HomeMy WebLinkAbout2007-P11083 - re-roof PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11083
G4y�stal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952)249-4600 Date Issued:
6/7/2007
SITE ADDRESS: 1485 Sixth Ave N Unit#
Long Lake,MN 55356
PID: 26-118-23-33-0029
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterations Pernvt Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 24,943.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 403.75
APPLICANT: Kaufinan S/M&Roofmg OWNER: William&Barbara Pearce
2521 -24th Avenue SW 1485 Sixth Ave N
Minneapolis,MN 55406 Long Lake MN 55356
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 ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
JUN. 5.2007 4�4aNM KAUFMAN ROOFIN� N0.592 P.2i4
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Total�ee: $ q'b'�� Date Received: �'� �
Entered By: C.YKW� pertnit#: �1 1 Q S3
CITY OF ORONO -BUILDIN'G PERMIT APPLYCATION
All information must be submitted in full before plan reWiew wal be started.
(please print all information)
THE APPLICANT YS: (circle ohe) OVV'NEYt OR ONTR.AC'rOR
J'OB SYTE ADDRESS: l��� C�'�t.1 I�d. CD ZIP:
5��th �-y�2 N
Will this be a Parade of Homes,Remodelers Showcase Home or other Aisplay Hume?
❑ Ye3 �o Ifyes,a special evenl permit 1s required with Police Departmenr a�d Ciry Councid app�ova!
60 dcrys pNior to ihe event. Shu#Je bus set-v9ce will be reqvired unless applicant clemonstrates
su�cfent on-sire par�-ing is available. Non permitted events will not be allowed.
N�a�oF owivER: �(_�i �.ea.rr-c �xox�: �na�� . .ay�'
(work)
MAILING ADDRESS: �f.�yY1l� CY'I'Y: ZIP:�3.�SS..
CONTRACTOR: PHONE: � � Q�,�
CONTACT PERSON: _��j S�� OC�. 105 MO$ILE/PAGEY2:
MAILING ADDRESS: ,�,,�'02l �t�/(�si�. CITY: _ �/S ZIP: `�+�0
STATE LXCENSE: # ���� � EXPIRATION DATE:����
ARCHITECT YN'EEY2: PHONE:
MAYLYNG AD SS: CITY: 2�P:
NAME: REGISTRATION: #
TYPE OF WQRK: New Home Addition Accessory Structure
Move I�oxne emo UAlteratioii(ie� Siding,Windows) �
At1y eaxth movement may zequire 1KCWD rey,iew an,d erm�;
PROPOS�D WORK(describe in detain: �oJ I' �,1� U! �
o'VS� �1•11
STORIES: SQ.FEET OF EACH FLOQR:
1�0. OT+BEDROOMS: GA1tAC�STALLS: ATTACI3ED DETACHED
q1'r�w
ESTIMATED CONSTRUCTYON VALUATION(excluding land): $ ��"� � ` '1�} 'y'
I hereby apply fqr a building pernzit and I acknowledge that the iaformation abovG is eomplete and accucate;
that the work will be in conformance with the ordinaucas aud codes of the City and with the State Bnilding
Code;that I understa,nd this is not a permit and work is not to stan without a petmit;and that the work will be
in accordarice with the approved plan, �..
APPLYCANT'S SICNATUR�; �ATE: � �
31
JUN. 5.2007 4�46PM KAUFMAN ROOFING N0.592 P.3i4
Sec13.0a �YG�TS OF SUSJ�C'1'S O�DA7A
Subd.1. Typo of daTa. Tha righls of iadividual on whom t�e��a is searod or ro be arored s6a1]be as sec foRh ia c�ia eecdoa.
5ubd.2. Infomo�ion reqaired m be�veu mdivriduaJ.Ra individ�181 asked to suPP�'W��or cqn6dendal dam oonceming hia�olTshall 6e
ioformed of: (s)tho pueposc ond imteuded uso oCthe roquc�ed dom vvi�eho eolloePPS�ugeucy.poHrieal Bubdivision,or smo�wide sys�em:(h)
w6et6er 6e may reti�so or io te�sUY requi�ed�o supDb'th�requeaoed d�;(�)anY Imown conecquma�isiag fc4m his 9upplyi�s��B��+PP�
luivam or coofideaiial dsa;aad(�d��idwtity of o�herporso�s or aui4es nuhorimcd by srat�or fad�ral faw m roceive ehe da�a.Thi9�i�n�s6alt
noc�ply whco�individual is sskad w aupply investigstive d0a,pueeuaat ro stxtion 13.82,subdivisiop S,to a law eoforcemo�oiLear.
The eomo�iaaioner Qf�enue mav�lace die noticernn�jrj.�jd�r thie su6divieion in rhe indivic�sl inoemc tax or omorm.mn,�und
in�'Q,�,e insooad of on thaseloQr�.
Subd 3.Access�o dara by iodividual.Upoa request�o a coSpoqa�bic authority,en iudivldysl�hal1 be infatmad w6�6e is the sttbjoa of
swred da�oq in��d�1a.�d whe�her n is cla�ei�iea�public,priwa or aonfidandal. Upoa hia fict6er raluast,sp iadividusi who ia me�bject of
stored priva�o or public dam on individuals aball bc s4owa tbe dara withoue any o6arge to him and,i4he desaes,shall bo i�Fortnad oPthe concepc oad
meauiag of tb�ds� A�r m�mdividual hss boen shown�ha privau data ond inf'ormed qf ia mca�ipg R6e deta nced noo be dlselosod w him for aia
months�hereof�erunless s dispu�a oe acrion pwsuont w[6iS sation is pcodmg or additionsl dasa on d�o mdividual has bem colleetsd or aesred.Tbv
reBpomable mtbor;ty s6�1!provido oopies of tbe private�pubGa d�upon roquest hy me iadividu�l sybjac otthe datu. T6e napon�We aulhodry
may[u�uire tbe requestmg pa4soo W pay dte acRual costs of mok6�g�oeRifyio&�d��P�46 t6e copies.
The rcFponsible nu0hority sfisll oomply imeaediatelY,i$'Poasi6k,wi�6 aay roque�s msde p�usumt b this subdivision,or w+�bia frva aays of
chc daoe oTtbo oequeat,exclud%g Sawrd�ys,3un�ys a�d l�al hotidaya,if immedia�o 0000plisax ia voc p��ibie,If 6e cmmot cbmPly prith�ho reques�
withia�6oc�ir�1�ahall ao iafarm t6e indiridual.ead may hava en addirioeal£ve days wic6in which w aompty with the ro9ucs6 a�cludiag S�NMays,
Simdays and Iegal holidsyr.
Subd.4.Prooedurowhcndataisnotpoc�ao�orcom�leCe.AaiadiVidualmayconteatthear.eiaaryorcomplo[enossefpuhliaorprivatedatr�
tonCo�ing hirtuolt To wcaeise t6is right,an indlvidua15ha11 pedfY���5 Ibe�bk auchorlry de��ins me onhue of tlu disagre�Tho
responsiblo a�nhoriry ehull wirhie 30 days dt6or: (a)corrccc rhe d�n t7mmd bo be inaeeurrte or iaeoropicu and a�oe�np�ro noiify paSt rocipients of
maaurute or iocompb�e dats,mclvdia�racipienla oamed by�6e individ►is1;or(bI aoqfy t�e individual that ho bolievas thc�a o0 6e e�ra;s.Da�a in
diepure e6a11 be disclo�ed oaly i1'tho iddividua]'s e�mt of diausreemene is ineluded wiFb�ha�isclose�dnta.
Tbc derermmadon of�6e responsible au�hority m�Y bc sppexiled p�asynnt�o ihe provisio�a oYme admiuianative procedure aac rel�;ng�o
eoaWsood qsas.
bArA riuvACY anvisoRv
Ia accordaneo with M.S.13.04,S�3bd,2,"Rights of subjeers of data",we would liks tA inform you tbat your cequesc
for a permit or lioease from the City of Orono or any of its depanment&uiay require you io fiimi�h certFtin p:ivate or
confidential information.
You aze noafied tha[:
1. The information you furnish will be used to determino your qualific�tion for the permit or liceasc
tequested.
2. You may refuse to supply data,but refusal may require that the City deay�he parmit or licease.
3. The ieformation msy bc shsred with other local� state or fedosal agaaciea W the extept aecessary to
process the permit or liccnse.
4. If your requosted permit or lieense cequires Council action to approve,some it�formation may become
public.
5. You have ccnsin rights ttnder M.S. 13.04(available upon requesc)w review private data on yomsel�
6, Your full aame is required to process this applical.ion or permi�
�C7 bc t��l" �'e e h tv�Q,.�
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6'i�se M9dd1e 1Lace
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Nl�l.�, �N �s�/�.�
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I underatand my rights as sta ab4
si�natute
. , ry� a w,��;, ��;'�G,;;.1�I' ;� 32
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JUN. 5.2067 4�48PM KAUFMAN ROOFING N0.592 P.li4
.•....•.................•••...•...............•...•.•..................••.•..•
� � � Date� �O' `'�'d� Time:
� , �
, Number of pages i.ncluding cover sheet, �
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� Kaufman Roofing, Inc.
� 2521-24�Avenue South
� Minneapolis, MN S 5406
G�f��5���`L ' (612) 722�0965
Fax (612) 722-1021
T0:��1'VI ��� FROM: �hrr��v�e,
AT: AT: an R.00fin Inc.
PHONE#: PI�OI�1E : 612 7 -096
FAX#: R�'�'�y�'��' /� FAX#: 612 7 2-10 1
��o: ��s� � �� v�f
.��wr ��� �n�.n�
�1�f�sior� l D�
❑ Urgent � For your review � Reply ASAP � Please comnient
.............................................................................
. �- ��qD� w�11 ie� ,/
DATEM TIME A.n�
.;ITY OF ORONO CALLEDIN �D'��"{ '�� a�'�
INSPECTION T E SCHEDULED � '�'�I �1�OU /�'M.
PERMIT N0. ^ �� COMPLETED
ADDRESS I�g5 �S' b'� ` T Jr�
OWNER CONTR. �l �R�
TELEPHONE NO. �(l1 Z� ��'�lU�
� DESCRIPTION N,J•�I ,�Y`OIT � C.x��t1 cSr'�LlllS.d
l� 01 FOOTING 11 MECHANICAL 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 OS 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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED
O INSPECTiON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on sit
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� ����� �
DATE TIME
CITY OF ORONO CALLED IN �L•� __��?�M
INSPECTION NOTICE p�� SCHEDULED �O'IZ�O1 Q%
PERMIT NO. p L(O�7 COMPLETED
ADDRESS �a�aA I��J� � S�x,{-!�fEv�e AI,
OWNER CONTR. �YlS�illSl.�
TELEPHONE NO. (�XY� �� CD�Z'c�PJ? '�
� DESCRIPTION
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
i09 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 ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
� O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. I . 1
White Copyllnspector's File Canary CopylSite Notice