HomeMy WebLinkAbout2001-P04350 - re-roof � w PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley;Parkway - PO Box 66 Poa3so
Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations
(952) 249-4600 Date Issued: 9itai2ooi
SITE ADDRESS: 3477 Crystal Pl
Wayzata, MN 55391
PID: 17-]17-23-43-0010
DESCRIPTION: UBC Occupancy R3
Proposed lise: Kesidentia►
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: � 111.25
Valuation: $ 4,500.00
State Surcharge Fee: $ 2.25
TOTAL FEE: $ 113.50
APPLICANT: American Building Contractors OWNER: Rusty M Lindquist& Shannon Kemp
12247 Nicollet Avenue S. 3477 Crystal Pl
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.
`�9�c �,�����_ (�i2��
PL CANT PERMITE I NATURE ISSUEDBYSIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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09I17/2001 12:55 6128088846 �� ABC PAGE 61/e2
'� Aua-1�-2�a1 `�8:23am From-C1TY OF ORONO �93t24B4616 T-6B5 P.002/003 F-61T
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. � �/,� � ���` Date Received.• i/�'� -(;/
. . Toral �ee: �_ � Permit�: '�� S C�
Entered By:
� �:y��`��,j �-�"'-l�
CITY OF OR+ONQ - BUiLDI�TG PERMIT APPLYCATION
. All informat�on must be submitted in full befare plan review will be started•
• � {please print��il it�formution) __w�__ w
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Tf,� APPLICANT IS: (ci�cle one) O�NER C�NTREICTOR
JOB SITE ADDRESS: ,,�c,�- zir: Ss� �
PHONE: (I�ome) � sL � I-�7y
P�1t1� OF O'WrIT�R: ��i��� :��;�� _— (worl�C d2� 3 ZS'`l7� --
riiA�II.rNG A�DRFSS: 5�I/��- . CI'TX: ZYP:
Cd1�ITRAC'rOR: Mtr; ' � Co� ror�rs�cPHO1VE: C�ts�-� 7U?�6�Sq � M�'°g`f
CO�ACT PERSON:,[�L-,.�,�s ltr MOBILEfPAG►ER:���,, �Z��`f//D _
ris�.unv�a�n�ss: 2y� a .��A� s ciz�: G�l'lh� _2rn; S�'i�
STAT'E LTCENSE: �2 0,16°13 g '
ARCHX'Y`ECT/ENGINEER: PHONE:
�1�1AiLING ADDRESS: _CITX: ZYP:
N�; I,2EGI5TR.A.TYON# -
��p� �F���; N�W� Addition Accessory 5tntcnue,
Move �tcmodeUAlceradon Land Alteration
PROpOSED WORK (describe in de�a��: ���^dV'�- o�� �• of
9'�ORY�S; �„_.__ �Q.FEET OF F.ACH�FLOOR: -
NO. OF$�DROOMS: ?. _ G�AR4GE STA�LS: ATT. r 1�ET.
�STIMAT�D CONSTRUCTION VALUA'I`[ON (excluding lan�: $l�-,�
1 hcrcby apply for a buildir.b permit and I acknowledge that the iaformation above is complete and
aecurate; t1�at th�work w�l be in eonforatance with tbe ordi�nan.ces and codes of the Ciry and with
the State Buildir� Code; tUa[I LtIIdCTSt3nd thi� iS IIOL 8 j�CiIIiit 3Ad w0i1C is IIOt TO 5t8IL wit1�0'ut 8
penait; and ttiat rhe work will be in accordancz with tbe approved plan.
�pPLICAN�"S SXGNA'I'CTRE: '�,�_,;/�:`Y� DATE: 6
1wOT,E! p��de nf Hom�� events require separate permit approval by Police Department and
� Ci�y Councir 60 days prior to the event. Non permitted events wiil not be allowed.
09/17/2001 12:55 6128058846 ABC PAGE 02102
l��s-13•2001 �08:23am From-CITY OF ORONO +852249d618 T•685 P.DDe/003 F-61t
. ' ,
" 3ec;1�.04 RIGHT9 a�����OF DAT�
Subd. 1. TTpe of data. Th�nQhrs of indivldual oa�haw�ha d���s��or m he swrsd sha11 bo ss u�forfi!n this s¢caop.
Subd.2. lneormsslan ro4'��to 6e pv°n(ndf°idua!' '�,i'n�iviQus!atkcd oo supply privaa or confidmdal dafs coacerniog blrasdf shall
p:InPormW af: (� e�e purpo�e and�a�ended v�e of ihe esquesmd der�wimfD die eollocdng 3t�tc�cary�F°l�n�l subdivlsion.0�9nlCWidO 3y/3Tem;
�)whe�bmr he m�y rel�se vr la legaAr requind�e�pply me�equeseed lan:(a)se4Y i�owa eom�quenae arblag imm hl�supplywg ov re[us���o s�spply
pdvara or cenridendzl dam:u+d�d)�►r�de��ty of onc�r persoes or enders auc�erized by s�arc or fedcral tsw�o roceive thc d�u. Thts taCu�nmeat abill
noi apply whcn�n indivldual is uk�d:o supply usves�gsdve dam.pursuan�oo secQon 13.83.subdl�ision S,m a law ee�fereamea�offke�.
co ' 1onnT �enu v Iac nodc auired nEt�dti5 xuDdivision in d1e indlvlduRl income ot Pr�pc1TY Gz rchimJ
�tNCUO 1��1SE�a °��j e fo �
Subd.3, Aeeess co da�a by indtrfduaL Upon rtqurst ra�responsbl�au�Lorip�.an iadividuil shall bo ir�fo�med wha�hec pe is�he subJeCt
o�swted dsn on iadlvidusls,asid whcd�er i�is�lsaslfi.cd s.s Wb11�, pnvata or conFder►daJ �h�dN�he Qesues,sha��vifttotmed�of cho cantcnc
o(y�p�bd privsce or publla dam on iadividuals fhall bt ahown�e dap.u+idtou�aay chsrg
ind mr.aui�a8 ot�h�a'a. Atur sn individu�!has bcen rbown tt�e priv�re dan�nd lnforrned of ir9 maaoi�oy.�dara aeed ont be d�sclos�d w hlsn for
ii�mon�s ducsaEzc[unless a d'upu�e or ecdoa pursuane�a rhis secdon is pondla�or addiaonnl dau oa ehe individ�al 6at bern collecoed or aeaied.
'It�e[�sponsble au�lsoriry shaU provPde eoplea oF che privare or puDlic aaa upon rcquesc hy�hI iad►vidual Rbj���o!►he dt� 2he resPonalble aurhodry
may require d�e ft4uespng DdrsOn to pay du aeeual eosrs of maldi►B.eerdfyln��and wmpUing die eapiel.
'[he responstDla su�horiry she�t compRy iminedia�elY,if Pai►�b���w���lY�4ues�made putsuanl m�hic suDdivision,or witdUf f�ve days oF
r.he dgu ol�he rsques�,cscludlag���day9�Sundaya asd te8sl holid�ys,i!iramadiate compliaaea Is oocpess�l�. IP he csnaoe complY wid�d�e reques�
wGhin�hs�dmz,he shaU so infvrca eEe individu�l.and may 1+�ve aa addidooal llre days wi�hin whlch�o aomply with the reQu.a�exdudiaQ Saardays.
Sundays and IaBsl 1t01idyy�.
• gyy�,q. prooedai e yrhen 4nta t�not aceura�e or eompku. An iudiv�dvel may conn�a►e accuiacy or aomplemaess o[publ�ot pri�•ace
dan co�rning hirnselE. To ex�eetsc d�is rl�ti4 es�+ndividw�l shnll aoc�iY in wrideg�he rzspoeaible au�ociry dacsibins�he aawra at�he di4agzsemep�.
2'�e responsible au�horiry ih�U wirhia 30 dsys ei�st: (a�conra @�t�a foued eo De Insceu�ate or tncnmpleoe sad oatmp<<o norify pas�ren}pien�ol
tanccuraR ar Incomplaa daca, ineiudiag recipiaaa oamed by�e indlv4iuel;or(b)noufy drc irvli�tdunl�hac he bd'uva�e daw w 6o corsee� Dsn
l�dispu��ahs11 be d;scl�eed onJy l!�a ixli�idual'� suiemeoc ol dlsa��ceeraen�v icu3udad wah tD�disclascd dao.
Thc docezrninanon of�a resporuible Au�hnrih may Se ap�•ajled pursuaac�v che provie[ons of du admlais�ari�e procedute acc re��ia8 to
eontsstad rases. - , . ,
D�PRNA�Y ADVISORY
I►1 sccorda�cc wirh M,S. 13.04,5ttbfl.2, "Ri.�hts of,ubjec[s of aa�a',we would iike so inform you tbat your request
for a permic or licen'a from the Ciry of Orono oz any uf it9 deparemeacs may require yau to furnisb cettain priva�a or
confideutisl.information.
You are nociFied tha['
1, The inforcnatian yoa furnish will be u5ed�o de�emtine your qualifacauon for iho permiz ar lieense requcsted.
2, You may rctuse to supply data, but refusal may requiso �haz the City deny the permi� or licease.
3, TDe infoima�ion may be shared wirh ocher iocal, sca�e or federal agencies �o the excenc aeccssary to process
rhe permit or lteease,
4. It your requeaud pecmit er liaense requires Councll action co epprove, some iaformauoa mtty beeame
publie.
S. You have �enaln rights undet M.S. 13.0� (available upoa tequasc) ce review priva�e data on yourself.
fi. Your full neme is requiz�d ea process thii applicacion or pecmi[. �
��� dd�drlle ^ � Lasc
Address ,
Ciq T Sore Zip Phone .
i uude d a�y rleh�s as s�aced above.
• CU�t�/'4cto�
Sigaature
a�?�� F,u�-Z3-2001 08;23am From-CITY OF ORONO +g5224E4616 T-685 P.002/003 F-617
U ,
� Total Fee: $ T7ate Received:
�
Entered By: Permit#:
CITX O�' ORONO - BUILDIKG PE1tMIrC APP�.ICATION
All inFormatian must be submitted in full before plan reYiew will be started.
(please print c�ll infornlarion)
------------------------------_______� �_���..___��--- --_-----------___.._-----=
TI�E A.FPLYCANI' IS: (circle one) O�VNER COPITR.ACTOR
J4g SITE ADDRESS: ��/77 �.r �.,Ct ZIP: SS��(�
NA1V� OF 4'WI�'ER: �t�_�-'1-ti 1 i1��;Y�' PHONE: (liome) �q sL �f 7/-37�
(work)�t l 2 3 ZS-�7 i
1�IA.ILING ADbRFSS: �/�/�� CITY• ZIP:
CONTRACTOR: M��, � Co��rac�arsZ�PHONE: ��sZ� 7U?-6YSq - N`ts`=�'`�
CONTACT PERSON:�' L�,�-, � le_r 1VIOBILE/PAGrER: �6� 3 ZSs'S�//D
MA1.i..li�IGADnRESs:,�ZZ`�7 /(l,'�al���' tk S. CITY: QUr-nsv,�lc_ � ZIF• �S'`"�`3
STATE LTCENSE: � Zo 16°�3 g 3
ARCT�TECT/ENGINEE�t: PHOI\'E:
�1AILIl�'G�ADDRESS: CITY: 'L�P:
NA,ME: REGISTRATY4N# �
TYYE OF WORI�: New � Addition Accessory Structure
Move Remodel/Alceration La.nd Alteration
PROPOSED WORK (describe in delai�: �e�^dU'�- o��la�� �2oof
STO1tIES: �_ SQ.FEET OF�;ACH FLOO�2:
NO. OF BEDROOMS: �_ GARAG� STALLS: A'I"Y'. / DET.
ESTIMA'T'ED COI�'STRUCTION'VALUA'I�fON(exclud.ing tand): $`/f 5od _
I hereby apply for a buildi.n�permit a�d I acknowledge thaL the information above is complete and
accurate; that the work wiU be in conformance with the ordinan.ces and codes of the City 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 the work will be in accordancz with the appr��ved plan.
APPLYCANT'S SIG�NATURE: �, • �:� DATE: � ���
NOTE! Parade Q,f Nomes events require separate permit approval by police Depan`ment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
��a-2c-2001 08:23am From-CITY OF ORONO +95224F4616 T-665 P 003/003 F-617
� `,
, • �
� Sr.i3.04 RIGH'TS OF SC7BJ'ECT'S OF DaTA
Subd. I. T}�pe of data. The righcs of individual on W�ow tbe daLt is stocrd or ro be siored shaii bc as sct forih in this sccdon.
Subd.2. Informatioa reqirired to be pveu individuat, ,+„i individua!asYtd w supply priva[e or confidcnaal dat�conccrning hirnsclf shall
be informed of: (a)che purpose and iarended use of the rtiquesmd da�wi�in du collecang Sr�te agcncy,poliacal svbdi�isiou,or sm�ewido sys�em;
(b)wbcther he msy refusc er is lcgally rcquired to supgly mc rsGucsGd�an;(c)any lmown co��sequeace arisiag fivm his supplywg or refusing to suppiy
privau orconnden�al dan;and(d)�he idenury of orherpersors orentiars authorized by s�ace or fcdcral law to receive the data This tequiremeat shsll
no�apply when an individual is uked zo suppiy invesagadve daa,pursuazic co secunn 13.83, subdivision S,m a faw snforcemeat o�cer.
7t,c eomm;ssioner of_ �•eauc muv aface chc nodce reauirr.! under this subdivu!on in the individual i.come �x or orooem ux rePund
instNCliO(15 l►ISie2d of an thost Porms.
Subd.3. Access to data by individuaL iJpon rrqucsc to a resporsib3e au[�orip�,.in individual shall be irtformed wherher he is the sabjec�
of swred data on individu�ls,and�+hcchcr i�is dsssifud as public,pnvate or coeftdenaal. U'pon his fut�her r�quat,aa individual who is the subjecc
of Srnred pciva«or public data on individuals shall be shown�6e dan.widsou[any charge to him and:if he desires, shail be tnfocmed of sho contenc
and mesniag of�hac das�. Aft�r an individuai has bren s6own che privsu dars and infonned nf irs mea:ing,rhe dara need not be disc2osed w hiai for
six monchs dunafur unlcss a dispute or acrion parsuan��o ihis secaors is pcnding or addicoiial dau oa che individual hu bccn collccced or cr�a�ed.
The responsible aurhoriry shaii proviQa eqpies oP me p�vace or public aacs upon rcquuc hy che individua!subject ol[he daa. The responsible suthority
msy rcquire die requtsting parson ra psy d�ie actual cosrs of maYing. :crdfyi�,and compilir,g d�c capies.
Thc responsible surhoriry shall comply immediately,if pos:�ible,wi�aryy r_quest roade pursuant ro this svbdivision,or within fivt days of
the dau oP dle requesc,cxcluding Saturdays,Sundays and legsl holidnys,if irnmcdiate complia�uo is noc possible. If he csnao�comply wich rhe request
within tha�timz.he shatl so inform thc individual,and may have an ad:idonal$re days wirhin which to comply wich�he requess,cxciuding Saturdays,
Sundays and legsf hoiidays_
Subd.4. Proctdore when data is not accurrie or templete. An individusl may contest tht ac�uracy or completeness oP pubiic or pri�•act
Z�s eoneeming hirrselP. To exereisc�his right,an individual shall nauty in wridcg the respon.ible suthoriry drscribing ehc nan,re of ehe disagreemcnc.
'^�e responsible auchoriry shall within 30 dsys eis�er: ta)�arrcct shc Gam found ro be insccucate er Iricompfe[t and a¢empt to norify past recipien�s of
iaaccutarc or incomplecc data, inctuding rzcipieaa aamed by�e iadi��i,ic:aJ;or(b)nocify du individual ehac he believes rhe dasa�o bc co�cG Dan
in dispuce shsll bc Qiselosed oNy if fic individual's sracemen�of disa�{ceeraen�u includad wiil ihe discloscd da�.
The dccerminacion of iha responsible auchoriry roay be apG��1ed pursuanc co the provisions of che adm.inis�arive pr�cedure ac�nladng ro
concesxd c�srs. . � "
D T�pRYVACY ADV�SOR'�;
In accordance with M.S. 13.04, Subd.2, "Righu of subjects of da[a",we would like to inform you ttiat your reGuest
for a permit or license from the Ciry of Orono or any ��f iu deparcmenrs n.ay require you to fumish cer�ain private or
confidentisl information.
You are noLifed that�
1, Trie information you furnish wilt be used ta de�ermine your qualification for zhe permi�or license requeszed.
2. You may refil.se to supply data, but refusal may require shat the City deny the perm.it or license.
3, The inforcna�ion may be shared wirh ocher loeal, scate or federal agencies to the excent necessary to proeess
rhe permit or license.
4. If your requested permit or licenst requiras Council action to approve, some iaformation may beeome
public.
5. You have cenain righ�s under M.S. 13.0-4 (available uQon re��uest) �o review private daca on yourself.
6. Your full name is required to process this appliration or parnuz. •
��c riiddie Lssc
rlddnss ,
�i� Sn�e Zip Phone
I under d my riAhss as siased above.
' C U�I�/'4.0�"O.�
Signaturc
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO/T�I/C�E �-7� SCHEDULED �' -���
PERMIT NO. C�`1 �? �J COMPLETED ` �
ADDRESS j� • j o cY�
OWNER CONTR. �L"��
TELEPHONE NO. �5a ` ��c�- - �C� �-L
� DESCRIPTION ` - —
� 01 FOOTING 1 MECHANICAL RI 18 CAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESItiORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREP�ACE 34 TREE REMOVAL
Z 04 WA BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� EMO-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:_YESI,L NO
� COMMENTS:
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W��VORKSATISFACTORY:PROCEED �8 PROJECTCOMPLEfE
W � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContrac or on site:
Inspector. /���L ��'-t,1i1 r�
White Copyllnspector's File Canary CopylSite Notice