HomeMy WebLinkAbout2007-P10991 - re-roof PERMIT
CITY OF ORONO Permit Number:
2750 Kelle�r Parkway- PO Box 66 P10991
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
5/17/2007
SITE ADDRESS: 1810 Lakeview Ter Unit#
Long Lake,MN 55356
P��� 27-118-23-43-0005
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
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: PermitFee: $ 139.25 Valuation: $ 6,100.00
State Surcharge Fee: $ 3.05
TOTAL FEE: $ 142.30
APPLICANT: Excel Roofing OWNER: Charles Dollar
11327 Douglas Drive N 1810 Lakeview Ter
Champlin,MN 55316 Long Lake MN 55356
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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APPLICAN P ITEE SIGNATURE � /r`�
ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
APR-22-200a�12:23P FROM:EXCEL ROOFING 121882781z3 TD:95z2494616 P.1
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Total Fee: $ � `�a " `3� Date R�ceived: �/n 9'9/
Entered By: Permit#:
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All iniormation must be submitted in fnll before plaa review will be started.
(please print al/injormatfon)
TAE APPLYCANT IS: (c�rcle o�e) OWNER O CONTRACTOR
- aoB srrE AUDxEss: I�'1 D L.a�ev i�u> T�� z�: 53 6
Wilt this be a �rade of Homes,Remodelers Showcase Home or other Display Home?
❑YCS �NO If yes,a special even/permi!is reguired wi�h Police Deparlmenl and Gity Council approval
60 days prlor lo Ihe event, Shurt/e bus servtce will be reguired unless app/icanl demons�rates
s��cient on-sile pqrking is avnilable. Non permitted evenl.c will nol be allawed.
NAME OF OWNER: u�.c� �a�1G�r P130NE: (home) q�-4?3-a$�{D
(W�)
MAiLING ADDRESS: �`$10 L,o�Q��[�1�C.( CITY: n c ot�p,_ZIP: 553sh
corrr�►cTOR: � ' rHorr�: `I e3-��-0�5�
CONTACT PERSON: S MOBILE/PAGER: `163•a3a-aK�1
MAILING ADDRESS: I I'��'1 O �ur.\a� Ot A) CITY: Ci�/1 uv►n ZIP: �5�,],�
STATE LICENSE: # �(�1 ��� EXPiRATION DATE:
ARCAITECT/ENGINEER: PHUNE:
MAILING A.DDRESS: G'ITY: ZIP:
N�: REGISTRATION: �
TYPE OF WORK: New Home Addidon Accessory Structure
Move Home Remodel/Alteration(ie:Siding,Windows) ���
Any earth movement ,may require MCWD review and permit�!
PROP45EDWORK(descrlbelndetal�:�lr.�r-J�c'� �- �-S�:na��'1ow�_
STORIES: SQ.FEET OF EACH FI.00R:
NO.OF BEDROOMS: GAR.AGE STALLS: ATTACHED DETACHED_
/' � �
ESTIMATED CON5TRUCTION VALUATION(eYcluding land).:�$l�2� � ��
1 hereby apply for a building permit and T acknowledge that the information above is complete and accurate;
that the work will be in conformance with the ordinances d codes of the City and with the State Building
Code;that 1 understand this is not a permit and wo ' o withou rmit;and that the work will be
in accordence with the approved plan.
APPLICANT'S SIGNATURE: D�►TE: �/�v
31
MAY-14-2007 11:25 From:6512030554 Page:1�1
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s«.u.o+�etct�ss o�svsr�crs oF a,�Y,�
S�od. 1. 'r�vf ia�a. The�`bu o�individual oo wpom mc d��s is s�n3 or a bc smRd s6W be as se�foRh in�is,e�cdva.
SuDtl.3. {oto�maesao roqttltea cs Ee�.m IYdMd�l. �►n mdi•idy�1 ssted e supplY Priva�or contdeoo�l d�n coaceraiat himiel(shut
ya in�oraed elr (aa d+e PurPore sa0�Oe¢nCed Ym ot Qs��sqyrsqd daa•imto�e oollCcuo;�m¢�gexy.poliacal SYOQIVIl�00.0�fO�Wido SySTtd4
(6)wAe(11e�11�R1sy 1sNse OT!S IeSi1iY requi�ad m mpply�he eeaueseed daa:(c�any lmowsi eoanaqueece a�;sia`tsv�his supplYlo�or rcl�s�ns w�uppiy
privax or eonlidenda!dw;.e�(d)�e ideaaty of odrec peRoat or eaddes w�onzed�y saR ur tede�l t�w ro re�aive tl�e dan. 7fu.s nQu'aeAeer aean
,ros aD01y wt+e��n'v�d'nidu4l is axted a supply 4wead9ad.e dao.pu��re�eeeee J3.87.sybLiviiien S.w a Isw enloceemenc ank�r. '
7he ee.nnSss�ener af rev��ye mav_py��!the nottee npyiKd�ndic�hia sv6di•icion in Ihe indiry��l inen�vy s�q�pp�Ry p= �tiwa
j�}�sYecie��in9x�a or op mon Portns.
Subd.7, �w a d�e�6v mdi�Idua1. Upon ieqa��w s�espou�iele aamoriry,an ioewieua�sesu ea Weem�a�red�eehe is me:ue�cee
etsesred dam en indlvid��b.Oi14 MIIi�fC IL it CIy�IEKd i7 pYbIIG,p�wr of con�idepdat, Upen hts N�ef reqYss[.�0 lapivap�l W1fp Is me fubjee�
af seorod privacc oc pu6lic d■a on iodirid�uls shall be�hown uie ean w�zeue aoy eauge�e I�in W:u t�e deHses,sh�11 be in6o�ot mo coo�en�
ind meanins o[rhu da�a. Afur an IndJvodnal Dat oetp i110w11 tl1t Ortyit E��nG infocmed of its meSOio/.me Aan peee mt be diulo�eed m bin+kr
sia nwn�l►s dureaRer unle:s a dispuee or�cdop pYtav�nc ro mis aecdon is FendMg o�addidoael dsd on Ne inaiviau�l eee been wQeered or creued,
T�e rotFronsioie�u�oriry shall pto�ride copks ol Qrc Drivtic or publle dan cFon nques:py�a individu�l fuqjeecof ehe dxn. R1u re�pon,c�ele.�+ha�ip/
may roq�ir.d�o fequesein�oer�en re pay d,o�caNl cos�t vf toakinE.ecr_YiaE.and cac�pa6�y�be cvpia.
'l1�c responsible audrorip�sha11 comply IR�ooe4i�iely.if pe�sisi:.vlth�ar r_que.x<<mde pu�sua„c ro�is w0aivmen.et w;d�in f.re dsy�ot
tfw d�r oP die mquai,excladhy a�Kraays.Sw�E�r:ana ur�eoiways,if i�ameafa�s oompfnoce is no�poasiete. v ee eanuoc oomoty aid��e eenurs�
Wi�hLi dtae duae.Re shall to 1Nfol+n tAe inA'widud.�ne ensy hav.�sn oddieemt Prve days wi�hin w6ieh ae eeroply wim r�requosc.e+ccludiqg Soauday�,
Sunaays a�ug��notW�y�.
5ubd.4. Aroc�dun�6ea data'{{,a0�7CCYT'i�E oe eem�plete_ �.p ipEjvldux!myr eenteu 01R�ecu�a;,y oecempleart�eqtOf publie�r pri��p
dw�eneernin`A�mself. Tv e+ureise�his rlgEc an ineiriduoJ ahdL noalr c.,iiins he reayvn�iblc wWvrip�de�n3iu6�tu peauee 0!Ofa�p�eemeoc.
1Le rcsp011s13k audwrity shtll wilhm 3b dayi eINCC ��)temt�tha das found o�be itutevqtt or incomple�e aAd abemp[ro oedly psst neq�qnu of
io.cruww or incompleoe aou,ivaluCing r�aelpiena aamed by pee bqi�lAul:oe(0)eoG�y qft�ivfidYd CI��NC EeilCve�We dua 1�be ooruCt. D�o
in dispuoe shall be diselesed ody if ttM o�di�idu■l'x�utt�mene of disa6resr_:nc is i�xluded wi��6e disalesad�ts.
71K daemiina�ion oF�he responsiWe aurho�ry mq be sppee;�pu�suu��o Y�t➢1o�isio�of IA�adadeiceariva proceau�e■ci rc4dnr ao
Centls�ld lails. . '
�T,�► �1tIVACY AD�T���
In accocdaace wi�h M.S. 13.04,S►ebd.2, •Ri;has olsib�ecw oi da�s".wc woald likc w infocmyvu tha�yov�reques�
fec a pe�it or (�eensa !rom �he C;ry of Oroao�:�ny of iu depar.�oais mey rvquiro you co tumisti ccnoin priva�e or
confideecial �nfo�asrion.
You a�ce notified tbar
1, 'Ytie 1n�brmazion you Purnist�will bt used to da:zrmioe}quc qua11t1caclom tor tA�pe�mli or licenRe requesced.
2. You raay rc(use �o supply da�a. bu�refrssal m�y repui�'e �he[�IIe Ciry dEay tbe pet�oOAt o!licc�asc.
3. The irfformation�tay be sharect wi�h o�cr Ixa],s[a�e or fedetal a�eacies to the ex�en[neces�ary on process
tbo portaic or liceaso.
a. If your request.�d pccYa;t or lianse requiras Cotmcil ae�ion �o approve, some inPormar�on rnay breome
. . pu� blip. .
5. You (u��e c����� righcs �ndu M.S. 13.D� (availnblo upoo requct� co review griva�e da�a on you:ulf. '
6. Your full name is cequired ro proces� :hia aeplieA�3oA or rern�i�.
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Addres�
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T unds�s��d my 'gb�s as stated above.
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DATE TIME �'
CITY OF ORONO CALLED IN .ry '/G''C �
INSPECTION NOTICE/� SCHEDULED t-� %i`"�
PERMIT NO. �!G� �7 � COMPLETED
ADDRESS ' C �z� /-��`�-�
OWNER d�Q�t.� CONTR. -� `
TELEPHONE NO. �Lo 3 — 7/ � — � S �
� DESCRIPTION �-C 4� � ^
� 01 FOOTING 11 MECHANICAL RI 18 E C V/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W�i�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on s' e:
Inspector. � ��
White Copyllnspector's File Canary CopylSite Notice
f �
��}) �`�``� �� DAT O� TIME
��ITY OF ORONO �J " CALLE N �1�31
INSPECTION N IC� SCHEDULED �O
PERMIT NO. C� � COMPLETED
ADDRESS � ��
OWNER CONTR. �q
TELEPHONE N0. ��' � � � - 1� J
� DESCRIPTION — ' '�
l� 01 FOOTING 11 MECHANICAL RI 18 EX AV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE �'
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site•
�
Inspector. ��i �
White Copyllnspector's File Canary CopylSite Notice