HomeMy WebLinkAbout2001-P04320 - re-roof PERMIT
�IT11�" OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poa32o
Crystal Bay, Minnesota 55323 Per'mit Type: Minor Alterations
(952) 249-4600 Date Issued: 9�12�2ooi
SITE ADDRESS: 1285 North Arm Dr
Mound,MN 55364
P ID: 07-1 l 7-23-41-0015
DESCRIPTION: UBC occupancy R3
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: $ I l 1.25 Valuation: $ 4,900.00
State Surcharge Fee: $ 2.45
TOTAL FEE: $ 113.70
APPLICANT: American Building Contractors OWNER: James&Marie Ledwith
12247 Nicollet Avenue S. 1285 North Arm Dr
Burnsville, MN 55337 Mound 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.
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APPLI ITE I NA ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
AuQ-23-2001 08:23am From-CITY OF ORONO +9522494616 T-685 P 002/003 F-61T
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' Total Fee: $ ]7ate Recez�ved:
Entered By: Permit#:
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CITX O�' ORONO - BUILDING PE�tMI'T APPT��CATION !` ' �
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All information must be submitted in full before plan reYiew wilI be started.
- (please print nll information)
T�T'E APPLYCAN� IS: (circle one) OWNER OR CONTRACTOR
JOB SITE AriDRESS: �.���'S' .�1�,-?3-ri /►/� � �D.�' � ZIP: S� 3�"-�
NA.ME OF Q'GS'I��R: ����S l�€�� ..�; � ;H PHONE: (hame) �5� -4't; ..�t`i �C�
(work)
1-LA.II.INCr A.DDY2ESS: �y�'S' �l c:rr� ��2 n� Ll ��Clri'Y: t�2�►-!� ZT�': SS�;;i:�y
CONTRACTOR: i�i,�.,f',�, � ,�.v �..�n; �,!' �o;.iT2.�C'�I30IV�: 95�-��3?- (��i S`1
CONTACT PERSON: Fl,,,��� MOBILE/PA�ER:
' ,,z s� ,« ZIF: 553.�'�
:1�IA,TLTNG ADDRE.SS: �.,2 a� .� iv.c<,•:�f-: F,,��CITY: � ,� � f: —
STATE LIC�NSE: � .����G�� 3b s
ARCT�TECT/ENGINEE�t: PHOI�'E:
�IAILTl\rG�ADDRESS: CITY: ZYP:
NAME: REGISTR,A,TYON# �
TY�'� OF W ORI�: N'ew Addi tion Accessory Structure
Move RemodeUAlceration '-l/ Land Alteration
PROpOSED WORK(describe in detai�: �2�,�2��� � �. � Y e, +.���1���
U�' �' lr"�C'- .��
STORIES: SQ.FEET OF�,ACH FLOO�t:
NO. OF BEDROQMS: G�ARAGE STALLS: ATT. ]�ET.
ESTTMA'T'ED COI�'STR.UCTI4N VALUATION(exclucling land): �a �l ��'�� ���`_�
I hereby apply for a buildi.n�pemiit and I ackaowletlge that the information above is complete a.nd
accurate; that the work wiU be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand thi� is not a permit and work is not to stan without a
permit; and that the work will be in accordancz with the approved plan.
APPLTC�iNT'S SIG�NA � %� DATE: �- 1��� ��.
NOTLG'! Parade Q�2mes events require separate permit approval by 1'olice Departrnent and
City Council 60 days prior to the event. Non permitted events will not be allowed.
f H.rg-23-2�01 08:23am From-CITY OF ORONO +9522494616 T-685 P.003/003 F-617
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Sec.i3.0a RIGHTS OF SrJB.►EC7'S OF DaT.+1
Subd. i. Type of data. Tbe rig�u of individuat oa wbnw d�e dan is swcrd or m be ararcd shali bc as sct forih in this secaon.
Subd.3. Wormatioa req�red to be pvea iadividuat. ,�,i iadiridual aslced to sapply pcivatt at confidcoca!dats conceroiag him�sct�sbait
be inlormed of: (�the purpose and iaxnded use of rhe requeao�d dan wid�ia�6e collecdng�at�agcncy,poWical subdi�isioa,or srasewide sysrem;
(b)whecher he msy refusc or is legally nquiRd eo supply me:equesrcd San:(a)atty lmown eonseque�e xrisiag ftvm his supplyu►g or refusa�g to supply
privsce orconndentia!dan;and fd)�he idenriry of o�herpersons orencaes authorized by s�ak or fedGral law to cYceive tbe dan. This requiremea�shaIt
not apply when an individual is asl•ed to supply invesdgadve dan,purst�ac to seccon 13.83,subdivisi0n S,rn a law enforcemeac officer.
'Y'he commissioner of_[at'enne mav elace the nodce re iies!undet dtis subd4vision i�1 dfe 'ttldividual income nx or orooem taz refunti
inStNCti0t18 iRST of on chosG forms.
Subd.3. Auess to data by iadividusl. tJpon requesc to a respousible au�hoci�y,an individual sAall be informed wbeeher 6e is�he subjecc
of swred c'asa on individu�ls,sad whc�bcr i�is clauified u pubIic,pnvate or eonfidencsl. Upoa his furrher reques�,aa iadividual wdo is�he subjecs
of srnred priva�e or pubiic dam oa individuals shall be shown ehe dara.widiouc any charge[o him aad;if he desires,sLall be infocmed af dia co�tenc
$nd m�ipg of tt�ac dsm. Afur an individual bas brea x6own the pri�s�e dan and inforraed of io moaoiag,du dan qeed not be diseloud so hisa for
si�c mondis d►ereafur unless a dispu�e or aedon pursusn�w shu secdon'u pcndies or addidoflsl dsra ott rhe individual hu bern wllected oc creaeed.
The ccsponsib(e aurhoriry shail pr�vida copies oP�he privaa or pubGe aaca upon requesc by�e individual subject oP tkft data. The responsible sushoriry
msy require t!►e requudng parson ro pay dfe ua�sl cosc�o(malong,ccrofyirt�,a�d compilinS die capir.s.
Tho respot►sible authoriry siull comply immediately,if pos:tible.wi�aqy nquesz tnade pursuant w rhis subdivision,or wirhin five dsys of
�he dau o!rhe requa�.cxcluding Saeurdays,S�cMaya and legsl holidAys,if iramedian eompliauce is noc possbla If he csnao�comply wid�che requesc
withjn�haL tima�he shall so inform tbe iadividual,a�ttny luve a=t adJi�otul ffve days wirhai which tv comply winc�he reques�,excludiag Saturdays,
Sundays aM lega!hoJidays_
Subd.4. Proeedui'e when data is aot accurato or eompkte. An individusl cnay conKs�the accutacy or eomQlereness ol public ar pm•aQ
da�eoneemiag himself. To exercisc cbis dgJu,an individual shslt nar�fy in wrieicg tke cesponaibEe anNoriry dacribiag che astuce ot the disagnemc�c.
?'!�e responsible au�horiry sbatl wid►fa 30 dsys ei�Lee (s)corerct thc aa�fonnd eo be insccu�ase ar inwmplem and aaempz w nodiy pase recipienrs of
inaccurate or ineomgle�e data, inoiudiag recipieaa named by�e iadividaai;or(b)no�ify du i�dividual thtc he balieves dx da�x w bc co�sec. Dan
in d'upuce shsll be diselosed only if die adividual's seaeemene of d9sa�{Mernrnc it includad wieh�he discloud dam.
The decemiinaaon of tha resporuible authoriry may be ap��led pursuaac w rhe pmvisions of du admSniaaarive precedure aet nladns to
conresxd cases. . ' '
DAT�, pRYVACY ADVISOR'Y
�n accordance wi�h M.S. 13.�4,Subd.2, "Rights of subjects of data"�we would like co inform you that yonr request
for a permit or license from the Ciry of Oroao or any uf iu departmears may require you to furnisl� cercain priva�e or
confidential information.
You are notified that:
1, 'i'he informa[ion you fumish will be used to�iecermine yaur qualificatiou for the permic or license requeszed.
2, You may refuse to supply data, but refusal may require shat the Ciry deny the permic or licease.
3. The iaforniacion may be shared with other tocal,sta�e or federal agencies to the exteni necessary to process
rhe permit or license.
4. If your requested permit or ticttasst requires Council action to approve, some informauon may become
public.
5, you have cenain righ�s under M.S. 13.0� (available upon request) co review private da�a on yoursetf.
6, Your fuil aame is required co process thii spplicacion or peraiit. �
F'uSc rliddle 1.85[
Address ,
���, Snte Zip Pt►one .
I understand my rights as s�aced above.
Signaturc
09/10/2801 15: 02 6128088846 ABC PAGE 01161
Aua-¢3-Z0o1 08:13am From-CITY Of ORONO +ggP2�84618 T-665 P.OD2/003 F�6t7
� Tn.ta1 Fce: $ � �%�. ��%� Date Received; C,�" 1��" t' � .
E�t�red By: ��—��/ � � � Permit�: /�C �
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CITX �� ORONO - BUII.,DIiVG PEI�MIT APPLYCATION
_ � A11 int'ormatioz�must l�e sub�aitted in full begore plan reoiew will be started.
� (ptease pRnc nil t�formation) .
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TH� APPLICANT IS; (circle one) OWNER OR CONTRACTOR
JOS SITE AbDR�SS: • 5 �Ja R rN r� ,y► Q,� , ZII': 55 3�.y
NA.ME OF 0'R'NER: ����:s ��� ;,� � T� _ PTiONE: (hame) 9S a -49 S -'�`i o c�
� (wark)
1�SAI�.Il�iG Al]DRE.4S: ���' ,�/a,�rH A�2 r►� Q 21CITY: a�tn ti)0 71P: SS 3r��
C,�NTRACTOR: i�l,•��.��r,�1v �w�.n� �c�'� c' O.1VE: 9s�-�b�- (��i S9
�ONTACT PER�ON:�,,,o�, MOBILE AGER
1�iAILYNG ADIaitFSB: i a��l� n��Ca�t s��TY: `'��4� _ ZII': s533�
�TATE LXCENSE: # �e�!o g 3�J
ARCI�YTECT/ENGINF,EIt: PHONE:
11vIA1LTNG ADDRESS: CITX: .ZIP:
iVTAME: �tEGLSTR,A.TYON� .
TY'P� OF W'ORI�: N'ew Addirion Accessory Structure
Move RemodeUAlceratioA� I.and Alteration�
PROPOSED WORK(describe in detai�:��y��� ��, �Sb i,��h�
����
-------� - �
STO1tIES: SQ.FTET OF�;ACH�'LOOYt:
NO. OF BEDR�OMS: G�AR,AGE STALLS: ATT. DEr.
ES�lMA7'ED CONSTR.UCT14N'VALUAT[ON(exduding laad): $ L/, �Go ry`'
I�ureby apply for a buildiflg permit and I acknowledge that the infornoation above is complete atid
a¢curate; that th� work will be in canfonnance with the ordi�ances a�,d.codes of tha City and with
the State 8tiildin� Code; t}�at I understand thi� is not a permit and work is not to stan without a
permit; and chat che work will be in accordance with the approved plan.
APPLICANT'S SIGNA � / DA7�'E: 9—!(5-O I
NOTE'! Pa��de�,�,�n�� events require separate permit approval by Police Departntent and
' C'ity Council 60 rlays prior to the event. Non permitred events will rtvt�e allowed.
DATE TIME
CITY OF ORONO ALLED IN
INSPECTION NO�TICE��— SCHEDULED �' �! -C��.`
PERMIT N0. /'� a� COMPLETED
ADDRESS [y1•
OWNER CONTR.
TELEPHONE N0._ ���` �r� �a f
� DESCRIPTION 1�-c� -
� 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
OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� MO-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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEE7 YOU:_YES�O
� CO MEJ,VTS:
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ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContrac or on site:
Inspector.��G.vL �r,,6,�f�
White Copyllnspector's File Canary Copy/Site Notice
l�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �����
PERMITNO. ��3aO COMPL�TED
ADDRESS / � � d ���t,�I
OWNER CONTR.L�• �tc�.�dv�.v�s�f,
TELEPHONE NO. ��� c�9'�� ��D�/ —�x��.�
� DESCRIPTION �� i� �'Z
� 01 FOOTING 11 MECHANICAL AI 18 EXCAV/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
� 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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��NORK SATISFACTORY:PROCEED �'AROJECT COMPLETE
W� ❑CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFOflECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� 249-4600
Owner/Contra tor on site:
Inspector. �u ti'1�
�
White Copyllnspector's File Canary CopylSite Notice