HomeMy WebLinkAbout2002-P05789 - re-roof CITI� O� ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos�g9
Crystal Bay, Minnesota 55323 Pe►'mit Type: MinorAlterations
(952) 249-4600 Date Issued: io�3ii2oo2
SITE ADDRESS: lo6s NorthArmDr
Mound,MN 55364
P I D: 07-117-23-14-00 5 8
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Permit Sub-rype(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,875.00
State Surcharge Fee: $ 3.95
TOTAL FEE: $ 143.20
APPLICANT: �'•F. Smith Construction OWNER: Roger Illies
5975 Lynwood Blvd 1065 North Arm Dr
Mound,MN 55364 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.
APPLICANT PERMITEE SIGNATURE IS E BY SIGNATURE I��
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-AssessinQ, 1-Finance Page 1
16/30/2602 09:14 9524726539 WF SMITH CONST: PAGE 01
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Totat Fee: $ ��y J . 2 O rI � (;iDate R ived: ' � /� �
� Entered By: / � � I Permit :
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CITY OF ORONO - B�D1NG PERMIT PLICATION
pll inpurmation must be submitted in full before plan r view will be startQd.
(please pr�nt all information)
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Tl� APPLICANT �LS: (circle one) OWNER O CONT CTO
Jos srrE ,An�x�ss: O 5� ort,�-� �2� znP: s��-1
NAME OF OWNER: P NE: (home)—
(w rls�
MA.TLING ADDRESS: CI'I''Y• ZIP:
CONt'R.ACTOR:� � �M�'�-/� �'!�� . P NE:q sa-4�Z� - �53�
CONTACT PERSON: MOBILE/PA ER: lo�a-86> �3 � i '�
MAII.ING ADDRESS: 541 S' �-Y Nwo�o Lv�CITY: a 7.IP:5s 3 «/
STATE LICEN5E: � 5�o q _ �
ARC��TECT/ENG�INEER: P ONE:
MAII..ING A►DDRESS: CI1'Y: Z�:
NAME: RECIS TION�
TYPE OF WORK: New Addition A ssory StrucNre �
Move RemodeUAlteration Land Alteration
PROPOSED WORI�(descri6e in detai�: T'� n� o� � S �
STORIES: SQ.FEET OF EACH F�,OOR:
NO. OF BEDROOIV�S: GARAGE 5TALLS: A . DET.
ESTIMATED CONSTRUCTION VALUATION (excluding 1 �: $ �v} 8��'�—`
I laereby apply for a building permit and I acknowledge that the ' otmation above is complete and
accurate; that the work will be�n conformance with the ordinancc and codes of the City and with
the Staxe Building Code; that I understand this is nat a permit wozk is not to start without a
permit; and that the work will be iz1 acco e wx e approv plan.
APPLICANI''S SIGNATURE:W '� • DATE: t O - L y -- G Z.-
NOTE! Parade of H�m��events tequire separate permit a�p val by Police Depwsment and
City CounciY 60 days prior to the event. Non perntitted events ill not be allowed.
� 3ec.13.0`WGHT3�F SUBJECT3 OF DA7' •
. .
Subd. 1. 'L�pe o[ita. Ths cisha i imdividual ou Mr6om the dats is sooted or ro be 3rored�II be ss set[ot�io thi��ec�oo.
3uhd.2. toMrmadoo reeluiced W ii�m�mdiddo�l. M iadividwl asked m wpply priv�0e or coofideodd daa�co�himself shslt
be iofo�med e[; (a)�a pu�oee aod ia�euded of ihe Rqnamd dam wi�ie�e coilecaag snte aBeucY.PoliGd�6div�bo.or samrride s�ea�:
(b).vhe�er he�aay ToNte o1r is kEd�l►tequircd wPP�Y���dan:(c)eaY�wa coaaequea�x�dalos fr�.his eupplyir�or�M�lo�ta wpply
pmrece a c,oaffdend�l dwa:and(d)du ideadry f other petwos or antides autborizod bp ante oe ttderal laa to iecdve the daca. 'Ihis tequieetoecc s6alt
eot�ppir when an iadividu�t is�al�ed w suppl invesdsamre dao,pursuaat oo s�ioo 13.8Z,subdivis�°°S.oo a law snfotse�eoe o�eer.
� oE rev e v I nocce re r ' v' ' n � ' �o
i.�.,+usens int�eid of on dlom forms.
Subd.3. Atee�s to dota bY indMd UpoO ceqltesc m a nespoA9ible�ut6�otiry.ao individwl sh�ll be mfotIDed w6et�et he it d�e subJeet
of smced daa on individwls.�nd whe�her i�ia lassified�a public.privaoe oe conAdeeti�l. Upoe hi�fu�er ceques�en iadivtdusl who Is the�bja�
o[�oored prhnio�or pubtic daa on iedividuota be showa the daa widwut airy ch�c�e co him aod;ic he daisas.ataU be la[ocmad of�e coacenc
�nd me�aln6 of�hat d'n. A(ter�n indivtdu�l been s6own tbe privax daq aad Intoemed of ia o�nio6.t6e dm axd not be di�eloaed ro h6n for
etx moo�iheeeatbee udeaa s dispuoe or accon purmanc oo rhis secd�on is peudinp or addidooai dan•on the iodlridual bas ban colloc�ed or ct+ested.
The rdpona�le sut6oeitiy�tull provide eopiea o rhe privue o�public dan upon rmquen by�he iodi�idusl aukl���� ��Ponaible autlatiqr
msy ra�ui�a��9�6 P�r�on m pay fie wl costs of maltiag,certilying�and eomp�in�dae copie�.
���po�b�u�odq shdl eo r�aiuety.if poaible,wid�aoy nqueat m�de pnra�t�nc co tWs eubdivision.or wi�ia five dtye of
�the dsx ot t6e eequat.aacl�log Suu�dars. Ya�nd logal�Iidaya,If immediaoe aompli�f�ca is not possi6le. 1f he c�umoe c�n�ply witl�d�e requesc
wld�m dwe dme.he drll so inform�6e indiv�u .a�d auy h�ve an additional lire days wi�hin whicb m comply wieb d�e e�equest.excludiinf Sso�d,ya�
5ltadaye�od leget holidays. •
' �bd.4. peoeeduce whm data ia acc+v�au or eomplete. M iodividual may con�eac�he�uccuraey oc compleoso�eaa oF publ�c or pdvare
daa eooceenie6 hinualt. To e:err.i�d�i�rig6c, itidividwl s6�1!nurjfY in w�iaE the roepon�ible 4ut6o�deutib�mre olthe di�Ereenrs of
The�ponu'ble wdwdry ahtli wtthia 30 days eC. (a)cattcet rhe dan found to be ineceytrsee or i�o koe and to aorNY P��P�
i�oe or��. ��09�ipi a nuaed bY me ledividwl:ac(b)nod(y the iad�vid�ul�hu t�s beti�voa�he d.a m be coenecc Dota
ia di�ptoe ahaU be d'uelosod ooly if d�e I�ivid at's smoertknc of disagteenwnc is iacluded wit6�e diaclosed dan.
'L1�e de�ermi�don of du raspoasib wdw�try cnsy bo appealed Pa�suaae ro dte p�ovisiona of du edminlsnst{ve procedure acc�elating to
conoesa0 ases.
. DATA PBL'�ACY ADVISOKY
In accordsnce with M.S. 13.04, ubd.2. 'Righcs of subjeecs of data"�we weuld like ce inform you thatyour request
for a pe��nic or 1'uxnse from che Ciry f Orono or aay of ics doparmuncs may requfre You en furnish certaia privs[e or
oonfidentlal information-
You u'e nvtifled that:
1. 'riu infprmacion you ' will be used to decermine your qualifieatian for the permic or li¢�ose requested.
2. Yau may refuse eo sup 1y daca, but nfnsal may require that the City deny the permit or ticxn�e.
3. The lnfarmation way shared with other local, state or federal agcacies co the extent aecesasry to proeess
� �e permit or lfceose.
4. If your requesced c or lieense requires Couueil aetlon w approve, some informacioa msy bocome
public. �
� S. You have ceetsin right uader M.S. 13.04 (available upon cequest) to reviaw privece data on yourself.
6, your fnll name is requ to process this applicaziou or permit.
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T0 3Jbd �1SN0� HlIWS �M 6E99ZLbZ56 5T�60 Z00Z/0E/0T
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED D'
PERMIT NO. q COMPLETED
ADDRESS I�LQ,� �� � I�� ��YYY) �
OWNER CONTR. ,����
TELEPHONE NO. �"/,�- - �—I�-�� �J,��j
� DESCRIPTION �_�--�--C'-`�
lL 01 FOOTING 11 MECHANICAL RI 18 EX AV/G DING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 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
� O7 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 i� 36 FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEiE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContra gr�,on site:
Inspector. v
White Copyllnspect r's File `��a� Canary Copy/Sfte Nolice
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