HomeMy WebLinkAbout2001-P04224 - re-roof PERMIT
�CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po4224
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: si2v2ooi
SITE ADDRESS: 325 Hollander Rd
WAYZATA,MN 55391
P ID: 25-118-23-43-0024
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:
(`arlar Chalrac chinalac mnct hP incna�tar�nrinr tn ctartina tha inh
FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 19,000.00
State Surcharge Fee: $ 9.50
TOTAL FEE: $ 316.75
APPLICANT: ABC, Inc. OWNER: J&C GOLINVAUX
12247 Nicollet Ave So 325 HOLLANDER RD
Burnsville, MN 55337 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISS[ON 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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A PL CANT P� I'I'EE S ATU E ISSUED BY SIGNAT RE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
08/23/2e01 10: 01 6128088846 ABC PAGE 02
�w.—��-�uu� uo,cyam rrom-CITY OF O�ONO +95�2484618
T-665 P.002/003 F-61T
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To:ta.t F�: $ (�• 7 Date Received: $��3.�c�
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Es�tered By; p��t�:
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�� � CITX O� O��NO - BUILDIl�G pEl�iVIIT APPY,ICATION
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. � A.11 inforn�atfon must be submitted ln full before plan review wilt be started.
(please print nll i�{fo»nation) .
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. TI� �d1PPLICAI'dT T9: (circle one) Q�NER pR w CTOR
JOB �iTE ArIDRFSS: eJ 6���ef'' I�OGLG� ZIP:
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1�►I� OF 0'�'1�TER: ��rc� 60l��va�.k Pxor�: cn��C�a -���- I�
work)�
hL�,ILYNG AIIDRESS:�aJ��a'lde t' �, CTTY: Q'�D t1,c� ZII>: � .
�dNTRACTOR: ��i � - PHOlVE: al,S����"�SGI
�ONTAC'Y'PER,SON: , � ` �. ' MOBII�/PAGER: �'—
1t�A�T�.YNCr A:DbR�FS�► . � � iCO� e, �S � CIT�t': l.t�-t'1Sy`i�l G ZIP:s���
ST�iTE LICENSE: �
,�,t��YYTECT/ENGII'�EE�t:� PHONE: �
�1eaiII.II'�1Gr rA.DDRESS: CITY; �Yp:
��� REGIS'�R.ATION# .
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TYf�E p�WORI�: �ew Addicion Accessory Saucture
Move ltemodellAl�eratlon I,and ,Alterarion
P�OP��ED�VOI�K(describe in deTain:�Qll�"' �(Uc� �(�Q at'y� L��,.
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STORIE9: SQ.FEET OF�;AC$FLOOIt:
NO. OF$EDROOM�: ` GARAGE STALLS: ATT. DET.
��T]1WIATEA CO�VSTRUCTTON VALUA�ION(exclud.ing land); $ `�� �QD ,9% �
I hereb.y apply for�buildin,a percnit and I acknowledge that the information above is com,plete and
ac.curate; tt�at the vwork wiU be in eonforuia�ue with the ordinances anc]. codes of tbe Ciry and with
the 5taie Building Cod�; t,bat I understand this is not a permit and wark is not to start withou�a
p�rulic; and rhat the work will be in accor ce wath the approved plan.
�iPP`LT�'.4NT'S STCNA►TURE•���►' I, DAZ'E: ' c�o�� � �
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NOT,�! ppr,�de o,��Q�nes �vents require separate permit approval by PolSce Department and
Cfry Councit 60 days prior to the evenr. Norr permitted events will nvt be allowed.
08/23/2001 10:01 6128088846 ABC PAGE 63
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, SGe,13�0�R1G1�'1'S OE'SIlBJF.CTS OF DAT.t
Suhd. 1. 7ype of data. lbe rig�tq of iadivlduet oo�how the d�a Fs storod or m be�wrsd a1w(bs,a��ec for�h m d�s secdoa.
Subd.2. Inform,doa eeq�ed to he yra+�+�.idwiL .1,i aidiridw!a�cd m aupp[y pnvue m confidead�l dw con�eraIDg:�lrasett'ih+�l
be intormed o�; (�We paepose aoe fa�nded xse ot t6e requuaed dae►wid�la ihe ooftc�g�nx saenoy,poliUdeal sub�.isioa.or sarewide sy�m;
(�w'h�tber 6e�y reNse olr is lo�aUy mquiied m A+PP�Y�e:equesmd 3sn:(o)e�►Y imo�va eeasequeeas�rislqa fiom Qis su
p�vare ot roun`denaal d�a;aad fd)�he tdeodry ot odur persoos or eutioa wtLori�by sne or fedanl law m c+eceive�e d�311lir������
nEJt fpply whaD an indbtidr�al is ea�ed 1�supply urve��ve d3ta,pnr�sn[to recm0 1B.8Z.subhE�ision S,m a law enleeoemeet offxee,��w
The MRldtissioner of_�Aue mav qlace ihe noden �� e� s su ' n ' e' v � �
lnscoic�n� `_t����,
Subd.3. Aece�to data by�dividu�l. Upon requesc to�respoasble aurborid.an iadividuil shall be fifonaod wbe�hec I�ts rEa sub��cc
of'sooeed daa on;ndividnsls.sad whccbcr k ts clessi}!cd as p�py¢,pnvaa or conFidendal. Upoa hit furd�tt requwi,aa iadLvidua!wdo is ttv subjeet
of srecet!privars or publio dam oa iadividusls shalt sa�Own r6e daa wldlwr say ehacge a him aad�'if be aes;oea.�w ae�,,,�ea or m��oac�
4tld r�saiA;ol ihu d��. ARet an indivldua!pos beca sheur�i6e peivate d4n u►d i�[otmad of iw maerlaQ,the dsn Aad oot be dlulosed ao 6im ibr
six osond�s d�reefur unless a dv�ue or ne�on pursva���o���rt�����qvoa!daa on ehe indiridwl bss bren cotksoed•or ereoad:
The�ponst�sle au�odry shal!provtda eoples o!t4�privaoe er publie a,�o upoa tepuesc by t5e individusl subjeat of the dan. 7ae isspo�lbk suthoriq
�Y�9uioe dit requesAng par�oe ro psy d1�a�!eosc�of�ng.aenifjrir�.�nd complll�g�he eoAia.
The Ksponstble au�odq iqaJt eoaip�y�a�y�����Q�y�,���y nQ�ea m�de pue�uuu m dtii�subdivisSon,or wS�in tive dqys of
ttie•daoe of d�e req►tssr,eseludir,g Saandays;S,ufd�ys and l�s1 holidy�t.it im�nod'aee eot�pliamce!i aoc po��le. If M�snnoa eompiy wiCt�du rcquesc
whhtn fisc dme.he aeell ro infbria d�e iadtaidu�l,aed eaay Aaw in sddlnaul tive days wirh�wblcA to comply wirh ihe nqtus4 axeludlqg Son�rdsys.
Sundays and Jeg�l holidayl.
Suba.4. Prooeduie+rL�u dzta i�aot aeeneo�e or eempkte. M indivlduu�y coAces�d►e acw�sey or eomptamaeas o!public os pd►�s�e
da�¢onca�hiraself. To ex�e�ise d�is d�dt,an iaalrida�l sholl aordy in wridn�4�e responsbk aurho�q drmr�i�G ihe us�um ol�e dW�eeeweae
T''�e�lponsil�le w�horlq nwtl w;du�;0 dsy����er, fa)coma 9�e asa lou�m he It�ccvn�e or�ncoa�pleoe a�d'¢emp�oo no�y p�st recipio�cs ot
ta�ecursee or ineomple�e daa. mctudi�rlcipleaar asmed by dse ia4F�aiaal;er(b)noafY�hc indlvidun!rhao he bellav.e du dw w be co�ec� Dsn
W dispuce shall be 4tsclosed only if�e iadlvideW'�stuanene of disa�{roeroem u locladed widf du di�losed dt�
Tlu de�erminarioA oE tho rrspo�sible authoriry msy�e aPGanled pursu�ac ro�e provisiont of d►c tdmmis�ative pmaedvm ae�°iel�dn��o
ebnoesoed aa�es. . . . • .
D TA A PR1`vACY ADvIso�Y
Iti arxordauce wirh M.S. 13.04,S�bd.Z� "Righ�s of subjecrs af Qatap�we would�ike r.o iaform yeu thas your requesc
fot a permit or liEen9e froQt tbe Ciry of Omao or a�y uf iu deparnueats may reqygre yoy ro fiu�ish cenain private or
ceaf9deatial iaforma�ioa.
'�ou are aoraBed thacs
1. TPte iaforrr�tioa you il�nish wiU be uted u�de�ermine yoar qu�ificacioa for the permic arlieegse requested.
2. Yo�t may railase co su�aPly dara, but refusal may require chac cho Ciry deay th�pozmic or lieensa.
3. The i�fptina�ioa may be s�red wich other iocal� stace or Pedera] agencies �a th,e exteo,t nec�ssary to�process
�e pera�i� er license.
4. If yout requesud permit ar lica�e requires Cauacil acciva to approve, some informaeioa may become
pub�ie. - ,
1. You have censta righcs ur�der M.S. 13.0� (avsilable npon reques�) �o review privace dara.oa yourself.
6. Your full name is requind to pmcess thii applisatioa or petmit. �
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c� stiv �
Z=P Ptione
I uadets[aztd a�y ti�hts as snred above,
Si$nsiurc
08/23/2661 10:01 6128088846 ABC PAGE 61
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NOTE:ABC Prod�ction Fax 952-808-8846
�o�nenta: �12f� �Cr�-�l 1��- br ��C rl�Yti�-f �(r1'I.ou.�-,
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`-i'I�,ou�k. �o►,�,� ��ct.n,G��i ��
12247 Nicollet Avenue South (9521 707-6959 OFF�ce Sr.rE L�c. � 20169363
8urnsvilie, MN 5533i 19=21 707•9925 Fax 7Ax IDA 41-1701211 .
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N IC SCHEDULED _�
PERMIT NO. o � OMPL ED � ' �l J.C� ,
ADDRESS � �� ��✓�����
OWN ER CONTR.
TELEPHONE NO.
� DESCRIPTION ?�l�� ��''i �=���
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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�� �J yVORK SATISFACTORY:PROCEED :�PROJECT COMPLETE
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W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
Q [�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac site:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
/ ��,
/ DATE TIME
( ��
CITY OF ORONO CALLED IN
� INSPECTION NO ICE SCHEDUIED a'� � '�' � -�I
� PERMIT NO. COMPLETED / � "� �",� f-���'�
� ADDRESS r
� OWNER CONTR.� PJ L � � �t�r�4r-
��' TELEPHONE NO. a�a 7�J,� C� 3 La,� ��t v��f !� ���G��i S�
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� DESCRIPT UO ��1 �0 � �i� C..
� 01 FOOTING��'� 11 MECHANICALRI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MIN(3���'VI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q03 INSULATIGt�J., 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI�
Q 05 FINAL�S�L`,r;��a 14 EWER HOOK UP� F ` / �� SITE INSPECTION
06 PROGRESS
� 07 DEMO-SITE �L�S' 27 SEPTIC MAINT. �i/�'� 21 COMPLAWT
Q 07 DEMO-FINAL� 15 SEPTIC INSTALL. ��I�-� 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL ���� 36 FOUNDAOT ON/REMOVAL
� 10 PLUMBING FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� C M ENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� ���BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN ❑CITATION 15SUED
0 STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN I���
INSPECTION NOTICE CHEDULED
PERMIT N0. �OMPLET o L -�! _
ADDRESS �l Q ��=f�
OWNER CONTR. �/1;�� �� �
TELEPHONE NO. '"1 ��`J��- �� � ,�c'� ��
� DESCRIPTION ��n 7 �/�� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING1FILlING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTiC INSTAIL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� MENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContra on site:
Inspector. G�-�� �
White Copyllnspector's File Canary Copy/Site Notice