HomeMy WebLinkAbout2002-P0508 - re-roof PERMIT
CI"j���Y �F ORONO Permit Number:
275U`'r<elley Parkway - PO Box 66 P05086
Crystal Bay, Minnesota 55323 Permit Type: Minor Aiterarions
(952) 249-4600 Date Issued: 4�26i2oo2
SITE ADDRESS: 2505 Dunwoody Ave
WAYZATA,MN 55391
PID: 2o-i i�-23-22-ooi�
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Buildin Census Code O/S-Building
Permit Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 307.25 Valuation: � 19,000.00
State Surcharge Fee: $ 9.50
TOTAL FEE: $ 316.75
APPLICANT: Les Jones Roofing OWNER: JAMES S NORDLIE ET AL
941 W 80th ST 2505 DUNWOODY AVE
Minneapolis, 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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APPLICANT PERMITEE NATURG IS UED SI ATURE
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
APR-24-2002 11:47AM FROM-LES JONES ROOFING 952-881-7009 T-563 P.002/002 F-34T
JllI�IC'LUUI i l;�nam �I�����-���� v� vnviw --
�`�etal Pee; $,.,. " /�'� 75 __ Dar.e l�ecei�ved: t-?y���-G� -
Entered By: �r��--- Permit�#: /'� US �
' �� CITX O�' OR�Na �- SU�,�ING pERMYT APPLICATION
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�'� �� A]1 informatinn must be 9ubmitted in full befare plati review will be started.
��` (pl�ase print alL informanon) •
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TI� AgpLICAN'�' IS: (circle one) OWI�TER O � ONTR.ACTOR �
JOB SITE ADDI2ESS: a JOS ��aoo ZIP: �� o��
NAIVI�OF O�'VNER:�i�-- � ���-� _ -PT�ONE: (home)�'� �S�l�
(�vork)
1�iAIL .l�i TCY ADDR�S3: o?J b 5 �u.�o�o CY'Y'Y:1��uf�ZL�� .�": `�3�'11
C4NT�A
CT OR: �i7�,e5�oo�=i .Z,�e:._ P7r�ONE: •��a-. �8/--��� �
CO3�1'rACT P�tSO�I: l,.�.5 �o�x.e.s _l�•I4BIL.E. AGER:
I y I A�Il�TCx A:DURESS: �f . $ ''`- S� CITY: . n�, 2'�P: S S��-o
STATE LxCENSE: # �
,pyRC�iT'EC�'JENCYI11i EER: �-�l �-. PHO�TE: ,
IVIAII�'�G A77DRESS: CITY: ZTP.�
rraNt�: �GYsz�A,TxoN� �
T'YPE OF ti'�'�R�� N�W A�.di�ion� Accessory Stru�ture ___
Move � R.emodel/Al�era�ion�C ^ Land Al��ration^____�_
� �� �
PROPOSTD'�'VC)RK(describe zn detai�.��a�r c��� ��'"-� �� '✓�� -� �6'` --
1�'►1 -
ST012IES; �, SQ•��T O�'EACHFLOOR: �
NO. O�' B1�AROOviS:• GAt2AG� STALLS: ATT: � DE�. � • � = - --- • •-
EST1iY1A.TED CO\STRU'CTIOi�T VAL'C)'ATIO� (excludinD lan�: �� O��=v�
�hereby apply for a building permit and I aclawwledge rhat the information abov� is complete and
accurate; tL1aG tYie work wil.l be in confonnance vcriTh the ordiAances and codes of the Ciry a.nd widi
th,� gt,ace Auildin� Code; rhat I uAders�and tbis is n.ot a permit a.nd wark xs not to stan without a
permit; and that the wosk will be in acco dance ' the approved plan. ,
API'LICAs1��'T'S STGrNATURE: DA,TE: 1 'c� �'- du�
,
ND.TE! P r de f Hpme� events require separate permit approvat by Porice Depgr,tment and
City Counci160 days pnor to the event, Non permitted events will not be allowed.
APR-24-2002 11:47AM FROM-LES JONES ROOFING 952-681-7008 T-563 P.001/002 F-347
f
L�s onE� Roo�z�r�
�ixcok � oRAr � o
MN Lic�nsc n6560
.�: ��(,�� v� �r°�`'� From: Gail Regan
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�� ��.��e,e�—i`v�
F�,�,; � �_ �(�/(Q Pae�s (inc►uding coversheet) �
P►,� � � -a�.� o�
Rec a 505 �Gt.+t�-�0 v r,�CC: �
❑Urg�rt p For Re�vlerw � Pl�as�Corriment ❑ Please R�eply ❑Pleasa Re�cycle
o Comments: '
941 W. SOth Street Bloamington, MN. 55420 952/881-2241 Fax: 952/8a1-7009
Ju1-18-2001 11:49am From—CITY OF ORONO +9522494616 T-436 P.001/002 F-970
�Total-Fee: � Date Received:
Entered By: Permit�#:
CYTY OF ORONO - BUII.DING PERMY'T A PPLICATION
. All information must be submittec�in fiill before plan review will be sta.rted.
(pTease print all inforrnarion) .
�_____-- . ----- _____�___�____�_ __ -----�—�N_��_� - .
T� APPLICANT IS: (circle one) OWNER O ONTRACT012 �
JOB SITE+ AAD2�ESS: � `�C%`� ��c.�uvc�c'1c � ZYP: ..j��/�._'�
NAIV� OF Oti'YNER: �` ��. . ������ _ �PHONE: (home) '�'�) - ���`��
� (work)
l�l.�IL .3tii�f�'r A.DI�RES5: ,�?�0`� I�i,�-nc,�vuc� CITX: l�T.'�z 2.c���--� ZIP: �5`_���i /
( �
CONmRACTOR: 'J--p 5 J�xx�� ov�--� =�-e,. P�ONE: •���- ��'r���-�( I
CON'TA.CT PERSON: �-e 5 �o�x.e-s �4�TOBILE/PACYER:
MA�Il�IC ADDRESS: �-i (,r� g `�'� S� CT�'X~t� r�:, %z�•L 2�': S S��30
STATE LZCENSE: # � �
ARC�TECT/EN��ER: �-'�. . PHO`'E:
MAIL�tG A.DDRESS: CITY: ZYP;
N�rJ�; R�GYSTR.A.TION�} •
�'Y�'E 4F S�rORK: New Addition Accessory Structcire
Move � Remodel/A.lteration�C _ �,and Alteration
PROP4SED�'VOR�(describe in detai�:��cu v�� ���"�� ��'�v�� o� _ -�`�
,�
` , T n .n `�,,
�r^�:�.r7 �l'i-- f.�� Cz-K �t r"'Q-JJ �iP I�'I�` �C-�.. .
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STORIES: SQ.FEET OF EACH FLOOR: �
NO. OF B�DR041�IS:� GA.RAGE STr�.LLS: ATT: � DET, ��� •-= �----. •� -.- � �
EST�A1'ED CO`TSTRUCTTON'VAI.YJATIO� (excludinn land): �a ��I CX�_>- �
T hereby apply for a buildi�ag permit and I aclmowled;e that the infozmation above is complete and
accurate; [hat the work will be in conformauce with the ordinances and codes of the Ciry and with
ihe State $uildi.ng Code; that T understand this is uot a permit and work is not to stazt without a
permic; and that the work will be in accordance ' the approved plan.
APPY.ICA.��,I''S SYGNATURE: ` DA.'I"E: I -�� `�- C>�--
�
NOTE! P rad� ,f Aome,� events require separate permit appToval by Police Depgrtment and
City Council6� days prior to the event. Non permitted events will not be allowed.
Ju1-18-2001 11:48am From-CITY OF ORONO +g522494616 T-436 P.002/002 P-970
�
� Scc.I3.0-t R.IGf�fS OF SL'BJEC?S OF DATA
Subd. l. Type oP daea, �e rights of individual oa wham t�e dan i�stor�or w be scnred sball be as sec focsh in dzis gecdan.
Subd.2. Infocm�tion reqidred to he givea(ndivfd�nl. ,�n;r�i�;dus7 askcl ta supply privare a�conFdcodal dsa caacerning himself sh�1�
be informed ol: (s)che purpose and;ntendcd use oF[he requesr�d dan w:#in�he eolleedag§c3te agency,polidcsl svhdivis;oo,or sratewide rysrcas;
(b)Whec�er he may refuse oY is lec,a[[y�equir�d�o supp(y the�equested d3.c�;(c)any Icown eoasequeBee adsin�r from his supplying or refusing m supply
pri+ace er eonndendal dacz;ar.d(d)�t►e idenriry of oUicrpersoas orenno:s a�chacized bv sc�te or tederal taw�o roceive che da�..'fh,is rcquircmen�shal►
no�apply whan an ir:dir•idu3.1 is askcd tn ssypiy invesdgarive da�,puts�.:c�o seccon 13,82,subdivisioa 5, w a law caforeemea�officer. '
The co 'ssioncr oF revenuz mav olsce�he noGte r�auired �rd-�Chis subdiv'sion in dte individual income tax or proaet�tv�gx Pefurtd
�sccvuions insread oP on rho�e Forms. '
Sabd.3. Acce.�to data by indisidual, Upon tequcst to a�r,.ansibla au�oriq/,an irwdiv�dual shall he infoRned whethc�hc is rJse subjec�
of s�nred daca On individuJs, and whc�hcr i�is e(assifiad as pubiic,privae or conhdecrial. Upon his funher requesc,aa indi�idusl who is rhe si:bjec�
of srorcd priva�e or public daca on individuals shall be Shown[he dan wiu out usy t"osrgc to him end;iP he desires,shaU be informed of rke coacen�
and mesning of clt��dscs. Afur sn individual h�been shown che priva��a and ie.'araud of i�s meaning,the da�peed uot be disclosed W hitn for
six eion�hs�hereai�cr unless a dispute or acrian pursuan�W chis secdoa is yeading or addidan�l da�s on�he individusl has been colleued oc creared.
'ihe tespansiblt au�horiry shal!pro�id�copics of�he privaee or pu�lic dara e�an reqla:by chc individual subjecc of[he dars. Zhe responsible auchoriry
_ msy rcqaire�he rcquesring pecson ro pay che acn�al cosrs of m.gking,cc:,�ing,and eomp�ing�hc copics.
T$e�CSponsible su�llocicp Sh111 Comgly%m.rrw3:acc;y,i.Fpus�ioi_,wich auy r:ques[mado pursuant eo[his subdivision,arwi�hin�ive days oF
�he dsce of ihc requesc,eccluding 5a�urdays,Sundsys snd legal holidays,i7 ir..medi�ce compliance is no�possible. IFhe cannoteamply wieh the�:ques�
wi�hin thac cme,he shall so intorm�he individual,aad may have an addi�c=.a1!ve days Wi�hin which ro comply wi�h the request,cxoluding Sacu�days,
Sundays and lcgat holidsys.
Subd.4. Procedure whea dsta is not accurate or compl�te. An iadivi�u.1 may cocuesc�2►a sccurscy or comple�eness oF pubtic or pri�•ace
daet conaeming himself- Te exe�eise chis righc,an individual shap noai�ia wtidag�t respoosi'ble authoriry dascribiag the nan�re of the disagsti:mea�.
' �e responsib[e auchariry sh31I wiehin 30 days eiihcr; (s)corr.cr�he dae rcond co Ee insccun�e ar incomplac and aacmpc ta nodfy past cacipienrs of
inaccursce oc incomplece dsrs,includ�ng rccipicn�s named by rhe indiv;d�l;or(b)�odfy ehe individual tha�he 6atieves die ds��o be coacc�. Dar�
in dispu�e sh1fl bt disclosed only;F the individual's Sracemen�of disagr=��=nc is�.el�dtd wi�tt�he discloscd da�a,
Tlie dzcarmin�aon of�he responsib(e auehoriry may be appes::d pursuscc co �Ae provisions of ihe sdminisaarive procedure ac�rd�nng�o
conms:ed cases. . • � .
DAT�, PRT�t�aCY AD�"ISORY
Tn accocdance wirh M.S. 13.0�, Subd.2, "Righcs of su�jects oi�a�a", we would like[o inform you tha�youc rzauesc
for a permit or license from the Ciry of Orono vr any os ia depar,�en�s may require you to fumish certain priva�e or
conFidencial information.
You are notifed that:
1, Tize informa�ion you furnish will be used to de:zrmine ti-our qualiFica�ion for�hz perrai�or Iicense reques�ed.
Z. You may refuse to suppty data, bu�refusal may require that the Ciry deny rhe permit or licease.
;. The informa�ion may be shazed wich o�her loc�l, s�a�e or federal a�eacies to the exten�necessary �o process
� �he �ermit or license.
4. IF your requested pecm.it or licease requi�es Council ac�ion �o approve, some iaformauon may become
. , pubTic_ , �
�. You have ceRain ri�hts under M.S. 13.0� (z:ailable upon requesc) co rcview�priva�e daca oa youcself.
6. Your full name is required �o process �his aoplica�ion or pecmit. .
Firsc yiiddlt Las�
�:
Add�css
Ciry Sn�e 2ip Phocu .
I t�fider d y ti� t te� sbove '
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Signstuce