HomeMy WebLinkAbout2007-P11208 - re-roof � PERMIT
CIT�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11208
Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterations
(952) 249-4600 Date Issued:
7/11/2007
SITE ADDRESS: 615 Minnetonka Hgld La Unit#
Long Lake,MN 55356
PID: 06-117-23-41-0080
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: Permit Fee: $ 15325 valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 158.75
APPLICANT: Cedar Valley Exteriors OWNER: Jessica&Joseph Newman
1700 93rd Lne NE 615 Minnetonka Hgld La
Blaine, MN 55449 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.
�,���1,� � ����`��'�(
APPL[CANT PERM[TEE SIGNA7URE 1 SUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
i
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
JOB SITE ADDRESS: � � � �, n �I.��� � I�`I��Z�:
S
Will this be a Parade of Homes,Remodelers Showcase Home or oth�ispiay Home?
UY�S ❑ivo If yes,u specia!event permit i�•required wit�i 1'olice Departnrent and City Council upproval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events wi/l not be allowed.
NAME OF OWNER: , �.Q S )� ���,�{/� PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: C�.IJw V PHONE:
CONTACT PERSON: � MO ILE/PAGER:
MAILING ADDRESS: I`7b0 q 3 7y��l o CITY: ZIP.
STATE LICENSE: #�� � �� � � EXPIItATIO ATE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding, Windows) �
Any earth movement may require MCWD review and permits!
PROPOSED WORK(deseribe in detain: �'.-e_ —�.^ d�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in conformance ' the ordin d codes of the City and with the State Building
Code;that I understand this' permi ork' not to tart without a permit;and that the work will be
in accordance with the proved .
APPLICANT'S S NA ATE: � – �L/�
V�
31
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JUN-02-2007 62:29 From: To:9522494616 Pase:1�1
Sec.li.pA W C;li'PY UK 6UBJECT$OB DATA,
Subd.l. Typc of dua Thc ri�Ju�of i���liviJun)ua wlwm thc dem ia atorcd or to bc Stoned ehdl be oa ect forth in this aocl'Ion,
Sulxl.2.Iniommdoa rcq�urod W be glv�n imlivicluai.An individual aekerl 14 SuPpIY priwlc�r�ror►lick�nrisl d�concarling hlmself eltvll be
iafocsne�d of: (s)Uic pur�;u,J inlenJed wc ul'Ihc icqucetod data aidiin thc colleclin�s�te aga�cY,polidcal auhdivisi0��,or u4�tewiJc ayslcm;(b)
whelher Ae rtmy retiaec nr ie lep�lly reyuireJ Iv aupplY Ihc rcqucstcd daa;(c)any lmown Cons�quence orieing from hiA aupplying or refiain�lu xupply
ptivo�c or confidcntisl data;and(��6e identiry of othcr ncraona rn ui�itiNs;�uqwrixeJ by dlal�ur I'alcral laa to rcccivc d1C daq.Thie requiranent rJiall
not upply whca ao iadividunl u nxkcd to xu�ly invoRti�Mi�a�4���,pi�wiupl lu acetia�13.81,aubdiviAion S,to a low enforcemeot officer,
1h4.F4OW119Bi0nCr Of lC,v,QItuC�y'}y ylnee l6e nodce rea� undcr�jE�ultdivisinn irl qin inJividuel ineume�n�or nronenv ts:refund
in8auctlons iesteul of on rhose fom�x_
$��U�I.3. Aa:aa In dotu by iadividunl. Upon rcqucst W atesponaible authoriry,an indrvidual a6s11 ho info�tii�l wl�ell�erhe ia 16e aubjcct oF
au�rai�r un i,nliviJuula,mcl w6cthcr it in clavsificd as pub)ic,prlva�e or confldontial.Upon his further ra�uenl,:trl irKliviJu�l whu is!hC aubjcet of
arored private pr public data oa iedividusle ahall ho al�owu U�e d•�la wil huu��my ehur�tn 6im aod,if kia denires,91fa11 be infOta�acl of the eoolent and
mwming of tha�deta. Allcr an jadividual6ea been xhown thc privnW d�l�:unl infun�wll uf dx mcaniog,lAc dutn nccd notbc dinelpyed lo him for six
montha�hermllsr�mlais u Jiepulc or action pucsusnt tp thi9 Scc�lOn is pouJlna ot auWidonnl dota on ehc individual I�1e 1�de�i cvllecleJ ur�ulcd.I'hc
rcaponablc auUnxi�y s6,�ll pruviJe wpica of t6c priwtc or public d.v upofl tequeat by t6e individual aubjxt of Ui�dal�Tlxe rexv�naibla uaWuriry
moy rcquirc dfc rcqueEling petsoa�o poy the actual cai�a af makiug,ca�tifyinr„und w�iling thc copic�.
The tesp�aible authariry Rhall cnmply immedi�uly,i f pusgiblu,wilb aoy rcqucet tmdc purauant to Q�is subdivisioa,or wi�in f ve doys of
iIk Jule uf Iho r�quc�t,accluding Saturdays,Suacl�ys and legul bolidaya,if immcdiatc aimpliy�ce is�ro�p�rx+ible.Jf he cNmot comq�ly with the rcquest
withm thut timc,hc ahsll so inform�he iodividuol,und may liavc an adAilinnal fiva dtrys will�io which lo comply witb thc raquc�C�tCludipg Satul'dtys,
Sundayn aiwi loY,�l Iiuli�L�yy.
Subd 4.PmxAurc whun�lala is�w4 nwimlc w 4�Icl�.An individual may contcstU�c aCcurAcy ot oumplexnesa of public or privaoc data
conceming him4elf.To�.creiKa tlii�rirld,nn indiv�dunl slmL nodty in writing the rcaponSible aWhocity J�:suibie�t6e nanae of Ihe diesgreemeM.The
rcaponsible autfwriry shsll wilhin 30 Jaya eit6er: (a)cortcct dro data fnund to Iw ir��eu,u��,ur i�wumplate aiul nticmpl io notify pmt recipicntg qf
iau�rawtc orincamplctc dsta.includ'fog ceeipian�named by thc individual;nr(h)nntify Ilie inJividad Ihul hc bclicvca 16e dnta W bc concct Dala in
diepute al�ll Iro�l;selusal vnly�f 16c indiviJud'e aatcmcnt of di'sgrccmcnt is iacluded wi�h d�e dixcloaed dan.
11io detern�ir.�i;�m uP1hc rcapuaaiblc nutboairy msybc apncxlcd pu�gWnl W the provisfooe of Ibe administrativc procodurc act rolati��g tq
conorartcd cucs.
UA'1'A 1•ItIVA(;V A1)V15URY
In accordance wi�h M.S. I 3.04,Subd.2,"Rights of subjCcta of Jutu"�wo wuulJ lik�tv iaftnm you that your requcst
for a permit or license from Ihe City of Orono or any of its depurtments may��quira yuu lu fumiy6 a:rtmin privatc ar
confidential inforntation.
You arc notified that:
1. T6c infurmation you furniah will he used t.o determine your qualification for the permii a� li�r�a�
requested.
2. You may refuso to supply data,but i�efusal mny require�l�ut thC Cily Jesny ILc perrait or licensc.
3. The informatlon rnay hC Kl�:u�ed wi�h uAiur luu:�l, slale or federal agencies to the extent neeessury to
proccss the pecmit or lice��se.
4. If your requested pePmil oC lictuso rcyuirca Cuunuil tu;liun lu approvc,aome infarmation may hecame
public.
5. Xuu huvc cCristia righls undcr M.S. I3.04(available up�a requeRt)tn review private duW on yvursclf.
6- YouC lull[lfime is rcquircd to ptocC�s thiv anplicatian nr permit.
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� � DATE TI E "
� CIT�RONO CALLED W "a'�'D �.��
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INSPECTION ��C��� � SCHEDULED • �'�d
PERMIT NO. � COMPLETED
ADDRESS _ PCS `
OWNER.v� ' `�i�-¢.��n CONTR���,ir_�,T_�t—
TELEPHONE NO. � CO 3 rI S�'S ZZZ( �x-f- (C� Co
� DESCRIPTION ' 'C�C� T—'i rcQ I
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 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 MEEf YOU:_YES_NO
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE 1�
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952) 249-46��
OwnerlC it •
Inspector.
White Copyllnspector's File Canary CopylSlte Notice