HomeMy WebLinkAbout2001-P03881 - re-roof �
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po3ss1
Crystal Bay, Minnesota 55323 Permit Type: 1vlinorAlterations
(952) 249-4600 Date Issued: 6i4i2ooi
SITE ADDRESS: 1074 Loma Linda Ave
MOUND,MN 55364
PID: 08-117-23-23-0008
DESCRIPTION: UBC Occupancy R3
Proposed Use: ltesidentiai _
Census Code ��'!� /_; /�-,i'C
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: Permit Fee: $ g3•25 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 84.75
APPLICANT: Premier Home Enhancers Inc. QWNER: MARGARET E MATTSON
9707 Tenth Avenue North 1074 LOMA LINDA AVE
Plymouth,MN 55441 MOIJND MN 55364
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.
� , �
/� � J �� /
� ll � �FI I �-��.�= ��yt..;-,l�l "1�iiL.
,��
/ AP LI ANT PERMI EE 1 NATU ISSUED BY SIGNATURE
;
i _� `
Copies:City,Applicant,Assessor, Finance Page 1
� dun-01-2001 09:13�m From-CITY 0� ORONC +9522494516 T-152 P.002/003 F-236�����
�'otal Fee: $ �`�� 7�� Date Received: � �-Uf
Entered By: G�� Permit#: G'0 3��'�
CYT'Y OT O�tO�IO - B�DTNG �ERIV�T APPLICATI4N
All inPor�nation must be submitted in fuU before pian review will be started.
� (please print all information)
T�iE APPI..YCANT IS: (circle one) OWNER OR CONTRACT0�2
JOB SYTE ADDRESS: r�:���� i�Nu� �_���� Z�: �����i
NAME OF OWNER: , t\�1`C���1���� �� lt� �1 � PHONE: (home) ��G��-' �`�7- ��Z-`�7
(Nock)
1�IAII.L�1G ADDRESS: `` �(,��\ CI'I�c'• ZIP:
CONTR4CTOR: ' �� �� 1��1-�� -�� , �-f''1 1 ` 'V'��� PHO�: � (G;<'�'����� ����
CO�'TA,C'tPERSON: � V\�' � MO�T�E/PA.GER: �(�;•1- .
11�IAILINGrADDRFSS• � � L �� CITY:.�I��-� (.1��1 ZIP• �7
STATE LIC�NSE: #��,'�C;(�;�'�(, (
A�2CHI°TECTlENGTNEER: PH�ti'E:
MAT�.I�i iG AbDRESS: CITY: ZIP:�
��y�; REGTS'I'RATION# �
T'YP� OF WORK: New Addicion Accessory S�ucture
Move RemodeUAlteration�� Y-and Alteratxon
n ,
P�tOPOSED WORK(describe in detain: � �C'�`
STO�IES: SQ.FEET OF EA.C�FLOOR:
NO. OF BEDROQMS: GARAGE STALLS: ATT: � DET. . • ._ . .
�ST�i IPi'TED CONSTRUC'T�ON'V'ALYJATION (exclud.ing land): $ �;��� �C C
I hereby apply for a building pern�it and I aclmowledge ihat the information above is comp2ete and
accurate; tziat the work will be in conformance with the ordinances and codes of the Ciry and with
che State Building Code; that I understand this is not a permit and work is noi to start without a
permit; and that the work will be ' accorda with the pproved plan.
� _ �
A2'PLTCANT'S SYGNA ` AAT�: � �
� / �
NOrE! �ir e f Horr� events e uire s e pe ' appravaI by police Department and
City Counci160 drrys prror io the ent. Non permitte events wi�l not be allowed.
Jun-01-1001 09:14am Fram-CITY OF ORONO +9522494616 T-152 P.003/003 F-236 , .
�
Sec.l�•03 RIGHTS OF SU&iECTS OF DATa
Subd, t. Type ot clata. Thc rigqa of individu�l ou w6om tte dua is smrrJ or co be swlcd sh�l!bc u set fanh ia this seeqoa.
Sab4.3. Ia[ormaeioa seQwrcd to be p�eq iudividual. �n iceividual ui�ra suppiY Privue or canffdmdal dan concer�int himsdf shal:
be iatoru:ed of: (u�hc purpose sce in�endeC uu ot�e requessed doa���Ia�e coUecric��ate at�a�Y.Palidcal snbdirision.o�sascwide rysiem:
(b)whc�ber he msy retuu oT is leqsily ccquired co wpply�e cequesaed dsa:(c)say I�owa toosequeoee uismg ltom dis supplyiog o�rofus"e�tg to se�PP�1
privsce ot wandcnaal dt�a;and(Q)ehe iCcaapr ot orber peRoas or eaddei u:�foeized by s�te or fedenl bW w rrceive du dau.,This�equiremeu sbail
nc��p�ty whan art individ�cal is uY.ed m suppty invtsd;adve Esn,pucsutzc co ucco� 13.$�,subdivision S,oo s isw ento�c�acat v�cec.
]he comr+tissioner of m'enu�mav p ac� e qce rcwired Lcd•r this sabdivi:ion in�e ir�Qivtduaf incone tax or�oasrtv t�x ntund
'n�scrucdans inscead of on_�hose form�. .
Sabd.3. Access eo d�ta Qy ladividuai. Upon cequest ro a respoasibin auc�oeia,au baEividw!shall be irstocmed wLe�her he is�he subjwt
ot smced da4 0��iudividasls,�nd wh.e�ber u is elass�ied as public,priv�e or canffd�nria! Upou his ttir�her re�es�,aa imdi�idusi who is ehe sub�cc
of sconl privue or pabiic dsa on individuats shatl 6e s�own du dasa wEivu aa7 cbsrje to hia�and:if ho desires,sbaU bs info�med of�conte:►c
and mean;.�S of d�at dan. Afur sn w�d'r.idua!bas been shovr��privaL d9a�nd irtora►ed of ia aee�ais�.nc�duae�eed Aot be 4iscbsed co��cn for
sis awn�►s��eres�Cer unku:dispuca o�tcoon p�arnun�W�is secsion ii pendi��oc addidooil dacs on We individu�i 6sa beea coUectcd or c:eaceQ.
Tbe cesponsibk tu�onry shall p�oviQe tu�ie�ot the peivau o�pttblic�iscs cion[equss:b;chs individual subjeec ol the dara. 'R�s cesponsi0le s�.sociry
cnny requir_du nquasa�t penon w pay c!u�cwat easu o!cr�cir,g,cer�ing,ar.d campiling Itie oop'+es.
Tbe responsible audtoriry shti!eomply inuned'ucciy.if poss�bls.wid�say t:�ues�made poawnc oo diis subdiviaion,or wichin five days ef
�he daee ot che request,excluding Sia:rd�ys,3und:ya aaQ legal hatiQ;y�,if i�r.�nediac�compliu�cc u noc poisiblc. I!be caswoc eomply widi�r Rqvesc
wi�hin chae ri,�ae.he shaU so inta�m che indiridad.and may hsve an addi:ocut hra days w:lh![t wEtiCh to torn�►ly wl�h tAc�equeit,exeiuding Saatcdays,
Sundays s:d k;zi hotidslys.
Subd•4. Rucedure whea data is aot secursto or ecmpku. Ae�iadivitual enay eoruese�he teeuaey or cors�pt�aneu of publie etpri��ac:
da�s eoncerai�fi�se{t. To axec:ise this righc.sri indiviAaa!shstt aotitj s wr.dng�c retpoasbic suthodb draeriDicg d►e nswce o!dro disa�tee�ea�.
The naponsibls tuckwri.y ahsll wichio 30 dsys eid�er. (i)eorrec��e d�a fcursd co be in�cascatc or incoaipleQ sad sRempt to aodty p�sc reeipfaua ef
imx�,rtce o-inean�ple�e daa.in�:ludinZ recipiena ns,rcd by�hc iadiv�Qul:or tb):asiy ths individu�l�hn�h.e Eelieves d�e daw to tra eorrec�. Daa
in dispu:e sFsli be dixiosed oaly if du iad��idu�l's fa�sntenc ot d+si�r.:.r:nt is ir.ch�Q�d wi�h the disc(oseQ daa.
Z�e dtaerrtinadon of c.tie K�pons�DTe wdwriy may be•pprL:,3 pu+�+�=to che provisioas of the admirsisa�adve proceduce ac:.etadnc to
contesud casrs. . '
3�t TA PR,IV aCX AD�'ISORY
In accordarue with M.S. I3.04,Subd.2, "Rimhts of subjects o:data",v+e woutd like to Inform you that your request
for a pecasi+ or lice:ise frcm thc Ciry af Orono or any of i!s Qepar..;-eats �say require yoa to furnish ceRain privace or
confdential information.
Ycu are aotifud that:
l. The informaciaa you fumish wilt be used co desermine;�ou:qualificatioa for rlu penmit or lieense requesced.
2. You may refus4 ce supply data, buc rafc�sal�may tequlre tha[ the CiLy deny the petmic or Iicense.
3, The infocmation may be sharzd witb ocher local,sta�a or federal ageueies [o che exun:necessary �o pcoe�ss
ttbt permftt or licease.
4. If yoar requesttd permlt or lice�e sequires Couacil accion co approve. some iafocaueion may become
. , pubii�.
� j, You have cer�sin righ�s under M.S. 13.04 (avaiiable upon reqcust) to review ptivace daca on yourseff.
� 6. Your full nazr:e is rcquired to pro:ess this sFpliea�ion or permit.
Ficsc ��� �
Add�as ' .
Ciy Sna 2ip Pbotu .
I und� and my ti� s stattd .bo •
�
Siy
r �
�'��� De artment of Commerce Licensing Division
� .��" State of Minnesota P.
��;
�,� Department of Commerco TelepFw�e: (651)29fr6318 or(800)657-3978
� ; 85=<Zth Piace East Suite 600 E-mail address: hcens�ng.aommerCe�s.tate.mn.us
.. ••��� St Paul,MN 55101 3165 We de address. oommerce.sta n us
� te m
��� t �
"�', . � � . � � - . pr a3-3� . i ,., r .�x f w��y y,w: ���''" Y.yz,;¢ _sf,�. r���'. u�,�'°�r��•��q���y@�'�?x
>
.
3 ✓��� ��: :.Resi�dethtii:al¢�Bur�Cdrn �vn c�:.o. r �:�c n � ��
.: .� ��.. ;�.d tl'8
d j �). ,yr� ..,T. �y.:. .� '1" 4
� :,t.e�at Nacne �PREM�ER HUM�����A,rN�2C�itS 1� „L� , ;� Bashiess���'n�h'n� -. y �{,
'' i `r`� .�F' �.' �lEf�ya<,�f°-:•� �'f �v+/�s :�{a �'' ...� r v .
� :bsA. ri� & � rfa�s;� ,� �{� �,� a� �, , C y �:t :;CC)�2P(�FtATION
,�, .
, Y ,<>. .� r a�`�� � <
,,, •
add�ess . . 9707 TENT AIEENUE NO�2T#t . ` � _
�:: . , ;
_ .. PIYMOUTH,M�J 55441 -
.
... . . �. ..�� .: .a. . . .
LdcenSe Id6ri4fiCahO��Number �BC�ZOO63301 ": clual�tying Person Ct�AD A CIZINSKY
� �C . : : .� k� ' bIX
t.ice�,se ExPtraqon C�a�a �'3�31120�2 . ��u�g�d��ac" 7 Hrs CE due by 3/31'/2002
, <
... <
t,,. ,�:. : <:�.. „}. �., . �. �: ,; ;
' .. . . ^�...�. .. . • . .. .. •4� ...���... .... .. ...... . ... •.s:J:.�.�r:wy -. . � ... ...... . . . .
/ DATE TIME
CITY OF ORONO CALLED IN �7
INSPECTION NOTIC p SCHEDULED %��
PERMIT NO. 4 � COMPLETED ' Z �
ADDRESS � t1r �-l N� (,�.
OWNER CONTR. �'F2.n���a.r f�7� ��i�-�n<s
TELEPHONE NO. � I� � �f ���
� DESCRIPTION ___ l-11��L " U� �' �<<F
� 01 FOOTING 11 MECHANICAL RI 18 EXCAY/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 1Q PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
O " � � /
� `P _/�` C._
O
�
W
�
Q
�
2
W
�
W
�
�
O
W� WnRKSATISFACTORY:PROCEED OJECTCOMPLETE
ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
q ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p 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. (g52) 249-4600
OwnerlContractor on site:
Inspector./Y�-����
White Copylinspector's File Canary CopylSite Notice
/�
CITY OF ORONO CALLED IN pATE� T��,0���
C.P /
INSPECTION NOT�j �ry SCHEDULED a �
PERMIT N0. !-�'�Od COMPLETED `� Z'� ��� ��
ADDRESS 1 O7Y L...('1/1t�t- �-i��- �vE
OWNER ' NTR. /`7es�,�t-^ L�� fnit��,�
TELEPHONE N . �(�
,��,--,, /J
� DESCRIPTION / '�-�[ ��L--
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
o � � s �C- �
a �
� �
0
� G 5 —S S��c.(.2 .
W
�
Q
�
Z
W
�
W
�
J
O
� ❑WnRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W �❑/C�ORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 �l C1bRRECT WORK,CALL FOR REINSPECTION TEMPORARY
V� tB�FORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� 249-46�0
OwnerlContr r on site:
�c�- ��
Inspector. �''��`�`-t-�,r
White Copyllnspector's File Canary Copy/Site Notice