a
tbe S�ate Huilding Ct�e� d�at I understand tlus �s aot a Pet�toved pla�•
pera�it; and tt�at tbe work wi�F�be ia-acco�cdan�'je wirh the aPP
p,ppLICANT'S SYGNATURL�:
DA�: �= �S-o
r r events require separate permit approval by Potice Deparhntnt a+�d
N01�-
� Cuy Counci[60 rlays prior to the event. NpR perm�tted e�'e��s ►�n�t b�"la°"`e
McPHILLIPS BROS 6517702891 09t25t08 12:07pm P. 004
Sao-25-ZQ03 OB:08aa Fran-CItY OF ORONO +9522484616 T-185 P.003/003 F-138
See.l3.��G�OF�E��S OF DaTA
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of seen0 d�n on irnli�idu�ls,and whe�ec K ls clauitted.s public.privA�c or eent'idenehl. Upoa riii fnnbee re9uesr.sn iadividu�l who is d�e fuhiect
of stored,privtte o[publle dau on iadividuals�E�ll b��hown�t dos wid�o�t any cbaigc m 1w��►d'if lu desiros.s6all be in(oaa�d ef IDe eonaenc
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Thc asponsible eud�oriq�h�ll eomply'vnmediarely,if possibk.widf anY�! 1 wlm rAe ce uen
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wiihin Q���dm��he shalf sa inform�6e individuN.yfd maY h�vc an addiuonal Ave deys wtidtn whkb m comply wi+h iAe rcques�,sxaA►dios SoaN.ys�
5undaYs*ad.kSal boildaYs. .
Subd.4. Proaedare�►hee d�a L�°°��eaurate or compWa �n fndividwl roAy co�s�.rhe acaur�cy or cempkaeaess of public ocpdw�e
dw eoncorn�ng 1++mc�1[.To exetiise�is ridu.sa individual s1�aU noufy in�ddns�e�Po�i61e au�q describibg d►e nNuN of a�dl�ag�m°�.
The responor ineom aqe dsm11 uu��e�iPienae�med by�i6e individu�l;or(b)nodfy�hc mdtvid�that fieAb ti�wesp�c da�o be o�`�r: Dw
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'Iho dtreRnino�n of d�e rcspoesib�w�o�a may�appadad pursuan���c p�visio�u of tbe ada�inis�sd•e A��"K������i0
ronws�ed caeed.
DATa YRNA�'-S' AD'VISC�f
h a��prdaace with M.S_ 13.04,Subd:2, "Rigbcs of subj�s of data",�y�qu�o Iof,°��6 ce ain priv�ace or
for a permit oc tycense irom the Ciry of Ek�one oc anY of Ets pa�cme:us
confid�nual iafnrmation•
You are.nocifiod thac:
j, 'the infonnacion you itiunish will be used to decermine your qu�liticacion fot ihe permit or licenu requested.
2. You ma� rafuse ca supply data� but tetl�sal may re4utre that the eicY��Y�o��ce�sacy to Process
g, . The infornma�ioa may be ahared Wis�►o�er local,scace or fedetal gg ttci
�he pecmic or license.
4. � rf youc r.eqpcsted pecmit or lieease tequins Couaril acdon to ap�nove. soa�e isform$�ton may become
public. � u�� ��Te�r;e�r rivate data �n yours�if,
5, ynu have ee�tain rghcg under M.S• 13.04 (available u�fl� ) p
6, Your full natne is required io process cbis appticacion oi permit.
S' � M� � Las�
Fiest
,�d«s � N o G �� 7�0- o�
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Cid
I uude my c as s�atEd above. �
Slgn�a►re
���
DATE TIME
CITY OF ORONO CALLED IN � ��
INSPECTION N ICE SCHEDULED 3 �'
PERMIT NO. �G � � ��-' COMPLETED
ADDRESS ��c'l: r� '���'�L Y �.- L i r'� �YZ,
OWNER CONTR.—_� �'��C� ���1� � I � Y�S
��
TELEPHONE N0. � �7 � " ��� I �� C-C�
� DESCRIPTION I ��.fZ ��1 �"
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITION WITHiN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe nex inspection 24 hours in advance. (g52) 249-4600
OwnerlContract
Inspector.
White Copyllnspector's File Canary Copy/Site Notice