HomeMy WebLinkAbout2001-P04446 - re-roof � ! PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P04446
Crystal Bay, Minnesota 55323 Pe►'mit Type: MinorAlterations
(952) 249-4600 Date Is'sued: ioiiv2ooi
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SITE ADDRESS: 352o Lyric Ave
Wayzata,MN 55391
PID: 17-117-23-43-0057
DESCRIPTION: UBC Occupancy �
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:
FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 186.25
APPLICANT: American Building Contractors OWNER: 7ames Negley
12247 Nicollet Avenue S. 3520 Lyric Ave
Burnsville,MN 55337 Wayzata MN 55391
THE UNDERSIGNID HEREBY REQUFSTS PERMISSION TO MAKE TI�REAL IMI'ROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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ISSUED BY SIGNATLTRE
Copies: 1-File(Signitures Reguired),1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 •
' � Au�-2�2001 08:23am From-CITY OF ORONO +9522494616 T-685 P 002/003 F-617
� Total Fee: $ ' � 17ate Recei'ved:
�� Entered By: � Permit#:
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CITX OF ORONO - BUII.,DING PE�tMIT APPLICATION
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A11 information must be submi.tted in full before plan review wilI be started:�`'�X
(please print all ir{forniation)
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TI� APPLYCANi' IS: (circle one) O�VNE�t 0 C4NTRACTOR
JOB SITE ADDRESS: ���-� Z--II�r► L '-u� ZiP: �J�3
NA1V� OF O'VS'NER: ' �►�` ' , � P�iONE: (Yiome)CQ�Z� �{?I-1����
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I�LA�I.,1NG ADbYtESS: ���I CITY• ZTp:
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CON'i'R.ACTOR: ��r-,� � n � ; '� ,��►-{c';a� PHON�: "Z C�`�- S�
CONTACTPERSON: , �.- lYtOBiLE/PAG�ER:1��12� 3_Z �� `� !C%
:1�iA.IL�TG ADDRESS• (22�4.` IU>'v�t�z��._CIT'Y: s 11; d� ZiF: q�,`5��
STATE LXCENSE: �{.2«l�� ��5�
AR.CT�C7`ECT/�NGIl\'EE�t: PHOI�'E:
�IA,II,,Il�,rG�ADDRESS: CITY: z�:
NAME: ItEGLSTRATYQN# �
TYP� OF WORI�: New Addition Accessory Structure
Move Remodel/Al[eration�_ Land Aiteration
PR4pOSED VUORK(describe in detai�: �P ..�.-,�� Sln+'�l e� �t�m�- ��
STOI2IES: �_ SQ.FEET OF�;ACH FI.�0022:
n'O. OF BEDR40MS: G�ARAG� STALLS: ATT. llET. c�
ESTIMA7'ED CONSTRUCT14N''VALUAT[ON (excluding land): $ (�.�,(.XxJ __
I hereby apply for a buildin�permit and i ackaowletlge that the iuformation above is complete and
accurate; that the work wiU be in eonformance with the ordinances a.nd codes of the City and with
the State Building Code; that I understand thi� is not a permit and work is not to start without a
permit; and rhat tYie work will be in accordancz with the approved plan.
APPLYCANT'S SYGNATURE DA�'E: �� C��/�1
NOT,�'! Parade Homes events require separaie permit approval by 1'olice Department and
City Council 60 days prior to the event. Norr permitted events will not he allowed.
': E,�$-Z3-2001 08:23am From-CITY Of ORONO +9512494616 T-685 P.003/003 F-617
�
Sec.13.04 RIGHTS OP S[tBJECrS OF DaTA
Subd. 1. 1'ype of data. 'nu righss of iadividuat oa wbcw C�e dan is swrcd or m be sr�rrd shait bc as sct fosh in this secdoo.
Subd.3. InYormatioa req�red to be yven iadividual. ?„i iadiridt�ai asktd to Supply priva¢or confidcadal data coaceroing himsclf shall
be inlotmed of: (a)thc pu�ose and iaceadal use o!the►equesmd dan wi�la du coUecong Snte aseacy,poliocal subdivisiou�or sncewide aysrem;
(b)whesher he nssy retusc ot is kgaUy mquimd eo suppty m�:equeseed 3an:(c)anY imowa wnsequeace xrisiag Gvm his supplyiag or refusa�g to supply
privace or wandential dan;and fd)�he idenary of orher persons oreeaaes au�horized by s�su or federal!aw[o mceive�e dan. T�is requiremeat shall
not apply whcn an individuaI is ssled to supply invesagsdve dan,putsagat w seccon 13.83,subdivision S,w a(aw enPorcemeat officer.
'T'he eommissioner of_[�•enue mav oface fie nodce irrci unde�dtis suhdivision iti die i11d'Ivldual inceme mx or uroxm tax nfund
instNCti0e8 ins[� of on those forms.
Subd.3. access to data by iadividual. Upon rrquesc to s respoas3le au�oay,ea individaal shall be infona�d whe�6er he is she subjecc
of swred dara on iadividusls,and whed��r i�is clsssified u public,pnvace or eoafidendsl. [7poa his fuc�er r�quesc,ea iadividua!who is rhe aubjea
oF srered pdvau or public dara oa individuals shall be ahown the dan.widsouc aay charge to him aad;if he desires,sball be informed of mc coaunc
and meariiag ot�hat dssa. Afur an individual has beea shown che private dan Ynd infotmed oP irs meaeiug,du dan aeed not be disclosed oo hisa for
suc tnondis d�ereatur unless a d'upuce or acdon purawn��o:his seedaR is pcndiag or sddidousl dsra oa ehe individual 6u been wltected oc crcared.
T6e�esponuble au�horiry shaU pmv�Qa copies of ehe privace or publit aaa apon ceques=by�he individaal subject ol the dan. The responsible authority
msy r�quire�he requudng yarson co psy d�e acn�f cosrs of maldng,ccrdfying,and comPilinS rbC epp►�s.
Tha responsible aurhoriry shalt comply immedntely,if pos:�ble,wi�aqy mques[ntade pu�suant ro shis svbdivision,or withia five days of
she dau of rhe requa�exclndiag Saeurdays,SuMaya and legat holidays,if immed"a�e compliance is noc possible. If he csnaoc comply widt du request
within�ttac tima.he shail so inform tba iadividual,aad nny have aa adli�ow�l hve days wirhin w6ich to comply wish the requesc,excludiag Saturdays,
Sundays and lega!holidays.
Subd.4. Proeedui e whas data is aat accucata or eomplete. M individual u�y cotuest the acatraaY o�eomplereness oP public or pri�acc
da�eoneemins bimsell. To exetcise rhis right,an indiridual shall nonty in wridng the cesponsible antlwriry describiag�he nature ot the disagreemcns.
T!x sesponsible au�heriry sball wi�liie 30 dsys eithec (a)consct she aam found ro be insccurau or lncomple�and aacmpt w nodiy past recipienss oP
iaaccurace or incomplece data, inctuding recipieaa nattud by du iadividusi;or(b)no�ify the individunl rhac he beliavas d�s dasa�o be cornec Dan
ia dispuce shal!be 4isclosed only if�he iadividual's sneemea�of disa��reemen�is includad wirh�e disclosed dara.
The daecminadon of�ha responsible suehoriry may De apG.e�led pursuaac co the provisions of thc adminia�arive proceduce ac�nladng w
eon�esxd csses. . . .
D T_A a PRY�ACY ADV;SQR'Y
In accordauce with M.S. 13.04,Subd.2, "Righu of subjects of da[a"�we would like to inform you that your request
for a permi� or license from the Ciry of Orono or aay uf iu departmears may require you to furni.sh cenaia private or
coafidentisl information.
You are noiif ed that:
1. The inforaia�ion you furnish will be used to decermine your qualification for the permic or license requested.
2, You may refuse to supply d.ata, but rcfusal may require that the City deny tho perm.i� or license.
3. The inforniation may be shared wich orlier 1oca1, s�a�e or federal ageacies to the excent n�cessary to process
rhe permit or licease.
4. If your requested permit or ticenst requires Couacil acuon to approve, some 'saformacioa m�y beeome
public.
5, you have cenain rig.ttts under M.S. 13.0� (availabte upon request) to review private daca on yousself.
6, Your fuiI aame is required to process thii applicatiou or pernut. •
F�n� �tidiue 1.asc
Address ,
Ciry Sn�e Zip Phone .
I understand my righu as s�aced above.
' �� ,n.fra�c�✓
Signature
10/e5 2001 14:01 6128688846 ABC PAGE 01
�, `u���7Wl D6cP3.am Fr �ITY OF OR0�10 +951�484616
T-685 P.002/003 F�6�17
••, —
�otal Fee: � l��O ' .� Date Received:
Y�� Eiit�ered By, Tz/-�
� Permtt#:
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CITY F ORONO — BUILDII�TG PE�t,MIT ApPLICATION
qSZ���f �l�4f�� `�52 2�q—�d���
. � • All in�orni mi�st be submitted ia ft�ll be�ore plan review will be started.'�jc �
�ilease prin�rtll i�formatz•on) .
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�A�'PLYC I8: -- ------ -.
(circle ane) OVV1vER 0 CONTRAC'�'p
aas sr.r�a,nD s: 35� t_� r,�� � zm: 5�3
�r�o�o : �i� rxorr�: �� Qs� ?J�/ury
�iAII•rivGADD S: �iv�� ��k��� � ���3`��_
, „�, _� CTl'Y: ;
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�(J�TRACTOR: ' c,.n, � � �.�ra�o��80NE: Z p .- �
EONTACT PF�ILS N: o� MOBII,,EJPA TR: 3 - �(}
N�AII.II�TG ADD � ''
:�,2 ,'w It.� . CI'1`Y: Z�:��
STATE L�CENSE #Zo
�tCY�TECT/F.1�T Il�TEER: PHCINE: .
�VtAILII�TG ADD : �CI'rX: 7�:
��� REGISTRATYON� .
TYPE OF WORS N'ew Addition� Accessory Smtcture .
Mov � Remod�UAlttetation�_ Laad AI�eration",� �
PRQ�:'O�'E�D VVO (descr�be in detai�: Qe.,,.�:.1��w.-,� ,� �� (�.- r�
S'1'ORYE�9: SQ.FEET 4F��ACH FLOOYL:
1W'O. OF$�D�tO :� GARAGE STALLS: ATT. � ]�ET. Z
ES'1`IMATED CO � STRUCTION VALUATION(excludiag Isucn: $J(��
I:hr,�by apply for a ildina pormit and I acknowledge that the iafos�mation above is com,plete aad
aEciva�e; tha�the w rk wiU be iu confor�e with the ordu�nces a�ad codss oP the Ciry sud.with
the State Building e; that T uaderstand this is not a permic aad work is not w start without a
perm.�i; and rhat the work will bc in accorda.nc�with the approved plan.
�1PPLICANT'S�I NATU}2E � DATE: Q .
NOTls'! events require aeparute perneit approval by Potice Departinent and
� City Council 6p d privr to the evenc. Norr permined evenrs will not be adlowed.
�1e,/65/2061 14:61 6128686846 ABC PAGE 02
�• ���r-ca-cuui ur:�aam Ft�tCJTY OF ORONO +p5t24�4618
� � � T-6B5 P,003/008 F-6•1T
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� s�.�s.aa�ucHrs o� oF n.�ra
Subd, l. lyqe o daa. T6e rightS e!iAdividutl oa abow du dso is swtcd ot m be storsd sbWl bo es sCt fu�rh io 14is secdoQ.
Sttbd.3. I�Tp o t�qmrcd[0 6�y��dE►idual. A►�iadiridual eslcod Oo Ai
b�ioPoemoa of: (��4e pp te and laten4b u�e o[��,;�don w�lo�e eoll �y petvaoe or confidcnd�dsa eooceroio;•�{��py� '
(b)+vba�ecAe roar reNsc oT' legaUj�requisd to 1 �e ���ttt t�gcaoY�PpJldeal Nbd�vj�jpp.Oe iti�CWida m��
pdvam vr aoalldentis!dara; �FP Y, ceqaened dan:(e)ea�y Imflwn conaqueacc�rlila�t�om�is�uDP�Y�orml�g ro suPP4Y
(�rha ideodry of other persoAs or eodne,s auR�crimd by Rsro or Rderal(a«r te�+e�eive t�e dau. ����
aot appiy adea N indnidu�i aal�ed ie�uPPb���tsri�dve Qso.pu�stmAc ro saccoa 13.83.subdl�i�ion S,to a law�alorcem�Qr offioc��
e co 'o er o �e e lace odce �s ►s<l unde�fhls svhdivL n in d�� IAdivldu�i income m�
C[lo o r nro����
�ubd.3. .1�� d�m Dl iadi�ldt�1. Upae trque�to�rcspoqslb��utlaci0�.an iodivid�ul shaa be�ed wberher 6e is�be so�jea
a�`�qted da4 on indiv;du�ls. Whe�ec R is aUstifud rs pubUc.Pnv��e or conQOenosl. [l�oa his fne�er RWes�oa i�fvidual u�ho is rhe�ubjx�
of.�tOtlsd priv�to or public on�ndiV'�du�ls ah�l!bm shewa me dan wldsou�aq�r oAuge a h�tf aad.'iF he desines,l6all ba 1nCormed of du ev0teru
antl m+�dag o[tlwe ds►s. ta indivfdv�l t�as beeo shown the priva�e eafs�nd lafoemed of in moaoiag.t�e dan Aeed ooe Ee disclou4 00 6itn for
rk onoa�s d��teafar uNoss a dlapua or a�on pursu�ni ro d�is secdon is pcad'w�or addt6�nW dsa oa�e indlvidasl6as been eolteaoed ov created.
,T��=Yo+�bV���Y sh p�vvlde copies o�the priva�er p�blit aam upoa reqwst by�e i�lyidva!yubJa�Of dte dan. ?b�
aup►re9ulre che eieQiresdn,r pa on m PaY thr aeanl eoui oF m�le�g �ying.�d eompil6ig d�e eopiea. �°ntl0le avd�ocEq
Tpa aspons(Sle audw�iq ihall comPly iauaMi�te � �o�rd
d�e deu e!dro �, P�1a.cvi��y�equen as�PuisoN�ro d�is subdivisinn.or�rirNA 6ve dqys of
�Wuss�r.�c Sawldaye,S�Sya tt�le8�1 boildqs.if imeocdiue eoqlplissee is eocpossble. IEi�e c�puo�coatply widt•aie�equest
wllhin•�a�dtnr,he apap so' era e6e�'�i4u�1�and nny have aa��idoatl!!re days widw�whkh ro aomply wir��roqtus;e�at�g Soardays.
g�+7��d�t8�1 holldayt,
9ubd.4. A� � wMa dtta!t swt sccueote or eo�pkte. Ao U!Qlviduai eNty so�[d1e Rccveaey or eompleomva el publio or prjesx
daa eoaeeealn�hirasell. To e eRlse�I�nsht,u�ladt+�du�l shsll aatity fa wri�ieg Q�e nsponaiDb�utboriqr aeicribiat�he rmaea oP t�e d18�p�monG
I7x�pons�le�ulfberiq shalt wiihia 30 d�yi ei�er. (�cortea�e ana ton�eo ba ins�ea�ate or ineomplere�Dtl uempt q no
�e�waQ oe Inaomplae data. laEint necipieaa nanua d�e fodlvaia.l�or �'�s��Pun�s o�
�' . G�)noC[y�ladividud ehs�he beli�ves�e dAw w be ootrax D�
ia di+pux shs11 be diseles�d o y iF d�laoividu.l'�saxmaae ef dis��ra�reen�is ineluq,�d with��4iseJosed as�
The deacmin�oon thm raponslble au�hueip�raay De ap�a�led purewani ro d�e�rovisiona of d�e admJairaaeiva prnceduea aa nisdn�co
eofues�ed wsel. , . . .
DAT�i�RY`vAC'Y ADVTS�
Ia a�cordance wich .S. 13.04, 5ubd.2, 'Rt�hcs of�ubjects ef da�a"� we woald li7ce ro iaform,yea that yoair request
for a per•rnic or licer�ee m tbe Ciry o!Oronn or aay��f lts deparcmenrs ffiay reqwre yvu�o ft,�aish Ce�p�vace or
confidenci�l information.
' Xou are ao�ihed th •
1. The info "oa you tytnish wi�l be used ro de�ecaiiae yo+u qualiticauoa for tha permic ar lieetue r�quested.
2. You may tt�e to s l daca. but nfusal � .
uFP Y maY re4uire t'bac tbe Ciry denY �P��c ar licsase.
3. ThQ iaf ioa may be sbared wi�h ocher�ocsl, s�a�e or federal �geu�s ro�k►e ex�ent naxssary cv process
�rhe pertrtit llr.�ose.
4, if your req permit or liceose requiras Counell accioa w ,►yprove, s�me i�{o�uon may beeome
pubIic. . ,
S. You have e r�aia riah�s uader M.S. 13.44 (available upon reqct�sc) � revieW pri��e dac: on yourself.
6. Your fisll is requir�ed ca pmcess thi� Applicacioa or panai�. .
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Addtsss
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t us�dcrst�,nd my r�$ as s�atcd above.
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N I � /L� SCHEDULED j /-�20--°f -i��—
PERMIT N0. ��`7` ` � COMPLETED f ��� �f
ADDRESS .�.� G "`�K`t_ �.�'v`-�--��
OWNER CONTR.
TELEPHONE NO. ��� — .� j� r��5�
� DESCRIPTION /� �C _
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORElWETLANDS
�
Q 03 INSULATIGN 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� C�E{NTS:
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W �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-460�
Owner/Contr �r on site•
Inspector.�l�'�`��"�
White Copyllnspector's File Canary CopylSite Notice
�n
� DATE TIME
CITY OF ORONO �1CALL�D IN
INSPECTION NOTI�E I/' 1�/I_ SCHEDULED �! - / �
PERMIT N0. ��� 7`1"7 Y� COMPLETED f" 3��( g-c�
ADDRESS . ���.�� L UY� I '. /� l/E.
OWNER CONTR. �;�� _ � 1/�G�'
TELEPHONE NO. �/� � ��CS � �����
� DESCRIPTION (C-C��-'� 1``l Y��-'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
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
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
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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��NORKSATISFACTORY:PROCEED �ROJECT COMPLETE
W �O CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECTYJORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
inspector.���1����'��
White Copyllnspector's File Canary CopylSNe Notice