HomeMy WebLinkAbout2001-P04604 - re-roof CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poa6oa
Crystal Bay, Minnesota 55323 Pe►'mit Type: MinorAlterations
(952) 249-4600 Date Issued: 1��9�2oot
SITE ADDRESS: l 165 Ferndale Rd W
Wayzata,IVIt�I 55391
PID: 02-117-23-43-0026
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
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:
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FEE SUMMARY: Permit Fee: $ 293.25 Valuation: $ 17,348.00
State Surcharge Fee: $ 8.70
TOTAL FEE: $ 301.95
APPLICANT: Garlock-French Roofing Corporation OWNER: Bradley&Mary Bowman
2301 East 25th Street 1165 Ferndale Rd W
Minneapolis, MN 55406 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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�� ICANT PERMITEE SIGNATURE [SSUEDBYSIGNATURE ��—
Copies: 1-File(SiQnitures Repuired), 1-Apqlicant, 1-Monthlv Reports. I-Assessine, 1-Finance Page 1
NOV.08'2001 16:11 612�229754 GARLOCK FRENCH ROOFING #3219 P.002/004
Totat Fee: $ �sC>/ . �'S--. Dat� �cei,ved.; �Q ���..i'���
Ent�ered ��r: �i� Permi.t�: j? /
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CI:T� 4F OR�NO - T3T.l]LnTNG T'�R.�vIIT APPx�rCAr,TT.ON
�►11 inPormati�n m.ust: be suhm�fited in full before »laa revfew will be started.
��O (please print all irtforntation)
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7,Z-�A�PP�.�CANT IS: (circle orre) OWNER OR ONT}tACTOR
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JOB S1TE ADDRTSS: I I I.Q � V�JPS�� �t°�lIUG Ie �+� ZYP: ��� r
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N� o� ov+�vEz�: ��_UUar� rxor�r: c�o�.� �z y73 sss�
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r�,rrr�annr�ss: J I�S I���P�'�'��le L�� c�Tx: � � zrP:
C�ONT�CTOR: G�Y�Q' ��P/'�G'� �.���9 �'HUNE:C(�/o �72-7I�
C4NTACT PERS�ON: ,ti:. OBII�T/PAGFIt:
MA�,ZNG ADARI:SS:Z3�/ �. Z _CTTY:�5 ZTP.: ��o�o
sTA� r�zcFNsr: � ��o �y23
ARCHITECT/FNGIN��R: PHO1V�:
MAU�TNG AT)DR�SS: CI,1'Y: ZIP:
N,ANJE: REGI�STRA'�'T.ON#
�'XPE 4F'WORYS: New Addition A,ccesso�y Smictu,re
1V�oye � Remodel/Al.teration�^ Land Alterat�on
P OP4SFA WORK(describe in de�atn:�P �� ' i� . � ��� � , . r/y�S'O��"yC�i�isY
��rm /� �� ' ��lc' �'k/Sfii! �'Gr /�LR� � rC�%�Yl��� ///S�`�' 1 ��/{�S- ��e-/
f�r�s��- ho-<s� �-� �- oN..�B.►s.
ST4RIES: SQ. TFTT OF�A.C��FLOOR:
NO. OF T3T�ARDOMS: GARAGE STALLS: AT'T. DBT.
ESTIMA'I'�D CONSTRUCTION VAI��JA,TT.4N (exclu,dfng lan�d.): $a 7 _���� _
I herehy apply f.or. a 6uilding petmit and I acl�owl.edge rhac Che informati.an above is complete aod
a�ccura.te; that the work will he in conforrra,ance wit,h the ordiraa�c�es and codes of th,e City and with
the State Building Cod.e; thax Z undeKstan:d. tivs is uot a pe�tit an,d work is n.o[ to sta.rt wiThout a
peruiit; and �h.ar.th.e wor.k will. be in. accordar��ce with the approved plan.
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a�pr,xcarrr.�s sr.�rraTtr�: �-� � �Tr: 11-��'�� —
NOTE! P r�of omec eveRts requfre separote permit appioval by Potice De�art�ttent and
� City Council 60 days pr�or to �he event. Non penr�itYed events wfll Rot be allowsd.
NOV.08'2001 16:12 612�229�54 GARLOCK ERENCH ROOFING #3219 P.003/004
Sec.t3,04 RIGHTS OF S[lBJEC'l'S U�DaTA
Subd.. I.. Type n�data. The riQhcs of indtvidual Qn whom rbc dua is stoced or a�be sooisd thall be u aet fvrth 1n mia sectbon.
SUbd„Z, [otormation req,�dred.co be�veo Indj.vfdu4l. An 1adiYiGua1 asked►n supply pdvite or co��rdead�l daca concerning Elm�elt shall.
be�formed.of: (s)the pu.tpose and I�oended ase of�e requ.ested doo wEd�.iu�a co1l�e�dnS fin�e o,�cocy,paqdca]suhdivfsion,ar arn.oawide s�rsrem;
�(b1 whedfen c�cnay reEuse�T is legall7 requi�d rn supply�ho roqueaced daea;(c)any feu�wA masaquence idsiag fmm his supP�Y�B at mNsiaa 1a aipP�y
pdraae er oonfidendal duo:and(d)�he ideadry 4f arher persopa or enddes aurhqrized by Sn�,ar f�doral law oo�scei.e�e dsts. 'Lhis requiremeac shal7 _
noc apply when an indkv�du�!i.s ssked m supply in.vesdgadva data_Pwsuanc ea secdon 13.82, 6uhdfrisian S, In B�lw Cf1F01CCW�OL Df�ICCf,
'n•• �ommissia�er oP cevenu.�mav n.ace n'ce i d � der h� subd�v sa n e '. d'v � ' a e rax o ro oa d
insrtuc�ons�natead of vn�hose f�r�ns.
Suhd. 3. Access en datn bp tndividual. Upon rcep►es�eu a respnnsi0le ai��honq/,an individual shall be info�ed wherher he is rhe subjeet
of.swrcd.dars r�n individu.als,and.whe�her �f is classiFed as public, pr�.vace or confidenoal.- UPon h1s fv.rdu�request, an iAdividual whn is rha suhjeet
of sGarcd priva�e or puhllc da�a an indlviduals stsall be shmm che dara Wirhr�uc any charge r,a him and;Id he desires,shail be InfoRned of eA�e coa�enc
and mearung of cha[dara. Af�ec arl individual has bcro shown rhe pri�a�e da�i and.informed oF ira meaning, rhe da�need nac he dixlosed oo hiru for
sis mAn�hs thereaher��nJess a.dispuce or acr,ion pursuant�o rh.is secd.on ts pendi�B�r addidansl eaca an nc�individual bas heen eollacred or creaced.
Tht responsible au.�h.ortry s�all provide capics of rhe prirarc or public da�upon roquesi by[he indi�idual subjecc oF rhe dars. Tlu responsible auchor[ry
may rzquiro rhe r�q.uesdng persnn�o pav rhe aea.�al c�srs�f makIng, certiPying, and.cnmpilEn.g�Se copie6.
�e respansib(a a��rhod�y shall eornply immedia�elY, if pussible, Wi�h any requesG made pursuan�w this suhdivision,or within fYe daya of
the daoe of�he rcques[,exclu.ding Saalydays,Sunri�ys�nd.{egal Aolid�ys,if I.mmed.iaee complie.nce is noc passi6le, f.F he cannot c�rr�ply with the requesc
wi�hin that time,he shal.l.so inform r1�e individ.i�a1.,arld may ha.ve an aACior�nel PL�e days wichin whlch ro camply wi�h rha rcquest.excluding Saard�y9,
Sundsys aRd legal holidays.
5ubd.4. P�ocedure ahen dn,ca Is n�t��ocurate or completa. M iMividual may coc�xs�clu eccuracy ar comple�er�ess�E pu.blie o�pd.yaoe
dars concemin�himself. To e:e�cise rh.is riglt[.a.n individual shall noufy lu Wadng�he rsspvnslble aud�ariry descdbinQ tli.e namce pP rk�e disog�eemen�
The responslDl.e aufi�riry shall wi�h.Ln 30 day9 cirh.er: (n)correc[tlte dara found m be ineceurar,e or Encnmpleoe and atterapc[o rsodfy posa ncipienss of.
f�ccuraee or incorr�plece dau, incl.udinB recipienrs named.by d�e individua.l.;or(b)curJ.fy the I�dfviduaJ thuc Gu heliev�s tbe dacs to lx�acrect Dap
in d.ispu�e shnll he discloscd onl.Y if die Indlvidual's sracemen�of d.isagreertun�is incluAcd wld��e disclosed daca.
Th�e daocruiLnadon of the respo�sibl.e au�horlqr may be a,ppeoled pursuan�m rhe provi6ions of�Jtie admini5rradve proced.,ire aec reladn�oa
co�usced eo,ses.
AT . ACY . �SORY
In aceordanee wi�h M,.S. 13.04, Subd. 2, `RighGs of siihjeccs of d�.ce", we w��x1.d Like to in�or.myr�u.that yov.ctequ,est
for a permi.t or ticens� f[o�n the �Ci.ry oE Orono or any of ics dep�m,ents may require you to fu�nish certain. privar.� or,
confid�n.[ial inforraati,on,.
Xou o�re nntif ed �haG:'
L. Th.e inform.atfon you fi�rnisl�.wil.l be used.to d.etermine your qiialiFxcacian �or che peruiic or license cequested.
2. You may refuse to suppl.y d,ata, but reCus�d may trqu,ire tb.at rhe Ciry dca,y th.e permi� or license.
3. 'Xhe info�matioo tnay be ahazed with orher Local, state or federal agencies to th,�exteQt aeeessa,ry to grocess
th.e permit or I.i.cense.
4. [f your requ.ested pecm,it oc licease requires Co�uicil action to approve, some inforrna�ioa may beeam�
puhl.ic.
5. You. ha,ve ccnain �i.ghts undec M.S. 13.44 (available upon request) to review private data an�oucself.
6. Yoi�r ��.LL narae is rer{u.i.red to pmcess this applica�ion ot permit.
�A+r �°l.J l C_.9-�- I./� G�l V� i �
First ,,,�� M dle L�st
�13 �{S �vc� . S�a ,
Add� : ,�� ,�« � �� ,s r�� s~�� - ������
Ciry Sore Zip Pheoe
L u.ndc�s�and my righ�s as s�ated above.
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Signorura