HomeMy WebLinkAbout2002-P04543 - re-roof CITY QF ORONO PERMIT
275G Ke�ley Parkway - PO Box 66 Permit Number: Po4s43
Crystal Bay, Minnesota 55323 Pet'mit Type: MinorAlterations
(952) 249-4�00 Date Issued: 3isi2oo2
SITE ADDRESS: 300 Brown Rd S
LONG LAKE,MN 55356
P I D: 03-117-23-13-0002
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Buildin Census Code O/S-Building
Pernut Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 153.25 Valuation: $ 7,754.12
State Surcharge Fee: $ 3.90
TOTAL FEE: $ 157.15
APPLICANT: United Construction OWNER: 70HN C DOUTHIT ETAL
1725 LAke Drive West 300 BROWN RD S
Chanhassen,MN 55317 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 SIGNATURB vISS EDB'YSIGNA7'URE
Copies: 1-File(Si�nitures Requirec�), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
Oct-2�-20RJ 12:02am From-CITY OF ORONO +65T2494616 T-063 P.001/002 F-BT5
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����,�j���:; Tota�. Fee: $ �.✓� l-5 Dats Received:� I�-'� � ���
� Entered By: Permit�; .� � `�� �
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r "� ,,,�� � ���XZ'Y O�+' ORO�TO - BYJII.DI(NG PE�'MIT' APPY.,�C,ATION
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� I' �..1 All informati,on must 6e�ubmitted Mx� ftiIl befoxe plan re�vfew will be started.
^'�' (please print adl infivrmanon)
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� APPLYCANT IS: (circle one) OVVNER O ONTRACTOR
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N�E OF OWN�R: �1`(11n ��1i�� PHONE: (ho�m,e �� " � I IJ�
ork)
MA,ILING AD�RE9S: . �(O �._C1'�'X: ZIP:—`��(,o
cax�rr�,,cTOR: � ' � c�' r�or�: ,Q�- ,��� 9y�/�
CONT.ACTPER90N;-f , MOBILT/PA,GER:
MAIL]NG ADDRE89: I"1 � ' ,�p��ITY: ��'�.J.�.7
STA�TE LXCENSE: �' ` �
A.xtCffi'J�'FCT/�ENG�INEER: _ PHO�TE:
MAIGri�TG ADDRESS: CIT'S�: �II':..—..---
NA'MC�: �—�IS'�RA,TxON#
TYP� �F WORK: New^„ Add.iiio� Accessory Suucture
Move Remodel/Allerauon _ Land AJ.teratxon_______
�YtOP05ED WORY�(describe in detain: �r � �
3TOR�S: �� SQ.FE�T OF�;ACH FLOOR:
NO. O�'�ED�OOMS: GARAG�STAY•Y•S: ATT• _� DET.
TSTIMA'f'ED C01�15TRUCTION'VALUATfON (exCludin�tand): $
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I helceby apply fo�c a bullding�erm'�C and�acicaowledge that th�infozmacxon above�S conaple�e and
accurate, [hat che work wil,�be ia conformance w�th tb�ordiaances and codes of th�e Ciry and with
tbe 5tate Building Code; r.hat I u�uderscaad thi.'� is not a�crmit and work is n�ot Lo start wit�out�a
p�rmit; and tla�c che work will be is�accordance wict�rhe approved p1an.
APFLICA,N'r'S SIGNAI'URFv: D�TE: C .
► � ,�events require separate permit appmvuusl by Policc D�pamnerat and
NOTE. �
� City Council 64 days prio�to the event. Non perrttitted evenu w�li not bB allowed.
Oct�24�Z001 iZ:02pm From-CITY OF ORONO +8622494616 T-063 P.002/002 F-675
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Sec.13A�F�I(3i�T9 oF S�18JECTS OF DATa
SObd, 1. '�pe et data. ?he ng4a oF iadiv9dunl c4 w6nm�oc dan is sl�ted or�o be smred sqall bo a9 aa(ordi in�i�nc�don.
Subd-2. IoCorooatlop rcquired to be�vea indiv�dusa. M lndivldual astied to supA�Y P�vau cr eaefiAandnl da�a co�em9�a6 htm9olf sh�ll
u se aud inrended we oF�e r�quesraf dsa wigl��eollecdng sc�re��,pol�lcel subdivieloa.or smawiEe syooem;
bo inforaud of� (U t�P ►'Po eaco ar�sing ftom a1s supplyinB oe ReNsing m supP�Y
(p)whetAn hc may reTuse or is Iegally Rquiusd�o appcy du iequesDad danl:(c)say iciown c0�u
p�ivntear hafidan]ndividua�istesk d ro 9upPlY tnv�esd8sdv daca pu eanni oo�secdon t3 S��u6dlv sioo 5,oo a Io�w�enMt��ment offio�re�mtshall
ao�apply
' ioner aF revenu mnv nitae�he nouce_r�c�"1�Ci
d r dlis su • n �11e i - 91 aomG n
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��e.1�ec indcea4 oe or ihosD��� „.
Subd.3. �a��O���''a���^ Upon Rque9i�o a noiponslble su�►orid.ea�d�vidYa!adal►ba lntoasned whuher ha is�6ie suaJ��
oF sooied data oA Indl��duals.aad whs�bar:e le olsx��ied as public.Pd�-��or confid�endal.�h��d,'be desin6s�,sLallOe�I�`°��°��CO"�e�
o[sEorod pdY�ec or publ'tc daC10n indiVlduals shall be eti0wr!the daa 1ridlQuc anY �B
�pd moanl�B of�hu daal. '��0di u�e ar wdcdon p r�,an�oo�hL+secdo��u pendlna�•a 'e,,000�1 au�o�e�ndivd Iduatepes been 4o t c[�ed ot araaoed.
9I�mondte d�atantta�udess � nvarc or ublic da�x upon roqun�bY the iNJ�vidual subJcct oP111m dna�. The�spensible wthotkry
?D0 iAspomlbic authottiiy ehAll pravtde capie8 OE the p ' P e co ies.
may requin raa requae�Is�S P�Tson ro pny�aeaal cosa eR nsaking.ardiyinQ.and compllia�I� A
, Tho respans;ble�u�►oela shall comply immedlarcly,if por�ib�e.wi�h���o ���oc�ible uilha c�anaot o mply wi��1e rcA9ue4t
$�o ds9s of�he tequeaG exaluding SooutdaYA.sundays afld logW bnlidays tf i�m p� �� 1 wifh t1f�a rc est eX�luding SawrAays,
widust dist dn�m,ho ehall 90 inPo�fi►cNd ittdlvidual,autd m0.Y�ve an a8dlcloaal�ive daye wlchla w6iCb� P Y � �
Sunday�and legal holidsy9�
s4bd.4. pro�edure�hen data is noc eccursu or completr. An indivtdual��y�ibie awhoeiH ucri�i�g��"�re of�dissigtmemaac�
dao�concemin6 himself. 'fo exer�i.sz Shi61iah4 an individual shall nodf�i�►wrlcing d�e tesp
The�esp4nelbld aud�o�iry shall withuldn��re SI��°Damedcby�th�[adv�cSusUuO b)odPy�1ndiQv' u81-md�a be helimv sprhe da�a w e�o��c D�
inacCurata or inaomPlete dara.I�+nl S P
Q eauaru ro d1e p�visions of�admi�iaR�ve p�ocedure Acc Pelndng W
UI dl6puos shall be d1Aeloaed ody if tl1�fndlvidusl'S Stueamen�of disa6��men�is i�eluded wi�d!o dlselose au.
�a de�ccmi:►auon of th°'"eP°�'bte au�hodry m3y bo Appe kd P�
con�oSced ave9. �
DA�A,C'Y ADVY30R�
In accardance wich M.S. 13.04,Subd.a, "Rights of aubjects of da�a", we v�+ould li�e w infotm you r1Ss�Yo�c�v�Qtl or
fot n permit ot licrnse from ��Ciry of Orono or aay oF its dcpanmen�ts �y �e You tQ �� ceRaiu� p
coafideatial iaPonnatiora�
You 3re ,aotifi�d th�es
1. The info��ian you 4urn'ssh w�R be used to de�et�a°Yo�q���t�aa for tbe pecmxt oi lic�nse reqaeeced.
refuso �o supply data, buL refus�l xnaY requfre ihac the Ciey deny tl�e per�i� ur ticense• �esa
2. You�ey �„��o�her local,eta�e or�ederal ageacies to thc ezteQt necessary to p
�, T'he infarmacioa may be shared �
the pert�� or license. zove, aeuu iaforma�1oa maY beco�e
4. If Your requeSted petmit or licease requir�s Couac�l actioa to apP
public, p q P ourself,
S, ypu bave ceCi� ngi���er M.s. 13,0�� (available u on re uest) to rev4ew rivate da�a oa y
6 ������ 1S xequired �o process chi�, applicacioa or petmlc•
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(952} 36g-9448 Fax (9S2) 368-9g44
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Fax: '1 � � ���" `'I 0 � Pages: �
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1725 L.ake Dnve Wesl,Chanhassen,MN 55317
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TIC SCHEDULE�"�� 'Z- �
PERMIT N0. O � � COMPLETED
ADDRESS .� O � 5� . L� 1Q o �-�c-'N ��� _
OWNER � d u,�i�f CONTR. ���
TELEPHONE NO. �S� �� � ���d
� DESCRIPTION /��
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q ��� 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 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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W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL FETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
II for the next inspection 2a hours in advance. (952� 249-4600
Ow /Contra or o . �
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Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
%,F9 � DATE TIME
CITY OF ORONO ° CALLED IN
INSPECTION N TI SCHEDULED 3 �v k�-�:�--__��
PERMIT NO. � � COMPLETED
ADDRESS G� .���� d �
OWNER ONTR. ('�iru!.eo�C'_ C.i�
TELEPHONE N0. /J�.�— � �%�-r / �r�
� DESCRIPTION__._�'�.t -
� 01 FOOTING 11 MECH ICAL RI 18 EXCA�//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 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 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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W ❑CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CALLTOARRANGEACCESS.
for the next inspec ' n 24 hours'q advan �(g52) 249-46��
OwnerlCon onrsite: �� ` � � �������
Inspec
hite Copyllnspector's File ary CopylSite Notice