HomeMy WebLinkAbout2001-P04302 - re-roof � ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poa3o2
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600
Date Issued: 9i1 v2oo1
SITE ADDRESS: 2912 Casco Point Rd
WAYZATA,MN 55391
P I D: 20-117-23-31-0072
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesidentiai
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: Permit Fee: $ 153.25
Valuation: $ 7,500.00
State Surcharge Fee: $ 3.75
TOTAL FEE: $ 157.00
APPLICANT: ABC, Inc. OWNER: M D BARRETT&D M BARRETT
12247 Nicollet Ave So 2912 CASCO POINT RD
Burnsville,MN 55337 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
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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A P A RMITE [ A U ISSLTED BY SIGNAT[JRE
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Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Sep-05-,01 02 : 17P P.Ol
huQ�13�1001 08;13am From-CITY OF ORONO +6522494616 T-685 P 002/003 F-6�T
Total Fee: $_ r�5 2� o a T�ate Received� -5 -�v�I
Entered By: f��- Permit#: 3 �--
CITX ��' ORONO - BUILDIKG PERNIIT APPLICATIOI�I
A]] information must be subm.itted in full before plan reYiew w�ill be started•
(please prinr��tl infornaatioa) __N�__�^_,^-----
_.____.�-----
.�,� AppI,YC�T Ig: .{circle one) OWNEIZ OR CONTRACTOR
JOB
SITE ADD1tFSS: Z� �2 C�ISCSJ po; r.+ �1;� ZIP: 55 �C�
. �,r�Q�� PHONE: (home)[��S Z�4? r- q s s 3
NAlv� OF OWIr'ER. 1�I� ke f u n� 1
(work)�1�5�ZJ�'�'6�ZC�
1���1NG A.DD�.SS: Z�1 C4-SCO �0 S nj C�: �� rn. .�U Z�: �S 3�'i I
• , i'�tf, c.�.� ���' Lf�lt�r<<C�v�����''.: �45L�70%-lS�I.S�I
CON'I'RA�TOR. Al
CONTACT P�RSON• in � � �(t r � M O B I L E/P A C Y E R: �2)�3 Z�'�
:Vi,AIL�TG ADDRESS: �-t �'� �t a,"� S�, CITY: L�t�r�5 v►`I�� -ZiP:�3�
STATE L�CENSE: �1 ���
A�tCHrT'ECTfENGIN�ER: PHOI��:
viAILIl�G ADDRESS: ,CITY: zYp:
NAME: REGISTRATY4N#�
TYPE OF WO�� New Addition A�L��j�at on
Mo�e P.emodeUAlceration_�
PR4POSED WORK(dEscribe in detai�: %�o�r d�f G nr� rP
�Q <<
�,��G C '�--s�`�
STORIES: I SQ. FEET 4F E;ACH FLOOYt:
�O. QF B�DROOMS: GARAGE STALLS: ATT. DET.
ES�']MAT'�D C�NSTRUC'I'ION'VALUAT[ON(excluding land): $ -7 S�� -�� u
I hereby apply for a buildin�permit and I acknowledge that the information above is complete �nd
accurate; that the work will be in confornaance with the ordinances and codes of tbe City and with
the State Building Code; that I understand thi� is not a permit and wark is not to start without a
permir,; and chat tlne work will be in accordancz with the approved pla.n.
APPLYCANT'S SYGNATURE'��� � DATE: �r, j �S� /q I
NOTE! �p,^-r�dP ,� omes events require separate permit approval by 1'olice Department and
Ciry Councii 60 days prior to the event. Non permitted events wiil not be allowed.
x ;;���-23-2,001 08:23am From-CITY OF ORONO +g622494616 T-685 P.002/003 F-61T
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Total Fee: $ l�ate Received;
� Entered By: Permit#:
CITY 4�' ORONO - BUII.,DIKG PE�tMIT APPLYCATION
All information must be submitted in full before plan rePiew will be s#art�c�
- (please print��ll inforniation) �`-
TI� APPLTCANi' IS: (circle one) O�VNE�2 OR CONTRACTOR
�
J4B SITE ADDRESS: �r� ( � �c;l`:C_U �0� �.� .� ZIP: �J��C�
TTA.� �� Q'�'��R: 1_' � ke f r)�n C�. ���P"�� P���: (110IIIe�(��s Z�4� r- q 5�3
(work)�'Q5� �-�-6�Zv
1�I.A,II.IlVC'r A.DD�2F..c1S: L�t 1 Z Cc���C(� QG 1 n� EL� CITY: "7 rn 1�U Zlp: �S 3ri.1
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CO��R.ACTOR: i�l N T :�.c��, �` u �(�i h' �C�n}�,_���>rv�`'�'HO1V�: �C'rSL�'%��I' �'r.���
CONTACT PERSON: ln r-� � ����' r 1V10BIL�/PAGrER: j„6'i 2 �'><'�'.�/�r�
�t.nvG Annx�ss• �. %�i N��� �a� ���. � c�zy: ��,,,;�,`r���_ z�:�� 3 � �
STATE LICENSE: �}.�p16�{j�5
ARCH7TECT/ENGINEE�t: PHOI\'E:
iV1AILING ADDItESS: CITY: zTP:
NAl�: R�GISTRAT�QN# �
�'YP� OF WORK: New Addicion Accessory Structure
Move RemodeUAlteration_� Land Alteration
_.-
PROpOSED WORk (describe in detai�: %�'���' d�f �n��_ r��'�� ��' r'�:.�
�,��(; C��� lC'�:� P, ��,�';.�" /'�-�f �.vE�� „I
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STO�tIES: I SQ.FEET OF�;ACH FL�OQk:
NO. OF BEDROOMS: GARAG� STALLS: ATT. llET.
ESTTMAT'�D COl\'STRUCTIQN''VALUA'�fON(excluding land): $ `1 S<�� ����
I hereby apply for a buildin�pemzit and I acknowledge that the information above is complete and
accurate; that the work wiU be in conformance with the ordiz�ances and codes of tlae Ciry and with
the State Building Code; that I understand thi� is not a permit and work is not to start without a
permit; and that che work will be in accordancz with the approved plan.
-� f,
APPLYCANT'S SIGNATURE� ;��,�� ��--� DAT'E: ; � Z x l��� -
NOT,�'! Par�de Qf H2mes events require separate pernut approval by Police Deparhnent and
City Council 60 days prior to the even�. Non permitted events will not be allowed.
i ��*23-2001 08:23am From-CITY OF ORONO +9522494616 T-685 P 003/003 F-617
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Sr.S3.Q�RIGH'TS OF SC�BJEC'TS OF DATA
Subd. I. Type of data. The righu of individuat on whow she d�a is sioird or co be s�ored shali bc as scc forrh in this secdon.
Subd.3. Informatiaa req�rired ta be givea individual. ,�,i individual asL•td W supply priva¢or confidenoal datt conccraing hirnsclf shall
be informed of: (a)thc pvrpose and intended use oP�e requesred d3�wi�in dic eollecang rcace agcney,poliucal subdi�isiou,or smtewide sysrem;
!b)w3cther he rtlsy refusc ot is 1cgaUy rcquircd to supp2y 1ht rsqucsmd�an;(c)any l�own consequenee arising fivm his sugpiywg or refusing�o svppiy
privau or coaridenaal dan;and{d}�he idenury of orher persons or cnAaes authorized by scau or fcdcral!aw to receive�he data. 'ihis requiremcn�shsIl
no��pply wh¢n an individual is ssl•ed io supply invmsrigadve dsa,pursuanc to secrioa 13.8?,subdivision 5, co a!aw anforcemeac o�cer.
'fhe commissioner of_ a�'enue mav �lacc chc nooce reauirr.! undet this subdivision in d1e indivldetal income �x or aropem tax refund
instcuetions inSTea of on chose Porms.
Subd.3, Access to data by individuaL Upon rrqucsc to a resporsible au�horiq�,an individual shall be infocmed wberher he is che svbjecc
of swred dara on individu�Is,and Whcdu�iz is cfassificd as public,pnvace or eonfidendal. Upon his f�:rcher r�qucst,an uadividual who is the subjec�
oF srored pdvate or pabiic data oA individuals shall be sh�wn the dan.wirhouc any charge[o him and;if he desires,sbaII be informed of[hc contenc
and tnCaning ot�ha�dsa. Afur an individuai has brea shown the priv;,m dara and infocined of irs mea:.iog,che dau aeed not be disclosed w hL�n for
six utonchs dureaher unlcss n dispute or acr.on pursuan<<o this secacn is pcnding or addidonal dau on�he individual 6as becn collcctcd or croa�ed.
The rtsponsible auchoriry sha[I pro�ide copieS oP the priva�e or pubii:aaa upon r�quac hy be individuaJ subject of the dara. The responsible suthoriry
may require[he requesdng parsOn so psy d�e auual cosrs of mal�sg, ecro�,and compilinS�hc eopies.
Thc responsible authority shall comply immediately,if pos��ibfe,wi�a�y r_quesc ntade pursuant co this subdivision,or within five days of
che dau oP r11e cequat,cxcluding San�rdays,Sandays u►d legsl holidays,if irnenedmie compliancc is noc possible. If he exrsno�comply wi�h�he reques�
w(t}tin rhac timt,he shail so irtform the is�dividuaf,and ettay have sa ad.idona!hre days wirhin which to comply wich the requess,exclud"wg Saturdays,
Sundays and legal holidays.
Subd.4. Proe�dure wheu dzta is not accurrte or eomplete. An individual may con�tst che accutacy or eomplereness oP pubfic or pri�•ace
Z��cocsceming himself. To exatcisc rbis right,an individual shall noaty in wrisieg the responsibfe authoriry drscribing chc ru,n,re ot the disagrecmcn�.
'^�e responsi6le au�horiry shall wi�hin 30 days ei�er: (:)corrcct thc dan found ro be insccurate or incompleu and aaemp�to norify past rccipiencs of
inac:uraR or incomplece data, inciuding recipiena named by du indi��i�fual; or(b)no�ify nc�individual that he Delieves rhe dasa�o bc corrce�. Dan
in dispuce shsll be 4isclosed osily if�he iadividual's sraeemene oP disay�rcemen�is includzd wich�he discloscd daffi.
Thc dc�erminaaon of�ha responSible auchoriry may De apE��le3 parsusiu w the provisi�ns of thc adminisrrarive proceflure ac�nladng co
con�:sxd casrs. . .
D T4� ,�, pRTVACY ADVISOR'Y
Tn accordance with M.S. 13.04, Subd.2, "ltights of subjects of daza",we would like to inforrn you that your reQuest
for a permi� or license from the Ciry of Orono or any ��f its departmears may require you to fumish cenain private or
confidenti�l information.
You are notifed that�
1, 'The informa[ion you furnish will be used to desermine your qualification for the permi�or license requesred.
2, You may refuse to supply data, but rcfusal may require that the City deny the permic or licease.
3. The informatioa may be shared wir.h ocher 1oca1, s�ace or federal agencies co the ex�ent necessary to process
rhe permit or license.
4. If your requested permit or iicenst r�quiras Council acsion to approve, some informauon may beeome
public.
5, Yflu have cenain rights under M.S. 13.43 (avaiiable upon request) �o review private data on yousself.
6. Your fuiI name is required to process thi� appli�ation or p�rmic. •
�us� 4liddle Lau
.�.ddress
Ciry Snce Zip Phone
I�erst�nd my riohu as s�aced above.
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Signanarc
DAT TIME
CITY OF ORONO CAL�ED IN � � �'
INSPECTION NOTIC�E �j SCHEDULED � -� � � �
PERMIT N0. �` C7 3L�2' COMPLETED � � /0�
ADDRESS_ �`9!Z ��Zi�� �� ��
OWNER ��'L�`-h�.tt CONTR. �iu Gnk�G: C"a>�luC:�o6'"y
TELEPHONE N0. � �S � — 70 � _� !n �S��l ��r�riti,,�u
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� DESCRIPTION �-� � h�-�' � �� 7 Z-� S �� _ L,j�',
� 01 FOOTING 11 MECHA AL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q FINA 14 SEWER HOOK-UP 06 PROGRESS
� EMO-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspectqr. l,����� � �
White Copyllnspector's File Canary Copy/Site Notice
, / DATE TIME
CITY OF ORONO �� CALIED IN
INSPECTION NOT CE SCHEDULED
PERMIT NO. ` r ���'COMPIETED S -2-n 1 I 1�• s-o
ADDRESS Z9�2 CA s c..,o P���-�- i��0�`')
OWNER �NN�T CONTR. A�c
TELEPHONE N0.
� DESCRIPTION �'`=��'"" r
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAM�NG 13 MECHANICAL FINAL 19 LAKESHOFE/WETLANDS
y 03 INSULATIGN 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
W� �/l..�or �-i.N✓i�t.
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�l ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlConVactor o site:
Inspector.
White Copyllnspector's File Canary CopylSHe Notice