HomeMy WebLinkAbout2008-00252 - roofing CITY OF ORONO PERMIT NO.: 200&00252
'� 2750 KELLEY PARKWAY
ORONO, MN 55356- DA'rE [SSUED: 09/29/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 225 HOLLANDER RD
PIIY : 25-118-23-44-0007
LEGAL DESC : HOLLY ACRES 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : M1NOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 25,000.00
APPLICANT PERMIT FEE SCHEDULE 413.00
ALL PRO XTERIORS, INC. STATE SURCHARGE(VALUATION) 12.50
11235 EASTWOOD AVE SE TOTAL 425.50
WATERTOWN, MN 55388-
(952)486-7834
Minnesota State License#: 20385228
OWNER
CLOSE,JILL& LOU[S
225 HOLLANDER RD
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
L:�/�'i d�['� ""r""'� l l ��i%y'✓�lij+ �/"��) / �� /QO
Applicant Permitee Signature Date Issued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�69/2eJ2008 13:64 9529601843 ALLPROXTERIORS INC PAGE 02/03
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Tota!Fee: S Date Rece'rved: `�-?,3 -D�'
Entered By: � � Pen�a�t#: o�o�o �oa�S�-
CTTX OF ORONO -BiJILDING PERMIT APPLICATION
All iwformatio�u must be submitted in full before�lan xeWiew will be started.
(please print al[information)
THE APPLICANT�S: (Cirrle one) OWNER O CONTRA,CTOR
JossrrE�,n�x�ss- �5 {--�� Cc-►�da� �f .00►.,d� .z�: 553R 1
Will this be a Parade o�Y�omes,Remodele�rs Showcase Home or otb�er Display Home?
❑Yes Q✓ NO If yes,a sp¢eial ev¢rr[permil rs required wtth Police Depurtment cmd City Caunci!ap,provcl
60 days,prior to ll�event. Shu[[!e bus servic�e will be required unless appliccmt demonstrates
su,�'teient on-Site,pprlEing is ctvallable. Non perti�itted events wtl!no�be allowed
NAME OF OwNER: � � �� (�1�VS� � �ONE: (�ome) 2 �� '$Z-�
�,�,�� 9
MAILING,ADDitESS: �e. O�S �1�-CIT�: ZIY'- _,553� �
CONTRACTOR: �LL pRo x�wORs,rnTC pgp�- �52)q�s6-7s�4
CONTA,CT PERSON: �i�i Ou. �n lla-- N�OBILE/PAGER: . ta 12 �LE -e7Pr�5
MAIL�N'G AriD�tE3S: 11235 EASTVI�OOU A,VENUE SE C�y; WATERTOWN 7,�p• ss3as
ST,A,TE LICENSE: # 2o3aszzs F,�pIRA'TZO�i DATE• osr�tro9 �
A�tCHITECT/ENGIlVEER: No� PHONE:
MAIL�IG ADDRESS: CTI'Y: ZYP:
NAME: REG�STRATION: #
TYPE OF WORK: New Horr�e ,A,ddition ' A,cccssory Stxuctu�re
Move Home RemodeUAltexat�on(ie: Sid�ixag,Windows) �
Any earth movement may xequir.e MCWD review and permit8!
P�OPpS D WORK(describe in detai�:_ �r o a„�� n�u�
�.��s �
STORIES: I SQ.FEET OF EA,CI�FLOOR::
�V'O.OF BEDROOMS: GA�tAGE STA.X,LS: ATT;A,CHED DETAC�ED
ESTIMATED CO1�iSTRUCI tUN VALUAT�ON(excludivag;land): S � 6`d'�
I�eteby app�y for a buildin,g�ermit and 1 ackncrwledge that tk�e anformation above is copaplete snd�ccurate;
that the work will be in conforma�ace with tlxe ordinances azt�d codes of t1�e City and witk�the State auilding
Code;that I understand this is not a pez�nit and wrnrk is not to stairt witbout a permit;and that tk�e work wiU be
i,z�accordance wi,th the app�ovcd,plan. ;
a��LxcArrT'S S�GNATU�2E: n�_ A,A,�: a3 0
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�09/25./2698 13:64 9529601843 ALLPROXTERIORS INC PAGE 03/03
Sec.�3.04 �GHT3 O�'S(J�TBGT3 O,F AA,TA
Subd•l. Type of date. The rights of individual pn whom the data is stoced or 6o be stored sha11 be a4 set forth m this section.
Subd.2. inforn�ation reqwred to be given individual.At�individual asked to suAP�!Pm'�a confidential daraconceming hur+selfshall be
imEa+ned of: (a)the purpose and ia�tended use of tbe�eque�ed data wichin ehe collecting sta6�agency,political subd�ivlsion,or ata�wide systom;(b)
whetlle�he may refuse or is legal ly requiied W supplY ttw tequesbed data;(c)any latpvm apnse�uence az;sing from his supplying or re£ysing cv aupply
privaoe o�con5dencisl dsm;and(d)the idenciry of odur persor�s or entities aurkwriud by atace or�oderal law w r�ceive the deta This requiremern ef►eU
K►ot apply when an individual is aSked to supply ipves�igative data,nursuant to secdon I3.82,�subdivision 5,m a law enfore¢merat o$'icer.
The icainner of neveaue mav elace th�n�siee reo�d�mder this+ybdivi�` in die'r+divi ,�i+�n,�,e ta�c or
instrs.r`tions in.atead of on th�s��g d►.., Jmaoenv�refund
Subd,3.Acass to dsra by individual.Upon request co a responsible auttwdry,an ihdividue�sha11 be infnnned wheit�er he;s tfro y,�bjecc crf
slored dura on individuals,�d whether it is classified as public.private or confidendaJ, Upon;his fwrd�er reques�an individual who is�he subject of
stoied private or public data on indivi,duals shall be shown the da�without arqr charge to him snd,if he desires,st,a11 be u,fwtned of the co�Renc snd
mesnin�of that dara. A;Ret am irdividual has been shown che}uivate dsrs and informed of i�meaning,the dsta peed not be diselosed to him for eix
mollths thueaRe�W'dess a dispuoe oc eetion pursuam tp chls seetion ia pending pr additirnml daia op 4he individual hss been eolleetcd oe c�oa6�d. The
responsible auehoriry shall pmvide aopies of the privsse or public dara upon request by s�e individual sut�ject of d,e da�. The rwsponsible aurho�iry
�Y�9uire the re9��B Peca�n to pay the actual costs otF inak+n�„cartifying,�nd compiling fhc copies.
The responsible authority yhsll comply immedi�ely,if possible,witit any roquesc I�Iede pursuant W tbis subdivision,oI'wiLhin£tve days of
tHe daze of the requesS e�xluding Sacundays,5usidayro and logal bolidays,if immcdiatc wmplismce is�o�possibla(the c�tot cpnplY wjth the t
within that time he ahall so inform tha individual end �
may have an addirional fivedays widainwhichto complywithU�erequesSexcluding SahudaYs,
Sundays and logal holidays. �
Subd.4. Procedure wha�dats�is not acGasEe or compl�e.An individusl may contwt the accucacy oc coanpletpiess ofpublic or private deia
conoeming himself. To exucise this rtgf�t,an'indididual stwll nod�V in w�iting tlu respoasible auttwrity describiugtlu nehae ofdu disag�asnc'17�e
res,pocroble authority shall wit�in 30 days eicher: (�corroct r.he data Eoiatd to be iin,tacurate or incomplete and atfempc w ratify past xeeipients of
inaccura6e oi i�eomplete data,ineludine eecipienta named by the individual;o�(b)notify she indi�nidua)tlwt hc believaslhe daca oo be eorrcct.Dam in •
dispute shall be disclosed only if the individuel's s�ate�nwt of disagreement'is included with thb disclosed data :
The decumination of the reaponsible authoriry mar bo aippealed pureu�rct eo the pniviaions o£the adminieaupve procedtue acc relating to
corrcested tases.
DATA�1t�VACY ADVIS�RY
ln aceordance wit�M.5.13.04,Subd.2,'Rig6�ts of subjects of data",we wowld Iflke to iafoma you that your request
foc a�it or license from�the City of Oro�nv or any of its deparhnents may require you to furqish eertain pnivate vr
confidential ua�ormation. •
You are not��ied that: �
1. �'1�e infurmacaon you furnish will be used ro decemnine yo;wr qualificat�on for the pexmit or lie�se
requosted. ;
2. You may re;[use to supply data,but refusa��may.requirc that the City demy t�e perinit ox lacense.
3. 'x'�e informatio�t�7nay be sbared with other local, 5tate or fedexal agencies to the extcnt necessary to
proCess the pe►imit or licepse. :
4. If your xequested pamit or license requires Couneil ac�hion to approve,Some�fqrimatio�may beeo�oc�e
public. ,
5. Xvu k►ave certain rigk►ts under M.S.I3.Oa(available upon reguest)to z�eview private data on yourself
6. Xour ftill name as required to prucess this app�cation or p�rnpi�t.
��� �►�,�C r ors � v�L. : _ .—
F'ust Middle . �,�
1�3s �a�4- ad! �� 5� � _
Addras � �
v��r-��v�+ 1��1 553�3 9_5� �I'8�to-�83y�
City 9tsih ' Zip �bone
i unde�rstand my rigbrs 9s sts�ted�bove. .
3igwmre
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_ 32 ;
�0912�12008 13:04 9529601843 ALLPROXTERIORS INC PAGE 01103
� .
� Mailing/Billing Address:
11292 - 86th Avenu�North, Sui�te 105,Maple Giro�ve, �T 55369
Phone: (952}486-7834` Fax: (952) 960-X$43
. -
X1235 Fastwood A.ve�:ue SE,Watextvw�u, MN 55388
' Phone (952)955-2246 ; F�uc: (952) 955-5171
FAX T1�:ANSMITTAL ;
To: Permits City of Orono F�coxu: Ka�the�irie Wisegazver
Fax: 952-249-46 X 6 Pages: 3 ' (uacluding cover sheet)
Phone: 952-249-4600 Dat�: Tuesday:,,Se ember 23,2008
Re: Penmit Re uest for 225 Hollander Road �
co�rrxs:
Please see the attached pez�ait application for the location above.
Fax me a copy of the permi� �uvith�the tota� cost and we:wi11 pick up the
permit with a check. �
Please contact me at 952-486-7834 �vith any questions.
Thaa�ak you. �
�
DATE TIME �
CITY OF ORONO CALLED IN 9'�g`U�
INSPECTION NOTICE SCHEDULED 9 -=-5 0��.. Pryi
PERMIT NO.Z°o-p' �Z-fZ COMPLETED
ADDRESS 't �� ��-dj''� ��
OWNER ��� CONTR. � r�' ����
TELEPHONE NO. �[ lZ - 7�7 — '-c! �1',S�
� DESCRIPTION �'�-�-- "' ^��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q '�j FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/N/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor�site:
Inspector. - -
White Copyllnspector's File Canary CopylSite Notice
�, �o��-�s�-.
D T TIME
CITY OF ORONO Pi��� CALLED IN ����
INSPECTION NOTI E_���-y��- SCHEDULED _���-vr� -� D,3-O
PERMIT NO. � "' COMPLETED
ADDRESS G�o7� ,�i9�-��'t�Z �
OWNER CONTR. � ��D �
TELEPHONE NO. ��� � ��7`
� DESCRIPTION ��LCL S�Z��S ���
� ❑ FOOTING ❑ MECHANICAL RI ❑ CAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W COFRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTfON REQUIRED.CALLTOARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContrac n '
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
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THE RECOGNl� AUTHORl7Y SINCE 1915
SUMAS,WASH�TON (604)820-7700
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www.swforest.com
PACKING
MEDIUM RESAWS ;�q n�93om�,
24" X 1/2" BUNIXES EXPOSURE �
(¢10.0 mm X 13.0 mm) 5 10"(254 mm)
a�Z/ - TE TIME �
CITY OF ORONO CALLED IN /� �
INSPECTION NOTICE S SCHEDULED
PERMIT NO. � ✓� COMPLETED
ADDRESS �� �
OWNER CONTR. �
TELEPHONE NO. �� ' l — 7 v���s
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� DESCRIPTION
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q p FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑�(VALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
=/c�,�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor site:
Inspector._� / rJ 1� S
White Copyllnspector's File Canary Copy/Site Notice