HomeMy WebLinkAbout2003-P05947 - re-roof .
'� ` 1 PERMIT
CI�fY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05947
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterarions
(952) 249-4600 Date Issued: ii22i2oo3 .
SITE ADDRESS: 720 North Arm Dr
Mound,MN 55364
PID: 06-117-23-43-0004
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residenrial
Permit Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS: .
FEE SUMMARY: Pernut Fee: $ 9�•25 Valuation: $ 3,213.00
State Surcharge Fee: $ 2.15
TOTAL FEE: $ 99.40
APPLICANT: Premier Home Enhancers Inc. OWNER: Mr.&Mrs.Leech
9707 Tenth Avenue North 720 North Arm Dr
Plymouth,MN 55441 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP LICAN PE E SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-At�vlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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, �Jun--01-200�, 09:13�m From-CITY 0� ORO�C � . � +9522494616 T-152 P.002/003 F-235
Total Fee: $ Date Received:
Entered �y: Pe�mit#:
CYT'Y OF D�tO1V0 - BU�DTNG �ERMYT APPLICA�ION
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�"' �,Q. AlI inFonanation must be subm.itted in full before pian re�iew vrill be started.
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T�3E APPLYCANT IS: (circle one) OWNER CONTRAC"I'O'R '�
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JOB STTE ADri�SS: '���G� /��1 ���I�I'Yl��'� . ZIP: �����,���
N�iME ��' OWNER: � ':�.e' �:�-,/r;�: ����--,_,,�7�-�.�%<��
PHO?�IE: (home) s.,�'
� � (�vork)
NIAII.L�1G AnDRESS: �1�:-�-� CITX: ZIP:
CON'I'RA.CTOR: J�Z�,-�� ` - �?�C'��i/✓PHO�TE: .'1��� -:���L%%lG
CO�PTA,CT PERSOl�: '.� �' MOBT�EIPAGER:
NZAILIN�ADDRESS: G7C� '-- � CI'i'Y: t�l��-�r :r% 7IP: ,h���
STATE LIC�NSE: �i �01
Al2CHI'T"ECT/ENCIIVEER: PHOti'E:
MATT, 1NG ADDRESS: CITY: ZIP:
N�,�; REGISTRATION# •
T'YP� OF WORK: New Addicion Accessory S�ueture
Move RemodeUAlterati�n Land Alteration
P�20POSED WORK(describe in detain: :��'�� 1� � � � f��h-�'���
STO�tIES: SQ.FEET�F EACH�'I.00R:
NO. OF BEI3ROOI�ZS: GARAGE STALLS: ATT: � DET. .. ._ . .
�.ST�TED C4NSTRUCT�ON'V'AT.YTATION {exClUdi.na land): � � � I��• ��
I hereby apply for a building permit and I ac�owledge that the information above is complete and
accurace; that the work will be in conformance with the ordinances and codes of the City and with
ihe State Building Code; that I understand this is not a permit and work is not to start withQut a
permit; and that the work will be in accordance with the approved plan.
APPLYCANT'S SYCrNATU�tE: �`���'��Y-'�/ AATE: /-"�'�'%,�
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NO3"E.' ��f�o� events r rre separaie permtt approvaI by Palice Depar�tment and
City Council 60 days prior to the event. 1Von permitted events wi�l not be allowed.
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1un-01-2001 09:14am Fram-CITY OF ORONG +9522494616 T-i52 P.003/003 F-23o •�
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Sr..l7.0i FtJGHTS OF SUBJECTS aF A,�Ta
Subd. l. Type of da[a. Thc rig4u of individa�l oo whom c�e da�a is sc�rrJ or co be scorcd shaU bc as scc fo�sh iu this sccpoa.
Sub4.3. Irlormation teq�red to be p�w iudividwl. An icQcviCu�l ui.�te supPlY Pnvam ot eonfideaoal da�a eoneeraing himsdf shzl!
be inforu�ed of: (a} chc purpose and iaundeC use o!�e rcquesud d�a y^:�siu�c collecang Y�te aYeacY.Dotidcsl sabdirisioa,or stsscw-�dc syss:.�;
;b)whether he may rsfuu or is Ieqally rcquicsd to supply�e mqt,esaed dia:(c}xny i�ewa coascqueaee arisiag trom d;s auPP�Y�B or reFusing w scPN�Y
privace ot conndcndal da�a;astd(d)ehe iZersdry af o�hcr persons or caddes s�chorizeQ by s�ce or federal law to rccciYe che d�u.,This ceql:ir_roe�c sbail
nc��pply wktn ar.ir.Qi�'idual is�sktd[o Supply il�vesdgtdvt dan,purfuuc w sueo� 13.$�, subdivisian S,w a laW entorcement vfticer.
The commissioner of re��enue mav F1scc [he f19RCe (eqtifK�Lrd•f tT1t5 T�b'����SiO� U7 �11e It�Qivjduil incAne f�x Or Dropertv 61z refund
'�nscruccions inscead of on_chose fonns.
SaW.3. Access io d�ta Dy iadfvidual. Upon iequesi�o�resFoasiblc zu�oriry,;�u inEividux!shaU be inlo[med wheeher he is the subjc;.t
o(s�oced da�s or�individaals,and wt;e�er it is elassified as pubtic,pciv�c�or cantld�nra Upan hi5 funDer requcs:,au icdividual who is che sub;:c�
of smrel pri�ace or pubiic dxta on indiviQuals s'.tal1 be s5cvm che dua wiz:v�u any c..ar�e to hun a.�d:if hc desues, SbaL' be in°ecmeQ of che cvnce:u
ard meani�g of dtat dara. After an iadi�idua!hu bccn shown e.`�c priva�d�c�and ir.'�cmed o:is meaniag,thc dara aeed not be d'uelosed ro Lim for
six a�on•Ju c:lerwicer unleu a dispute a�acdon pars�anc tu �his sccuan ii ccndmg or addicc�]dsu on the individuai has beea coUccud o�c:eaccQ.
'ire responsibk authortry shall pr�viQe coaies of:Jie privau or public dsca c�on tequu:b.4h:individuai subjeee ol che data. 'It�e respoasiCiC i�:SOr.fy
may requir�ehe requestiog penon�o p�y ihc scaat cosu oC�r�cirg,eer��ag,�^.0 compiling the eopies.
'!'he«sponsible�athoriry shslt comply immed'w�ciy,if possibi:,wich aay r-quesc eiade pncsuartic to�his subdivision,or wichir►five days af
che daea of�F.e reques�,excluCing SsA=rd�ys,Sundaya and legal hetidxys,if i.r.medi¢cs cempliuxc is not potsiblc. Yf hc catwot campiy widt�;r request
w:thin Lhu rise,ha sltall so intacm the indi��idunl,and may Fave an addi=oaai fcre day's N:�hiri whieh eo cornply wE�h cAc cequesc,exciuding 5aeu:days,
Surdays a;�d lcgsl kolidslys.
Subd.4. Yr�cedur�whea data is aot accur�to or ccmpkte. An indivieu�i a�ey conust she aeeuraey or co►apte�rness oF pe�biic er pri�•ac:
d��eonceming hin:self. To cxer:ise chis righc.sn indivAna!sh�!neaP��wr,[irg�:c rzsponsibic au;hority dtscribing�te r.acute of thc disa�ne�eac.
'rhe responSib!t authori.y sha1l wichin 30 dgys eit�er: (a)eorteci che d�r�foursd co L'e inac:uratc vr incompless snd uiempt to nodPy pas�iecipi�nu ef
in�ccu�a�e o�ineomplece dxa,uu.tud'us; reciyirnu na:icd by�hc i�div:dcy:or Cb) �o�ty the indiviCual cha�he bdieves d�e daa to be eorrece. Daa
in diipu:e shall be discivsed oalq if the iad,�idual's S�acsrpa,c of d�s:grr.�ent is sc'.��C.d wich the disclosed da�a.
'Ihe dtamtinadoa of c.tie rospoosibTe au�harip+may bc apptytd purruuc to ti`�e p:ovisio�s of the ad�siniscranve procedu�e aec:eSadnc w
con�esced casrs.
DATA. PRIVACY AD�'ISOR'Y
In accorducce �vith M.S. 13.04, Subd.2, "Ri�hts of subjec[s oi data", we would like to infGrcm you that your request
for a pecauc or lieease frem the City af Orono or any of iu dcpar:�.eats :nay require you to fumis�ceRain privace ar
co:�fdcntial informacioa.
Ycu are nocified ehat:
1, The inform�tion you fumish wilt be used.o de;rcmina;ou:qualification for chc permit or lieense raquested.
2. You mny refuse te supply data, huc refusal may tequire that the Ciry deny t�e petmic or Iicease-
3, The information may be shared with ocha loczl, state or federal aaaneies �o�he exun:neeessary ca process
thc permi� or licease.
4. If yosr requested permit or license sequires Couacil action co approve, some iuforuia�ioa ma;+ become
. , public. • •
j, You have eenain righcs under M.S. 13.04 (availatl: upva request) �o rtview privace daca an yoursetf.
6, Your fuIl namc is rcr�uired to pro�ess this zgplica�ioa or permit.
Fi�st Middie L�st
�r�mier t�ome En�ancer�
,�ddreu 9707 Tenth Avenue No
Ciry Sa[e Zip Phone .
I undccs�ar�a my ri,hrs � stated �bove.
,
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Si3nsturc ;,
Jun-01-2001 09:13am from-CITY 0� ORONC � ' *95Z24�4616 T4!'S2 P.ODt/P03 F-236
Tota! Fee: $ �. �-.� I7ate Received: � � �'� C� ,J
En�ered Sy: i Permit ti: C.% ;'9�l�
—
CITY OF t�RONa - B�DING P�R3V�T�lPPLICAT'.10N
. � All iuPorn�atidn must be submifted:tu full before plan review will �v� started.
' . (plsase prina adl injo»nar�on)
_......._._._.� ---- =------- - - .
� TFIE APPLICAN"T IS+ww(circle one) OWNER CON'FRAC'I'O'�; �
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JOB SYTE AUDRESS: �,(�/V_L���G�� � - ZIP: ,,;.� ��
� ` PBONE: om�: `Z 7�—�g��
NAME OF OWI�IER: �� (�► `�_�—�
���11v � (work) :
NJAYY.,I�VG ADY3RT�SS: .,� �' , —CTi''Y: Y'ZII':
CON'T'RACTORi � � PHU�TE: 7fo 4 i-'���'�I�O
� CO;�TAG"r PERSOR'�tz. �' MOBIY.�/PAGER:
1;
MAII,INC ADDT.tFSS; g C1TY: � �,Z�P:� .
STATE LdC�1SE: fl .
-�#�O�U3341 �
ARCHITECTrENGIl�ER:. - �H0�1E: �_
NiAYY.ING ADDR�.SS: �TY� _ �'
N�: REGISTRATION�f '�'� •
TYPE ��' wORY�: .New Addition A�oCessory Stru�:ture �
Move RemodeVAlteratien �� ����tiAn _
P1tOPOSED WQRK.(d�scribe fn detain: ��/L � � ;�
STORIES: ��.: SQ•FEET OF EACH�'I�OOR; �
NO. O�BEDROOMS: � GA1tAGE STALLS:. A'f?: ___,�,,; DB"�:�... . ._ . . . .
EST�ATED CON$TRUCTION v'ax,�UA�oN(excludi�;lan�= � 3,� o.�. 3� o�
I�ereby apply.for a build'wg.percr�it arid I acllmowlcdge that the iuformation abc�ere is camplete and
�ccurau; rhac t6e work wi�l be ui conformancs wfth the ordi,naneces and codes a;�the C�ty and with
che Stace �uiid�ag Code; �hat I.underst�d this i� twt.a.permi� aod wotk�s no,.t:to start without a.
permit; a�nd that the vuork will be in tc�orde��!+a�ehe approvtd plan- . . .
, � ` `
AP�LYCANT'S.SIGNAI'Ul�tE; AATE: "���"��Q3 � �
.
1Yp�! �,�gd��'�ev.ents r �re separate perm t approvai by Polie��Departrreent and
C�► Council.60 drry�prinr to ehe eveni. No�perrnilte�d events wiTY �ot be dT�owed.
" DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED �'-2y-03 �'�
PERMIT N0. COMPLETED
ADDRESS 7v� C� /UC�/27N �,eM. �K.
OWNER CONTR.�en�i�/' �iVl.
TELEPHONE NO. �� �� - 7OrP�- �CP �CP 4�"
7�� - �a i- y.�ad
� DESCRIPTION ZP,/,1it �
� 01 FOOTING 11 C ICAL RI 18 EXCAV/GRADING/FILLINCa
Q 02 FRAMING 13 MECHANICAI 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 OS FINAL 14 SEWER HOOK-UP O6 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS: -
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� �NORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra o ite:
Inspector.
White Copyqnspector's FI Canary CopylSite Notice
:���f � ��
DATE TI�`
CITY OF ORONO CALLED IN
INSPECTION NO IC�- SCHEDULED -`�'���
PERMIT NO. t--�� COMPLETED
ADDRESS � �
OWNER C T
TELEPHONE NO.
��� - _ � _
� DESCRIPTION
� 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 REMOVAI
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 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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL FiETURN
❑STOP ORDER POSTED.CAL�INSPECTOR �CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContract site:
- �
Inspector.
�
White Copyllnspector's File Canary CopylSite Notice