HomeMy WebLinkAbout2001-P04287 - re-roof � � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P04287
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: 9is�2ooi
SITE ADDRESS: 1955 Fagerness Pt Rd
Wayzata, MN 55391
PID: 18-117-23-14-0010
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: $ 7,666.00
State Surcharge Fee: $ 3.85
TOTAL FEE: $ 157.10
APPLICANT: Suburban Exteriors Inc. OWNER: Ives& Gempler
7466 Washington Ave S 1955 Fagerness Pt Rd
Eden Prairie, MN 55344 Watzata MN 55391
THE LTNDERSIGNED 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 PERMITE [ N TUR ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
, SEP-Q!-2001 11:52 FRO�-SUBURBAN EXTERIORS E +g528818232 T-107 P.002/002 F-740
� ��� ��� �� �Date.Rece�ved� � - ��—���
Tor.al Pee: � � Peirmit#: �% �'
Entiexed Sy: � -
C�Y �� ;y��.>� ��-y�C; 1
F O�ONO -B�nIN� ��R�T �'�CATIOlr1
p� ;nformatiun tnust be submitted in 1'uU before plan review will be s�arted-
�please print alt inforn�aaion)
.���R_.�_�
r.�-------------------- .� CONTRACTOR
T� �pp�C� I�; (circde one) oWNER
. l9'.s�� � ess �f, z�: .5�� ` 9
JOE S�'I'E A.DDRESS. .
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owrr�R: /��-s �-n..� �-� �or�: c�o�����—d � �'"?
NAlv� OF (wo�k)
S: S'G� C�Y. �IP:
�IA,]I,IlVG ADDRES � _
' CONTRACTOR: , � ���5 P�TONEi�� /=8 -� —
CQNTACTPFRSON� ,- MUBYLF•/PAGE�
�,ING
ADDRTSS= , .SEI'T'Y• _. ��--�'—y��
STAT� LYCEI�SE: #
ARC�IITECTIENGINEER: P�YUNE: .
CITY: �`': --�—�—
MAII,Il�1G AADRESS: �tEGYSTRATION�
NAlViE:
Addition_ Accessory Stivc[ure
TYP`T Or WUR�: New Land Alreration�
NSo�e �. Remodel/Alceraaon��
PROP�
SEA W��(describe in detail�: T��---�v �
gQ, F EaCH�'LOOR: � C. � `S�
ST�RIES: .�.— GARAG�;STALLS: ATT. DET.
NO. OF SEDROOMS: �
FSTIlyIATED C01�1S1'RUCTYON VALiUATION (excluding lan�:, � �
Y h�reby apply for a buildin€per��t and I acknowledge rhaL the ia�ormation above is complece and
aecwcate; tbai the work W�]1 b�in conformance�vith� o e���� �'i�.s�o[to sCan w�out a
tbe State Buildi�g C.�de: thaL I understand chis �s not a p roved lan. .
permit; and rhat che work will be in a daac�with the aPP P � ✓ �
DAZT: Y �
ApPLICAN'T'9 SIGNA •
, ,. events require sep�r'ate Pe�mit apprnval bY Police Deparbnenf a�d
NOTE.
�ty CounciT 60 days prior to the event• Nan per��ed events wili rrot be aidowe .
- �� �- 7
, . . - � iv
Total Fee: $ Date Received:
Entered By: Permit#:
CITY' OF ORONO - BYTII.D�tG PERMIT APP�CATION
All information must be submitted in 1'ull before plan review will be started.
(please print all inforntation)
THE APPLYCANT IS: (circle one) OWNER CONTR.ACTOR
JOB SI'Y'E ADDRE5S: �l S� ��� e n�S S� r't. ZIP: ��� � �
�cQ� �
NAME OF OWNER: I U�S ��ri�T�-�. PHONE: (home)'�'"7/—D ��7
(work)
MA.LI.ING ADDRESS: SC�'t _ CTI'Y: ZIP:
� CONTRACTOR:_ � � � �S PHONE:��� -8 �--_� �'
CONTA�T PERSON: a �MOBII,E/PAGER: �,
1VIAII,ING ADDRFSS:7�! /,� �. s� : �j�r �s_��: � �` �=��
STATE LICEN'SE: # �_�
ARCHITECT/ENGINEER: P����
MAIL�tG ADT�RESS: CITY: ZII':
NAME: ItEGYSTRA'IZON#
TYPE Or WORK: New Addition Accessory Smicture
Move Y2emodel/Alteration t/� Land Alteration �
PROP�SED WORI�(describe in detain: ��.e� �� �
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STORIES: SQ. F EACH�'LOOR: � C , lG C.� ��
NO. OF BEDROOMS: GARAG�E; STALT.S: ATT. D E T.
E5TIMATED CONSTRUCTYON VA.LUATYI)N(excluding lancn: � � C'
I hereby apply for a building permit and I acl�owledge that the infoanation above is comple�e and
accuraie; that che work will be in confoimance�vith the ordinances and codes of the Ciry and with
the Stace Building Code; that I understa.nd ihis is not a permit and work is not to star�wirhout a
permit; and that the work will be in a rdance with [be approved plan.
APPLICANT'S SIGNA . ��I D�'TE� `� r ��
NOTE! p�rade nf Home� events require seprtrate pe�mit approval by 1'olice Deparhnent and
City Council 60 days prior to the event. Non•permitted events will not be allowed. �
. .
Scc.13.04 RXCrHTS OF SrBJECTS OF DATA •
Suhd. 1. Type af dam. Thc rigbcs of individual on whom�de da�s u swred or to be swrtd shall be�set foRh in�his sadoa.
Subd.3. Ynformatlon req�red to be given individual. .vti indivtdual�skcd�o supply privara or confidendsl da�a concerning himstlP shall
be iaformcd af: (a)zhe puspose and inronded use of du tequesud dao withiu du collccdng Srare agency.poiidcal subdivisinn,or sa�ewide sys¢m:
(b)whether 6e may iefuse oT is legally reqvired m supply rhe cequested di�a:(c)anY kaowa consequence uiriag Prom his supptying or refusing m suPP�Y
priwue o�aonfidenval dan;and(d)fie icfanriry of odier persoas or enrioss au�horized by stste or fcderal law to rcceive me dsta. This isquiremen�shall
nat apply whcn an individual is asked�o supply invcsdgadve dara, pu�uaaz�o secnon 13_82,subdivisioa i. to a(aw enPorcemanc officer.
The commissioneY of rcvenue m1v Ol�ce the notlCe MWire� U(tder tltis S�bdivision In �}1e iadividual ineOme Cix ar ro e fuX refund
instrucuons inssead oF on rhnse forms. .
Subd.3. Access eo dat�by individunl. Upon requa�to a i��pansible aucho�ry,an individual shall be informed whet�er he is che subject
of swred dars on individuals,and whe[he�ic is elassified as public,privaw or conridtnoal. Upon his funhe�requesc, aa individual whn is d�e subjacc
af swred privace or public dan on individuals shall be shown�he dara w�ehou�any charge m him snd;iP he desires, s6all bo int'ormed of ihc con�en�
and meaning of�hac dara. Afur un individual has been shoum�he Privs�dara and;nfomud of ics mcaniag,[he darn aeed no�be disclosed ro him for
si:awnd�s dureaher uNass a dispurc or ac[ion pursusne cn�his secrion is nendin8 or additiona!dara on�e iadividual has bccn collecced or crear,ed.
The responsibla authoriry shxll provide copias of die privaee or public da�upon requesc by the individual svbjecc of d►e dars. 'It�e responsible au�hority
may rcquire the r�quesdng person to pay die acn,al coscs of mzking. ecrrifying,e��omP��s�e copies.
The responsible audioriry shall comply immediaccly,if possiblc,widi any requcst made pursuasu rfl ehis subdi�ision,or wichia five dnys of
d�a dax o[dia rcques�,excluding SaNrdays,Sundays and legal holidays.if immedisu compliancc is not possible. Yf he caano�comply with�e reques�
wictin zhat time,he shall so infarm the individu�l,and may have an add;cional Hve days within which to comply Wi�h�hc�equesc,exe�ading Sun�rdays,
Sundnys and �egal holidays.
Subd.4. Y'rocedure when d�ta is not accurace or eomplec�. An individuat may conres<<he accurscy or complcnness of pubiic or priva�e
�eoncarnin�himself. To exer�ise chis righ�.an individuai shall nodty in wridns�hz resPonsihla auchorip dcscribing�hp nam�e of���i�gteerus of
The respocuible surhoriry shal�within 30 days eirhu: (a)correc<<he d��ts faund ro bc inaccursta or incom le�e and aazm c�o narify p Tp
inaccurate or incampince da�s,ic�clud'►n8 rec�Pienrs named by che indiv�du�I; or(b)nodfy tha iadividual iha�he bclieves rhe da�a co be conec� Dasa
in dispum shall be disclosed on1Y if cf'°individual's scttemen�of disagroemCn�is includad wiih�he disctoscd dara.
'fhe dc�erminadon oP the rcsponsible au�horiry may bc app�:aled pursuan[to the provisioas af�he adminiscr�rive proceduce act relaaag[o
contested rsscs. �
DATA pRT��ACY ADVisORY
In accordauce with M.S. 13.04, Subd. 2, "Ri�hts of subjec[s of da�a", we would like to inform you that your requesc
for a permi� or license from �he Ciry of Oroao or any of its departmen�s may require you to flunish certaia privace or
confidential informa[ion.
You are nocified rhac:
1, The inforanation you fiun.ish will be eued�o determine your quali�ication for the permit or license r�quesied.
Z. you may refuse to supply data, buc refuss�l may require tha� the Ciry deuy �he permit or license.
3, The in�ormation may be shared wi[h ocher local, scate or federai agencies to the excent necessary to proec�as
che permic or licease.
q. IY youz requested permit or licease requires Council aecion to approve, some information may become
public.
5, you have cenain rights under M.S. 13.O�G (availabte upon request) to review privace data on yourself.
6, Your full aame is required �o process thi� applica[ion or permi�.
f irst Middle I.asc
Address '
5� 2�p Phone
Ciry
• I unders�and my righ�s as s�ated above. .
Signacute �
� � DATE TIME
\�
CITY OF ORONO CALLED IN
INSPECTION NOTICE �{/� SCHEDULED �b
PERMIT N0. f,� ����/ / COMPLETED `- T'�l , ��d
ADDRESS ���� � �� ��� i'tf�Q� ��lZ�.
OWNER CONTR. � -c-l�-�-�i +C'��
TELEPHONE NO. - � � a � � ��t
� DESCRIPTION ' � / (�L�
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATIGN 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 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 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� RK SATISFACTORY:PROCEED C�OJECT COMPLETE
W ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 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. (952) 249-4600
OwnedContractor on site:
Inspector��l'c�C�" �f.-!� l
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �n -�� - `a�.��
PERMIT N0.�L���c�� COMPLETED ����� �
ADDRESS ,�1��r� ���'��-'� (1�S`J ��- CZC` .
OW N ER �cY �-E:;��C�`��}�^1.L� CONTR. Sv`�( �r1�L'0�;�'ZC�
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TELEPHONE NO. ��J�, -`��l 1 - C�
� DESCRIPTION �A'�r'�-� ��"' ` ��
lL 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
O 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:�.������C�'�r'�S � t-� `C�`� G��
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GW ,�WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W� ❑CORRECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249�46�0
OwnedContract n site:
Inspector. f����C- (/'�� �I�S"
White Copyllnspector's File Canary CopylSite Notice