HomeMy WebLinkAbout2008-00071 - roofing CITY OF ORONO PERMIT NO.: 2008-00071
, ` 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 07/23/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 3245 LAFAYETTE RIDGE CT
PIN : 17-117-23-44-0092
LEGAL DESC : LAFAYETTE RIDGE
: LOT 003 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,400.00
APPLICANT PERMIT FEE SCHEDULE 177.00
AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 4.20
2960 JUDICIAL RD#100
BURNSVILLE, MN 55337 TOTAL 181.20
(952)707-6959
Minnesota State License#: 20169383
OWNER
MCKINLEY,GINA
3245 LAFAYETTE RIDGE CT
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the 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 cequires separate
permits. All provisions of laws and ordinances governing this 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 da[e 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
requestcd in conformance with the State Building Code.This permit may be
revoked at any time f r due cause. ,
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Ap ' a t ermitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Ju1-22-2008 09:03 AM American Building Contractors 95Z-707-9925 1/3
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Phone:852-707-6959•Fax�952-707-9925
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Ju1 -22-2008 09:03 AM American Building Contractors 952-707-9925 2/3
• Au�28-Y001 08:Y8�m �rom-CITY OF ORONO +oE22dodelB T-885 P.00Y/008 F-61T
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Total Fee: $ / 8/• �1� Date Received; 7�� 08
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/�/ ��C X UF ORON'O - BUILDING pERMiT A�P�'Y.�CA'T�Q1�T ���
. A11 inFara�ation mu�st be subtaftted ia ttill before plaa review wiR be started.
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CONTACT PERSQN (�.h� 1V�OBILE/PAC'xE�
MAIY��T(�ADDRTSS � -'�(D�—.C.�TY: ZII':�5337
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�1',[I�]1�1'Gr ADDRESS: �Gi'TY: 2�:�,
1�i.�ME: �GISTR.A.'X'YOQY� •
TYP� UF WO�tSo Now Addition Acoessazy ScucWse
Move RemodellA�cera�fon Land Alr.acadon
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PR4POS�D VVOl�(descr+hr in derait�:�T �('�,f�'�_,�`'lO(�2. L C,�v��,
STC��: ,..r� SQ.FE�'T OF EAC�b'LOO�:
NO. O�'�DROOMS: GARAGF STALLS: AT'1'. � DET.
ES'�AV�PiT'ED COI�TRUCTiOI�'SYA�,UATIQI�T(excluding lancn: $ �� ��, �
I hereby app�►�or a buildfag pez�oQit and I ackaowledge that the iuformation abave�S compl,ete a�ad
a,ccusaxe; tbat the work wiU bs in oonformance witTa tbe ardlaances aad codes of t�e C�ty attd with
�S�re Building Cada; that I understand thi.s i� not a per,mit and work is not to stax�witho�ut a
pernait; and�hat the work will be in a�corda.n�x witl�the approved ple,a.
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�'LICANT'S SXG1�1A7�`TJR�: � D�i�'�: �."�0�
NOT�'a!. Pa�d��,f�n�n�s eveats requi�'e separate pe�7ntX approval by 1'olice Department and
� G'ity Cotehcr�SO rlays,�rior to the event. Non permuted events wilt not be allowed.
Ju1 -22-2008 09:03 AM American Building Contractors 952-707-9925 3/3
• � h�8�Z9-Z001 OBeZBom From-CITY OF ORONO +o6ZZ4D4616 T-68! P.008/008 F-617
3�0.33.04 RIGIaTS OQ��s OF DAT.�
5uoa. �. 1`1De of data. Tbe rist�of ia,alvlduai an wboo�mo ao01s s�oie4 or co bo BWnd ehatt Do as s��tc��c mis secdaq.
Su6d.3. 7n�osa�itfaq cee�+sd eo bR�ws�dMdwL, A,n iadividwl eticed o�supp(y P'elw.►ta ar cot�tEde�s1 dsm.maeercing hlRuel!sball
be�o�oed af La)�e pu�pose aaa m�oaea use oE me mqneeroa e.n wima me oa11wS�bure speag►�palincal sutx�visioa.oe snrowiae aYsmm:
tb)w�erther he msy refvse or i�leS�b�+���P4��o ttiquesmd d�:(�)+uY kmwa eonsequvor.�arisiag£�m his supply4ag or xefu�ln;to supply
ptiraR oeoonfidendat dsts.;u+d(d?the fdeod�y ot other peesoer or emioa auo�o,ized by amce oc F��1�w ra t�et�ve�e dsu, Ttils requlratneo�shau
aoe�pply when an lndir�iduzl is asked to supPly iaves�garive dsp.pu�sv���aoccea 13�BZ�iu00lvbl0n J,fo i law enfbreemem Qtiicer.
1'ho u y=�9oeier of_re�,ue�v nlaee ehe mdee reaubeet undet thls subaivLsfoa Ia th!�individuat�noe�uc or��dx rrlf�nd
Instruedena lnaaed et on rhese 9er,e�e.
Subd.3. Access to d�xu by�n�ivs'd�l- Upon roquac ao a respoust�ia rurhoriy,�n lodiYldud�hell be lnforraed wber�er pe is�he sYbJoC=
ofsmr��aa on mdividusls.sad u�heeLer ir$cFa�sified as pu6li�e.pa•�aa or eoa!"idendal. [7p0a Aii'NtlC4aT Cr4�ee iadivi�ud!w6o is II1t Su41eC�
Of Sm�p�'18¢Of puDiic Qata oA inaiviQu�14�all Le smwn me d3taL�p�OM1f�AAy ahup0�o hlm luid;lf he dasi=ea.ahaII ba infouAed o!�Ir�wio�ltit
a��g ut�hn�d�a. hfres sr�indi+ridua!6�s bcca:be�m eha privuae dsn snd lN�emed eF im meaa�r+g.$se dan.peed eet 6e dlsetoaed�blta fas
,i�v,enebs�Cssr unless a dapuce ar udon pur=uAt1c oo thfa aeedan b peadte�er�ddttionsl dsq,oa dse iodi�vidusl,6,ss 6een eoIIeeeed ee en�a�ed.
�be rrspons�bts au�o�i�s6�pmvlda eoyles o!tha priYa[e oe yub{ie ou�a upot►crAu�sc hy�he mdividusl sab.iect of rbe daa. 17u ro�Don6fb11 suthorny
fi14y To4uiro die roQuesdnQ D�oa so p�,Y��a�atef cosra o�tna�lt�g.ccrdf,ying.amd comp0iag du mpi.s.
Tha nspen�tbl�sr�hodq�:hsl!sen►p{y 4euaedistely�i!pe�aihie.wSsh a:yr�quexe nrsde par�u to dus su6diV'islon,oe wlehln Ave d�,ys of
�daes ef du�raqueis.ex�ludJ�s4mrsaY9�sYuaA�'a aAa 1e9�Aplfe�ys.lf tmmndiate eompl�sace is aac poss��le. i�ae esnoot eomDlY w1�►�e nquesc
WiLIl1A f�19�diaar�65W W l►Kvim tke IadlYidval.sad rr�y hiw an aG�l�stal�re dsrs vrid�iit wbi�h to oomply witb ihe R+�quoai v7�a1HdW�SatrrdqYo�
Sundars and least iw1ldars.
� 9ubd�4. A�ooedyi'r Nbeo dats y aoi g�cnr��a or complet�. Ao�div6dual a�aY�����y oo aempl��oF public or pril aQ
�a�eomoe�tlt�g hler�selE. ?o�x�olse rbls d�bt,sn Jndlvidual ahal!seeiy In wrid��Rxpeae,l�le su�oriqr descsibi6a du aa[uc�e�tke dlas�gtaemene
TM.e reapoeuf6ls an�hortey�a11 wlt�ia 30 oay�ald��r. (�sonsa ihe aaa coana ro�e mzcouisre er incomp[ere saa��mpc w na�sy pesi ceofpie�oc
l06CC1R8R Ot InDOR1p1ER dOR��a�lvdWt t7C1QisA�named br d�e iwdiYui+ml:or(h)nodfy�o i��riduoJ�nt ku bsll�wo t'h�daw oa bs eaasee. D�
a�d�apua ah�l!b�d�elosed oh�y 1f d�e Wlv{dual'i stieemenc oF d'�{e�teraen�a ineladr.d Wids�e dleclaaed dem.
The dexe�xninaooA Of tha rcspons�le authoripl raay De aDt�ed DC1f5veist W Lh0 pC0Y18f61W 0�The�dA1l�iII'f[�Ve pco:.edttce 1CL TOlaciT76 ro
connso�a c3ses. . . . .
DATA PRIVACY ADvi5(��
!as sceo=daaee wlrh M.S. 13.Oa,Subd.2, "Rlgh�s o f ahs6jeccs ef daca�,we wonld lik�[o infortn you that your reqnest
fer a pesmie or lieense t�om tha Ciry of Cirono or aay c�f i�s deparc�n.a m,ay reqr�ire yau ca furaish cer�ain Frivace or
coafidcAtiai iaformacioa.
You ase nozificd tha,��
]., �'hc in{�orrnauoa yau tismish wi11 be ussd��Se�ormine yaur quali�cstioa for rhe permii ot liee�tse requestsd.
?. You mav re�tllse to supply daca, btu sefus�l may requite chat the Ciry deny ►he parmit or lico�so.
3. 'Ihe inPosmacioa ma,y bo sbatad wtrh orhi:r locsl, s�ase or federal agapcies �a�kte excerx e�cessary to proeess
me permft or licease.
4. If your nques�r:d �crmit or liccase requires Couadl aesloa eo approve� so� iaforms�ioa aoay beeome
public.
5. Yqu have cer� ri8hcs under M.S. 13.4�F(avaitai�Ze upon requost) r,o revicw griv�.ee dacn oa yo�+rself.
6. Your full nama is required to process tius applicaaon or pecmic. •
cS�Cc�R�e+r � �[da,Ccn�'�Rc�a_rs �c,) _ _
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Gjuy 9nre Zip poaae _
I uadecstRnd a�y riohts as s�a�eC above.
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Confiirmation Report — Memorv Send
Time : Ju1-22-2008 09:38am
Tel line : +9522494616
Name : CITY OF ORONO
Job number . 717
Date . Jul-22 09:37am
Ta . 9527079925
Document pa8es . 003
Start time . Jul-22 09:37am
End time . Jul-22 09:38am
PaBes sent . 003
Status . OK
Job number : 717 *** SEND SUCCESSFUL ***
Ju1-22-2008 09:03 AM Amarican Building Contractors 962-707-9926 1/3
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CITY OF ORONO CALLED IN
INSPECTION�� DOD 7/ SCHEDULED - �
PERMIT NO. COMPLETED
ADDRESS 32�S L�'�-y e� �cdq�2 C�
OWNER CONTR.�� ����Q C•�_
TELEPHONE NO. �� Z '��S ��3� �i1�
� DESCRIPTION / �L2�'' �]'T
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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
� p DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.(952) 249-46��
OwnerlContractor on site:
Inspector. �
White Copyllnspecto�'s File Canary Copy/Site Notice
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CITY OF ORONO 7/DATE�� TIME
CALLEDIN �
INSPECTION NOTICE SCHEDULED 1����� ,30
PERMIT NO.�O D 1F—�007� coMP�ErEo
ADDRESS ��Z�-S ��Gf1�,Gl�7�C_ ��t-c_. L�-�
OWNER CONTR.(�VN�Jl.C.ca�� ��Q
TELEPHONE NO.—__ '" 9sa - 70� - �a�J�
� DESCRIPTION � `
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING FI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAI ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ IPISPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cai!forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContract r on sit :
Inspector.
White Copyllnspecto�'s File Canary CopylSite Notice