HomeMy WebLinkAbout2000-P02901 - re-roof � -� PERMIT
G I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po29oi
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 9i�i2000
SITE ADDRESS: 627 Ferndale Rd N
WAYZATA,MN 55391
P I D: 3 6-118-23-11-0029
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: $ 125.25 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 128.25
APPLICANT: Patrick Hanily&Assoc Inc OWNER: BONNIE D 70HNSON
2660 Orchard La 627 FERNDALE RD N
Excelsior,MN 55331 WAYZATA MN 55391
TI-�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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APP ICANT PE ITEE SI TURE � ISSUED BY SIGNATURE
Copies: City,Applicant, Assessor, Finance Page 1
, CiTY OF ORONO � 6122494616 04/14/99 10:39 [�} :07/11 N0:635
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. 'I'oia't i�ce: a �� � U�te Received: ��� ��
Entercd By: _ S ,� Permit M: i����?
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CITY �F QROl�I� - BUILDING PERMIT APPLYCATIUN
��t t�,�nr��tion m�st be �ubmitted !n tW!! before plan review wil! �ae �tarted.
(plea�e prir�t att tnjorm�;:��,)
T�IE APPi.ICMiT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: �Z.� ��a,�, ��o�,�, t' V.ZIP: ��' /
w���r�,
IYA� ��` O�VYI�R: ����—� ,c�.w`'.��N PHONE: (home)
(work)
MAILING ADDR�SF C�Z�� �C+►vdA�.� �. CITY: � ZIP: ��9 I
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CbNTRACTOR: Q,�(�, i � PHONE: �1+�'2��°�Cy-
CQNTACT PERSUN: pZC� MOBIL�/PAGER:��'���q�
lVIAII.ING ADDRFSS:'Z���'Q Q�'1►�� I ��� CITY: � ��.�;�ZIP: �'� a I
STATE LYCENSE: N_�_
AReHITECT/ENGIiVEF.It: �'fiONE:
MAILING ADDRFSS: CITY: ZIP:
NAME: �-- - - REGISTRA7'ION�M
TYPE UF WORI�: Ncw Addition Accessory Scnicnare
Move Ramodel/Alteration Land Alteration
�PR TOSEA WORK(ckscribe in detai�: _�C�,"� �YY1�Aa�� �ov�; �-
_�iJ`rC�� ,_ "'�.�i�'
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STOItIES: �____ SQ. F'�ET UF EA�H FLQOR:
l�'O. OF BEDR�IMS: GARAGE STALLS: ATT. DET.
�STIM�►TED i:t)NSFI'Rvi;TI�IV VALUATt�N (excfudine land): $ (,,���
i hereby apply for a building pennit and I ack.nowiedgc that the informa[ion above is complete and
accurate; thst the work will he in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and wark is not to start without a
permit; aild shat the work will be in aceordanct with the approved pla�.
APPLICANT�S SiGNATURE: � nA�rE: � �
NOTE! Parade Qf Homtr events rtqulrt separate permi pprovut by Police Department cend
Clty Cou►tcil 60 days Arior to th� tvent. Non-p�rmitted evsnts will n�t be allowed.
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� CiTY OF ORONO � 6122494616 04/14/99 10:39 � :08111 N0:635
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Ssc.13.o4 A(tiHTB OF BUeJECTB OF DATA
Subd. 1. 'iyp�of dNa. The rlgAu of Ied{ridw)on whom tho dan ft�wred nr w be an�rr.d thail ba ro sec fvrsh m thii seaiun.
Slrbd.I. lalbm�da►nquMd lo M p�m h+dlvldaal. M iidividual�s1rod ro tupply pr�vate or cuniklenslal d�u cnnteming hunrel!
eMU be Wotmed aF. (e)d�e purpo�e ud Ineeeded uee ut du�eque�eed dua wirhin d�e eollecWig sute o`ency,puHdc�t rutxtiviiion,or eu�ewkle
eyfOmm:(h1 whetlter he mey ro1Wae or(e I�plly requirod a suppty du reyueamd dtn:(c)�ny luwwn u�neeyus�x:e arisinQ(rom hi4 4upplying u�
reNslry ou wpply prlraoo ur�dentir!d�n;atd(d)dro Identiq of odier persun�ot entfuea au�iri:ed hy suoe nr fodera!►aw to rcceive rhe drrr.
71ii� nqtdr4mom eboll not rpply when m mdlrWud is�vked to aupply irnenl�s�ive dav, pursuvnt to�ection 13.82,eubdivi4ion 5,w e Iaw
�ntorc�ment oftker.
7'he romrnlula�er nf ieverfy�e mrv nlice d�s eot�ce re�oilro� �,der hi�f�bdiv`ion fR he indivtd�nl inrnp7b r�Of nroocrtv�■x re � "
8ubd. 3. Aecew to d�t�by ludhldwl. Upon req��eu n�a re�ponsiMe ruttwnty,�n mAividuel shall Ge Informed wheJwr ha ii ttK
wbJect of arorcd dtla on Indlvi�luab,and whethar it it cl�uilled u pubUc,priv�ta or confWen�i�l. Upon A�a funAer requa�.�n i�uiiviJual who
ia dm wb�eu of sare4 priv�m or publk dwo em irdrvidu�l�itull be ihown ihe datx WMuw�my clurge u�b1m snd,if he danes,sh�ll F,s in(urmcJ
of the content�n4 met�ng ol t)uu dsu. Af1ar an indfvidunl ha�been rhuwn tho pnvrte Jru anJ inFo►mcd of ita meaninj,ihe J��x need niu he
difclosed eo hlm for aln monqu dp�rs�(eer uMetr�dirpuro or ution p�uruani w du�xctiun i�peiding or�ddi�iorul dau on��e iiul�rldu�l hrs been
cotlxrod or crutal. �lx rorponelhk wdwriry rhall pcovido copier o/the priv�ie or puDllc dru upon rcyuui Dy 1he individua!�ubject of�he U.�a.
'i'he ro��niblo wt}wrlp�rtu�y roqulro dw tequealna penon ui pxy[he scnul cott�of nukiu�,cern(yl��p,ar�1 compilinY thc cupiex.
TI►o nyx►roibl�audwriry sh�11 wmply immedlpaly.If poe�iblc,with arry requesc rtude purruant to this wbdirstlo».ur withie Iive duyv
ol the dan oP the roquert,e�cludl�S�wrchy�,9undays snd leg�l holldey�,If Immedltta complloncc ic n�rt poeeible. It he nnnot cumply wi�h
tha roqua�t wld�in dut nms.he�h�ll ou inMrm the incllviduil. �nd m�y tuve on addlilo�ul RYa Aay�withln wAich io cixnply witt+dce roqueei.
�aoluAin�SeNrdaya,Sunday�nd legsl holld�yo.
SuFd.4. Proetldure when dala b oM�ceur�N or eanplele. An individurl mAy rnnceAr�he accurecy or complettwee uf pubHc c�r
prfvua Jao cerosrnlry him�elP. To exercir d�la ri�lu,an►ndlr{du�l�t+sll nutify in wrkin�cbe ro�pomible suthority d��crlhing�l+c nrnrro o/Uic
dlfyresment. 71�e reoponalMa eudwrlry shell widdn 3p d�ys aitber: (�)conect db d�m fouM oo be iruccunrc ur incomple�e and atoompt w naify
p.a ree�pk�or Inccun��b+c,ompla+o drm.including rctipisnu named by Uu InAlvldual;ur(h)�uNiPy the me!lvidual that he believet the drtx
m be eorrect. pau In dispuw aM►11 bo diecloeed only if the lnflvWud'a�uxmom of Ji�a`toomant i+inclwlod with�tea diuloied da�a.
7Aa dtlertnfnadon of tl�e rosponslble►udwrUy mny be�ppealed pur�u�M w tJw pruvi�iona o(che�dminlsirs[ive ptocedure�c�relating
ro connated caee�.
DA'TA PBiVACY.�VY �RY
In aceotdance wi�h M.S. 13.04, Subd. 2, "Rights of eubjecte of data", we would liko to inform you tbet your
roquoet for a}termit or license from Cht Gity of Orono or any of its depercments may require you to furnieh certain
prlvete or coafrdential infocmallon.
You ute qotittcd tbet:
1. The information you furni�h will be used to determine your quatificetian fur the permit or liccnse
nqueued.
2. You may refuse co auDply deta, but refWsal may require that the Ci�y deny �he permit or license.
3. The inPormation may be ehared wii6 other local, atatc or fedcral agencies to the extent necessary �o
proce�s the pormit or lic�nse.
4. If your reqoested permit or lict�ute reyuirea Council action to approve, some informution mey becomr
publlc.
S. You i�ave certain ri�hu und�r M.S. 13:04(availwble upon requr�st}tu review privote data on youradf.
6. Your Pu11 name ie tequired to prcee�thie applicatlon or p�tmit.
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I un rights sa stated abuve.
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SiQn�turc ---
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DATE __ TIME
CITY OF ORONO ca��Eo iN � �' `''
INSPECTION N¢jTICE SCHEDULED ��' %�- / � `=
PERMIT NO. ��� =T %���� coMP�ETE� '?-- ?� �
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ADDRESS !=� --; � �=�� c,, �<!��/�� �C���� /�� �
OWNER ��: � ,��./,,, , , �.�,_ CONTR. ,������.%,-�� � �v�.��!
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TELEPHONE NO. � �� �-�� ��� - �� `�L',i� `
� DESCRIPTION -���� _�;, �',r�>
� 01 FOOTING 11 MECHA{�JICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 05 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
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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� COMMENTS:
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d�ORK SATISFACTORY:PROCEED �ROJ ECT COM PLETE
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� �l� CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
[l CORRECT UNSAFE CONDITION WITHIN HOURS. r; pHOTO TAKEN
INSPECTOR WILL RETURN
[ CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
i; INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector.����,- (��1�-G'1 -1
White Copyllnspector's File Canary CopylSite Notice