HomeMy WebLinkAbout2000-P02117 - re-roof r
� PERMIT
�I�Y OF ORONO
2�50 Kelley Parkway - PO Box 66 Permit Number: Po2�t�
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 3i6ioo
SITE ADDRESS: 3800 Dickson Extension
SPRING PARK,MN 55384
PID: »-1i�-23-3i-oo2o
DESCRIPTION:
Proposed Use:
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: $ 7,782.00
State Surcharge Fee: $ 3.90
TOTAL FEE: $ 157.15
APPLICANT: AZTEC CONSTRUCTION OWNER: GEORGE P OBRIEN ETAL
11583 RUPP DR 3800 DICKSON EXTENSION
BURNSVILLE, MN 55337 SPRING PARK MN 55384
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE W[TIi ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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�'� APPLICANT PERMITEE SIGNATURE � ED BY SIGNATURE
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Copies: City,Applicant,Assessor, Finance Page 1
CITY OF ORONO � 612249461b 03/G1/Oa 13:33 � :C2/03 NQ:478
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T�tal Fee: $ Date Rcc�.ived:
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CITX aF ORONQ - BUII.D�IG PERMIT APPL�C�T�(�N
AJ] information must bc aubmitE�d in full beforr plan rcview wili bc started.
(please print atl i�'nrnwtivn)
T'HE AFPLICANT IS: {circle one) +�WNEIt U�i GONTR.ACTOR
dO�B STTE� ADrDItESS: .�; C.�C_:C_� ��C'�`�C� 4 1 I ��_�� _ ZTP;
, � ��
NAME IJF OWNER; ����'�'Y\ � �,V ����: � PH4IV�: (Yyome)�
(work)
MdILIIYG ADDRES�c CITY: ZIP•
CONT'RACTOR: �1,�,��._��- �.,��:����"i u��_� PHONE: �'"';.� _. �1,� ` _�`,C,C�.O
CONTAC'�'P��'!S(7N.(`' ��, ��� i n G..l �'�� MQBIGEIPAGER:
ZVIIA,I�.L'�TG ADDR.�SS:��;,3 CX'I'Y: '� � • ZIP: �;=3_� )
9TATE L�CENS �': � :,tCr 13_� l. _C�
ARCHITECT/ENGINEER: PHO1YEc
1�L4ILL'�T�A��R�S3: CITY: ZIP:�
NANi�: �_REGI�STR.ATION� —
TY'PE OF W(7RK: New Addition� Accessory 5trucnue
__.
Move Remodel/Atceracion Land Alceration
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pROPOS�D WURK{describe in detai�: ��,_`�\ ;��� -
STpRI��: SQ.FEET t)F EACH�'Y,�OR
�vO. oF �E�RoOMs: ,� G�G� STa�.Ls: ATT. D�r.
ESTINl�'XT� C4NSTRUCTION VALUATI01� (excluding iand): $_`T'"��� _� _
I hereby apply far��uilding pernut and I acknawtedge that the information above is complete and
accurate, thac t�e watk wi11 be in conformance with the nrdinances and codes of the Ciry �nd with
#hG St�te Building Code; that I understand this fs nat a permit and work fs not ta siart wlthout a
perc�it; ar�d that the work will be in accordance wit�a the agproved plan.
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APPLXCANT'S SIGNATURE: I ' � �' �LC.-`— DATE: _;",� .
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NOTE! Parade af l�o�events require separate permit appraval6y Police Departm�nt and
C�tty Cor�ncFl d0 days pr�ur to the �vtnt, Non perm#ttd events will not be allowed.
GiTY OF ORONO � b122494618 �31a1/OG 13:33 � :Q3/03 N0:478
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sec.13,04 R.1C,i17S 4F SIJB�f�CT'S�F D.#Ta
SubcJ. 1. Type of'dnt�. 'r'tte dp"�rs of i�dl�rlAusl an who4�o dam is siared ar m ba swred sbalJ be as 3et Ya�*,h in t�s aecdao.
SuFd.:. Ip1'osmatio4 seqtdsrd to}»�irm ladirfdua7. �t.a individu�l auk�d w r,vpply pnvat�or confidstvaxl dara c�nrorninQ himself shyi
he iaformed af� (p)Th0 pt3tF0lO il1C L7tCnd�t�USi Of f,�C RQLtBiAd dA�wftbld thG CaIIRCt�ag�tC agency,pollne�SUbCIlv7gi0p,Pf StA?Cwldt 6y7UCCn;
(b?whathmr ht may refvis nti it Iegally requsrec!;o s�:pply the requested dat�;(c)any knuwn wnsequeace uri�i�,"rom his s�P9!y�ny or rafUslnQ i4 supply
p�irss�or conl'ldendel da�a;�nd(d)th�1d�nnry of o�her pArsont�r�nnota authaRxed by s�au or federal faw to rree.ve�lte�t;,u Tnis requiremeut n��1
no[apply whan�n inclir•idua!ix asl:ed ta�wpply i�ti'esa=ed�a d+m,purSYeJlt to stcsivn 13.81,subdi�iaion S, tn u law enfa�cemenc atYie�r.
Tha�c�,mission�,,,_r ur revgnuG mav Dll._y„f� n�7�C 1'CtlLLiCld undr[ i�,,��i�isicn in she srsdividuz� inco e ia.i n�aronam t�x ref�nd
j,pam�csio��}�snpd of an oa_ fQ�{,
Sutsd. 3. Acces�to data by 1n81viduaJ. t�'pc,n raquosc to a�nsponsibko Au�hor.ty,an iaciiriduai ahtll be inPonn�1 whe�her he fa th:subjece
of stored dttta�n ir�iividuais,an�whz�ter it i�elassified as public, pr,vaca arconfidennal. Lpvn his fur�her requast,an in3iv�dusl w}uy is che subjccc
af stortd prira�e or public dnta�n indi�idu.ls shaJ1��sho�cha data wi�heus any charae m hsm and, if he de�ires,shall bn inY�rme�f of�he concen�
tncl rneanin�aY thac dasa. Aher sn in�ividuai ha becn shnwn rhC pnvq�a data a.�d inform¢d of iu mpa��ing,Uw dst�s rsa¢d not ht dis�iased tc�him far
six m�ntha therenitur uNnss fl dispure ar acdon�ursuaee eo ihis secncn 's pandfng er�ddicaonal daka on tha incJividua�ha�tecn coUccted ar sraatcd.
The responsib{n aurJsority shail provid�capirs oPthe priva:e ar public da�a upon teqaes�by t�c indtviduaf su`+ject of che da�a. Thc responsibla auth:�ncy
may �aguire rhe rrquaz�inB peraon�o pay ths�ccunl corn of makina.cartlyin�,�nc eomptling rhe:opioc.
'1`he respasraible au�ltorlry sha11 comply immediately, if yosubie,Wlifi LAy J'CqUDst mE�SE pUl"8U811{EO L�lIB!L'Fc�iVSSiOn,or wi�hl�y five days uf
du dAu o(K'�e r►yu�u,�xcludin�Sa�u�ayc.Surtdays and lesa!holidays,it,mmed3see compliance is nocposs�ble, IPhe curueu�c�ropty wi�`��he reqilesc
widiin that�ime,he ahisfl aa infartn che it�dividu�l,and may have an ad:litionA!hve days wirhia which to ccmpsy wi�h tha request,ercluding 5aturdays,
5unday�tnd le�al halidaya.
SubcJ.a, Prucrdur�wLea dnt�!s unt aacura!■or complKe. An individual rnry cnn:as�[he�ccuracy o�cnmplecensss of puh[ic arpn��xrc
don Cancerning himsrt°. To Rxerci�C rhis right.�n indi�iduaI sha71 rioHiy in wrio�the rcipnnt�bia autYtoriry deaeribing�ha nna,re�of ths�isagreeme�r.
'C'hm nspnn�ible auehanty shakE w;chir,3D daya eict:;r. (o)c�rrcct tha dau foued ro ba iaaccuisee c�r incomplete and aceomp�ea nndfy pasc recip;nnrs uf'
inaecarst�ar i�camplese data,includiny rae:pien[s named by �Se mdividua.l;nr(b;nn$fy ;he uidividual cha�he bel;eves d�e daca ro 6e cornct, Oara
in diaputo 9hu}i�+e di�sloied only if th�individua7'i t�YCmtru of disa�rcernant is L�cladtd wit1�the dtuiased data.
Tha GCternAinytioil vf Rha respo�lstble au[hnAty mr�y ba app�al�d purxuuu tu Uta provisioiss vl��e adttiitiia[ra�ive prucedur� aet telocin;tc�
eonoesnd ca?s�a.
�ATA FRNACY,��V�50R}
�n dCcordar:Ce wit.h M.5. l'3.04, Subd.2, "Rights of aub;ects of data', we would liko to inf�rm you;hat yaur requesc
fot � p;rm..t or license from t}��e City of�Jranes or any of its depurtr.�nts may reqLire you tp furnish etrtain ptivate or
canfidential rnfars;i�tion.
You are n�itifled that:
1. 'i'he infocrnation you htrnish will b�used�o determ;ne your qualificatian for the porrzii;cr license requested,
�, You mdy refuse to 5uppty da�a, but r�tuy�l may requlre t�ac the Cfry deny che parrxuc or license.
3. Tkte inforc�sasian tnay be s�ared wirh other 1oca1, s�ace or fedcr�l agcncics sa thc ex�ent nece.ssary ta prxess
the petaut or IictnsC.
A. If yaur reg�catod permi� or licensa rmquires Cuuac'rl action to apprave, sorne inforr.xa�ior may bec�me
pubiic.
5. You have cercain ri�h�s under M.S. 1�,44 (avail�b]e upon reqaest) to review privace data on yours�lf.
b. Your fuli ntune is required �a process ttiis applica[inn ox permii.
firse Middte L�zc �
A4d►asa �� �.T.
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�ky Snte Zip Ahono
I undcrstsuld my ri�hts u stated above.
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9iRnun+re
DATE TIME
CITY OF ORONO CALLED IN ��3�0�
INSPECTION�.��`OZ`Cf�f SCHEDULED /��Dv �
PERMITNO.'1' � �// COMPLETED "� `Cz� '� ��y�
ADDRESS � ���O ,e
OWNER CONTR. C��
TELEPHONE NO. 7�� ��-Z — ��� -�v `��
� DESCRIPTION ,.�1 Qi�
lL 01 FOOTING 11 ME HANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 V� BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINA 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� C,: CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. f PHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac or on site:
/: `�
Inspector.
White Copyllnspector's Fi�e Canary CopylSite Notice
C' .�-� _ DATE TIME
CITY OF ORONO ��r� CALLED IN
INSPECTION N�ICE --7 SCHEDULED �1��c `�i=
PERMIT NO. . �-�-� I / ,COMPLETED �'/��G-� ' U
ADDRESS ���� -+—'�G��� -�
OWNER CONTR.;fa`��cC'
TELEPHONE NO.
� DESCRIPTION ��'�'��n c��
lyi � 1 FOOTING 11 MECHANICAL' 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS 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
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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Q Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
�l CORRECT UNSAFE CONDITION WITHIN HOURS. ;' PHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
,
Inspector. ;�11�2 � c' C�� N ,
White Copyllnspector's File Canary CopylSite Notice