HomeMy WebLinkAbout2001-P04116 (building- re-roof) PERMIT
C I TY C�F O RO N O Permit tvumber:
2750 Kelley Parkway - PO Box 66 P04116
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: �i2v2oo1
SITE ADDRESS: 3247 Casco Circle
Wayzata, MN 55391
PID: 20-117-23-43-0009
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesidentiai
Census Code O/S-Building
Permit Class: 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: $ 7,768.00
State Surcharge Fee: $ 3.90
TOTAL FEE: $ 15715
APPLICANT: Re-Roof America OWNER: Kurt&Lucille Carlson
9508 Lyndale Avenue 3247 Casco Circle
Bloomington,MN 55420 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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APPLI ANT PERMITEE SI NATURE I SU Y SIGNATURE C J��
Copies: 1-File(Signitures Required),1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
J�1 23 O1 05: 02p p. 2
Jul-Z3-2001 03:53pm From-CtTY QF OROMO J J j,�� +85221846t6 T-46� P.002/003 F-054
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� Total Pec: $ �-�� �, �/ �� Da�e Received: � !'�' /� �' '
Entered By: -�'�.> Permit#: ��' c �/� �:
'�'��`�������CIT'Y�OF ORONU - BUILDING PERNiYT APpLTCATION
AlI information must be submitted in full 6efore plan review w71 be starte�.
� (please print all inforntation)
'Y'� APPLIGANT IS: (circle ane) OWNER OR CONTRACTOR
J�OE SITE ADDRES�: ��� C.Z1.SC� C 1'C' ZIP: 'J�Jr 3 Q �
Nt�lYL� ��Q�1i�TiA: l.u,C.�l,l� C�r l � or I IIV�= ��m�� 1 V���� �+U�A 1 lf�
(wackJ
�,nvG A.nnx�ss: 3a �t'I Casc� ��Y crrY: Oron o �: 553q (
corrr�cToR: � R �C S- �'c er tC� rxorrE: 95a-8�8-S�1�10
CONTACT PERSON: C1e � C MOBII.E/PAGER: CO 1 a' oZo'�1—S'o�°I
MAII.IlVCx ADDRESS: C'� L Ve,CTTY: �l�b'Cc1 �1�IP:s��y 20
5TATE LICEN'SE: � ca? 1 L l �
�iRCHITECT/'ENGINEER: PHONE:
MAiLIl�1G ADDRFSS: CYTY: ZIP:
NAME: REGISTRATI4N�' •
TYPE OF WORK: New Addition Accessory SQucture
Move Remodel/Altesation Land Alteration
PROPOSED W�RK(describe in derai�: ��VYIQv� � I'`�T��e SG�a k��
STORIES: SQ.FEET OF EACg F'LOOR: �y 90
N4. 4F BEDROONiS: GARAGE STA,I.LS: ATT- DET.
ESTIlI�IA,TED CONSTRUC�IOlY VALYJATYON(excluding land): $��?��� �a
Y hereby apply for a building pernzit and Y aclawwledge that the iaforn�tian abovc is complete 2�d
accurate; that tt�e work will be in conformance with the otdinances and cvdes of che City and with
the Scate Building Code; chac I understand this is not a permic and work is noc to scarc without a
pernut; and that the work will be in accurdance wish the approved plaa. .
APPLYCANT'S SIGNA T�ATE: �����'
NOTE! �ade Hom�events require separate perntit approval by Podice Department and
City Cou�cil 60 days prior to the event. Non permitted events will nvt be allowed.
Jul z3 O1 05: 02p p. 3
Jui-Z3-2001 . �3:53pm From-CITY OF ORONO t95Z2494616 T-467 P.003/D03 F-054
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3rc.13.03 R1GFIr5 OF�lBfECTS OF DATA
Subd. L Typc of data. 7hc righcs of iodividu�l oo�hom mc dacs is ttoKd or�a be sto�td ah�11 be as set fortlti in ihis se�voa.
Subd.2. Intormnden required�n bc�rea tndiridual. ,�n iadividu�l asiced�a suppfy pdvace ar wnfidenuv dtn concemics wimseU shd!
bc inMrmed ot: (s)me purpose aaa iaendcd u�e o!�ke�quos*ed aan wi�in me eollecriag a�are agen�y,palidcal subdivisioo,ar e�scewide sysrem;
(b)wherhen c�may retuu or is legally Rquited m suppty me rsqycsoed dua;(e)any In�ewn wmequeoee uising fmmisis supplyiag vr retueing�o supply
privue ar confidendal dao;snd(d)dle ideaory of oUss persons o�enoCe�authotized by swlt ur ftdcrsl Isw to reteivt�e dar�. 'lhis requireweai sh�ll
noc�pply whan an individu�l is asL-ed a suppfy invesdganve dao.pursuant eo secdon 13.82,suDdivi9ion 5,m a law enfomem�at o�cer.
ITe cammissioner of rcvenu� mar pl�ce the noqct re4uited Unde�I�ti!S�bdl��xian in the i�dividaQl ineome nx oc�roaertv ti,c reft,nd
jnsieucuons inscesd of on t};ose farms,
Subd.3. Acccss�o dato by indtviduat. [3pon requesc m a responsible wrhoriry,an individua!shtll be intaemed whe�her be is ihe subjecc
o[soDttd dara on individuals,and whadfer is is elnss�ed ri pub[ir,Q�vtu ar contidendaJ. Upon his further reques�,an iadividu�l who is�hc wbjec�
of sroted privaoe or public deta on individu�ls gAall De sho�.m thc daa wi�iwut a�r chnrge eo him aad,'iP Ae duires,sball be iniormed ol d,e ooarcnc
and meaning of�hu dw. A(ur an individua!►us 6ccn shown rhe privau dau and infocmed vl iu m�aaiag,�he du�a rned oo�be discloud w hiru tor
slx awa�hs ihcRafrer imlas a dispu�a or ncrian pursu�nc m d�is seeaon is pmding or addidonsl dau on thc individual bas been colfecud or creared.
TTu ttsponsiblc w�hority shall pioride coyies otrl+e prir��e or public dan upon cequesc 6y the individual subject of Uie data. The responsible aud�ociry
msy rcquire�he�quesong person io pay dte acn�al casu vf msking,eetdfyiqg.aad compiling tho wQias.
The�rsponsib�a au�hociry shall comply immediuely,if posiihtr, wizh auy Kqneic madc punuao<<o rhis subdivesion,or wirAin five d�ys of
ehe duce oP d►e aques4 excludinQ 5acutdzys.Sundays and le¢aJ Autidrys.If irtuncdia�e complWnte is not possible. ff he e�nao[comply with dtc rcqucst
wi�hin�hic eme.1u�6all se inlemi d�e Individusl,�nd mny heva ep adaidona!frvc days wii}tin whfeh m temply widi the reques�,ucludwg 5oardays,
Sunday�snd kga(holidrys.
Subd.4. Froecdurc wfien dntn is not accnnte or eomplde. M individuat may�oMest�he a�nuaty o�tompicxocss vFpublie ar pd�'s�e
daa conc�mins hlmulf. To rxereise rhis rigdt,an indivWual shaU nodfy in wnang The rrspoa�ible rud+oriry describing�hc aaiurc of du disasRcmcnc.
7bc�spo�sible aud+oriry sh�ll wi�hin 30 days ei�he r. (�)comecr ehe dan found m De�naccurue ar iacomplece iad suempt ro norify pas[re�:ipienct of
iruceurue or incompt�te dat�,ineluding recipirnu nnmed by We individvsl;or(6)ooufy�6e iadividunl that 6e btli�vcs the d�a w bc coReet. Dan
in dispucc shall be disclnaed aniy iP�he irMivldu�l's aacemant of dis�groemenc is included wifi nc�dixlosed da�a.
The deceRninaeon oP rhe rceponsible auehoriry mey be appeo(ed pu�uane�o�ltt proYisions of ehe edministrarive proe�duti aet[�lodng io
conte�d eises, .
DpTA PR�ACY AAVTSORY �
In accordance wir.h M.S. 13.04,Subd.2, "Righu of subjects of daca',we would lika w inform you chac yourrequesc
fvc a permit or license from the Ciry of Orono or any of i�s depariments may require you to furnish eertein privace or
confidential informaiion.
You are noiitied tha�:
1. The informstion you Rtmish will be used to detetznine your qualification for the permii or iicense requested,
2. You may refuse to supply dac8., buc sefusal may rrquira that the Ciry deny tbe petmit or license.
3, 'Y'he informacion may be shazed with o�her Iecal, state or federal a�encies co�he ex�eni aecessery Yo proccss
the permit or license.
4. If your requested permit or license requires Cottacil �tion to appmve. som� iaf'ormation muy become
public.
5. You have r.enaia righ[s under M.S. 13.04 (available upoe requesc) to review privace dasa on yourself.
6. Your tvll name is required co process this appliea[ion or peraut. �
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�►�n�Joam � nQf �v� l�lN .5s�2o Q52-�S�g-s��
Cip� Su�o Z�p Phane
i undecs rights as s�ated above.
ignoni
DATE TIME
CITY OF ORONO ALLED IN
INSPECTION NOTICE SCHEDULED '� �3 0
PERMILNO. �d �I I I � COMPLET€D ���"�( U `{�
�.�y / Cl /' .
ADDRESS�. C�c;�SC�
OWNER CONTR. P-��p0 �- /4M�2 i C/1
TELEPHONE NO. (��� ��� Cvy � I ,Ms��V l/V
� DESCRIPTION �i /v�G dn :��C�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHOfiE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �NORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W (❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
Inspector. !��'���-`�
White Copyllnspector's File Canary Copy/Site Notice
�E 71ME
CITY OF ORONO CALLED IN
INSPECTION NQZIC/E' / SCHEDULED ' 3 6
PERMIT N0. l`'G`f II((/ COMPLETED � '� �
ADDRESS �v� �7 ��SCO C�:�•
OWNER CONTR. �'l'aa�.��e�r'rc�
TELEPHONE NO. �O`�� ���O �g�d /�g��
� DESCRIPTION �C �� " /' e�� �
� 01 FOOTING 11 MECHA AL 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 O6 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
� 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMM�TS:
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W� S�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6QQ
OwnerlContr ctor on site:
Inspector.
White Copyllnspector's File Canary CopylSite NoHce