HomeMy WebLinkAbout2001-P04373 - re-roof � � ° •. ,
� � • PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P04373
Crystal Bay, Minnesota 55323 Permit Type: lvlinor Alterations
(952) 249-4600 Date Issued: 9i28�2ooi
SITE ADDRESS: 1650 North Farm Rd
Long Lake,MN 55356
P I D: 27-118-23-44-0009
DESCRIPTION: UBC Occupancy R3
Proposed Use: icesidentiai
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: $ 3��•25 Valuation• $ 23,975.00
State Surcharge Fee: $ 12.00
TOTAL FEE: $ 389.25
APPLICANT: Reliant Energy OWNER' Robert&Ardell Mack
700 LaSalle Ave � 1650 North Fann Rd
Minneapoli,MN 55402 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 BUII.,DING CODE REQUIREMENTS.
Q'1'IC�� �- 6 lc,�-r C� (c.. a� ���
SUED BY SIGNATURE
Copies: 1-File(Signitures Reguired),1-Applicant, 1-Mon�lyReports,1-Assessing, 1-Finance Page 1
• � ' • - Tocal Fee: $ Date Received:
� � Entered By: Permit#: �
��
CY'T'Y OF ORONO - BUILDING pERMIT APPLICATION
All informatioa must be submitted in flill before plan review will be started.
(please prinl all information)
THE APPLICANT LS: (circle one) OWNER O ONTRACTOR
Jo8 srrE �►DnREss: .I 6 5o Norl.��+ ��e.vn �,A� zIP: ss 3 s�C
NA.'VIE OF OWNER: ��2�� (V`� PHONE: c�o�,95a� 7�S•�'j�le�
(work)
?1ZAILL'�TG ADDRESs: �6 SD /1lflr�-�. FAatr�r� '2o�+�P CIT'Y: OL.�rn.o zIP: S $�o
CONTRACTOR: I�itl � �� PHONE: �I�'3-21 ���3r3
CONT'ACT PERSON: �. (o l o�f•.�- MOBII.E/PAGER: b�d-9 t a��.�k�9
Mpi1LYrTG►ADDRESS: 7D�D C.AS�rl(,� �Acv�. CITY: I'�1�lS ZIP: S'S�0 2
STATE LICENSE: # 4C' o�� 69 SS(� ��G (012_ 3�,1 - 5219
ARCHITECT/ENGINEER: ��NE�
MAILING ADDRESS• CITY• ZIP•
NAME: REGYSTRATIOh'#
TYPE OF WORK: New Addition Accessory Structure
Move RemodeUAtteration � Land Alteration
PROPOSED WORK(describe in detai�: ��"�'�"� �' �'"�r ���'�iei�� �
STORIES: SQ. FEE'T OF I:ACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUAT�ION (eaccluding lan�: $ a3� ��S
I hereby apply for a building permit and I acknowledge that the infor�nacion above is complete and
accurace; chat the work will be in confora�ance with the ordinances and codes of the Ciry and with
the Srate Building Code; that I undentand this is aot a permit and work is not to start withouc a
pemut; and that the work will be in accordauce with the approved plan.
APPLICANT'S SIGNATURE: DA�: � '�� '� l
NOTE! Pnrade o�'Aomes events reqr�ire separate pernrit approval by Police Department and
Cily Cou�eci! 60 days prior to the event. Non perneitted evenis will not be allowed.
. SEP-19-2001 14�07 � M CO HSP-3RD , -� 1 � 612 321 5279 P.04/05
. - �Encered $y: (C���-i'�-�� .� `-��°, `� Permit�:
,�,-:, /�/ -�3
� YTY OF ORONO - BUILbING PERMIT APPLYCATION s� �'�
C ,;, ��
� r;�;� � %�> ". - < �-_ � �
All iaformation must be submitted in fl�il before plan review will be sta�ted. �'1 ��
(please print all i�fornsation}
---- -----_�....�---_._.._.._..�....._..�_.._.... ....___�.........�---- __------
T� APPLICAN'I' TS: (circle one) OWNF.R 0 ONTRACTOR
do8 SrrE aDDxEss: .�6 'u�o Nort�+ F�nr. Y�,A� ZIP: s5 3 S �
NA.'Vi� OF OWNER: r�1�Q�� ��- PHONE: (home)�5o�- 7�f S•�ja.(e S
(work)
?�sau,�tG annx�ss: �6 SD �loa.d'I. ��. � crrY: oc�.,o z�: 5�
CONTRAC70R: I�tl � �^a'� PHONE: ���'3ZI ���3�
CONTACT P'ERSON:_�. !a l o�.G�• MOSILE/PAGER: b I d-�i i a-Z�c79
MAII.�iG ADDRESS: 7Db (.As xl l�. A�,� CITY: l�'�I.s ZIP: SS�o z
STATE LiCENS�: �' b�• �� �,9 BSL �c ��Z- 3aI - 52�9
ARCHTTECTlENGIl�tE.ER: PHONE:
MAI�,II�iG ADD1tESS: CITY• ZIP-
NA,ME: �tEGYSTRATI01�'#
TYPE OF WORS: New Addicion Accessory Strucntre
Move RemodeUAlretatian � Land Alucation
PYtOPOSED WORK(describe in d�tai�: ��'2-arF � �+�'�'�'��= ����A'�� ��'
STORIES: SQ. FEET OF I:ACH FT.00R:
NO. OF BEDROOMS: GAR.aGE STAY,.I.S: ATT. DET.
ESTII�tA1`ED CONSTRUCTtON VALUATION (excluding land): $ a3, 9l S
I hereby apply for a building permit aod I acla�owledge that the inforrnation above is complet� and
accurace; �hat the wnrk will be in confornsance witb the ordiaaaces aad eodes of rhe Ciry and wich
the S�ate Building Coda; tlnat Y understand this is not a permit and work is uot to stan ai�hout a
permiL; and that che work will be in accordauce with the approved plan.
APPLICAi�iT'S STGNATUI2E: DATE: � 'fci 'O l
1VOT�E! Parade ef Aonees evenls require separate pernrit approva!by Police l�epartrneni and
City Council 60 days prio�to the eveRt. Noa perneit�ed events will not be allowed.
, SEP-19-2001 14�07 MGCO HSP-3RD 612 321 5279 P.05i05
. "- 'r. '.
Sec.13.0a A1GH1'S OF S[lB�C'P5 OF De�TA
Subd. 1, ?j�pe of dan. 1be eigb�s vF i+diridual oe whem�e dsv a s�ored ot�o Se S�oRd stull be as acs[orth io�is sxdoa
Subd.2. �ofloadoo ceqYis�d�e b�yeo lod�idual. Ar,individwl sskcd oo s�ppl�Pavare or con6deodal daa eo�ecaiog Oisaself stistl
be ipfoamed o[: (��e puepOse s�ld iatended usa of ma eequasscd O�s wi�l�the coUcoong 3cue�toey.polival wbdiviiion.or soicWide sysr�a+:
(bf Wb��r be mar reruse or is 1�6alty requieed co supp�y me Rquesua nzn:(e)inY lawwn�asequeaee'risiag Eroa 4is lY�P�Ying o�tell�sins oo svPP�Y
privaoe or�onfi�eeeal dsa:and(a��he id�ory ot otlte�paRons or eeoiies su�oeted by ar�re or ledara!11w m aceive rhe dsa. 'ZTtis taqviirmeo�:hsll
qo�apply�vh�a in individu�!i�s�Jced�o S+sppJy in��so�aove dsm.pu:susiu ro 3ecoon 13.�2.subdi�itton S, ro t law entoreemenc otF�cer.
e cam 'f ' ne v mie v r he ' e o ir:d u sr dii�sitbdivision in the�n 'vidv� �jRt��D►emeerN Ltt R(Ulld
,�jaRstiens irlf�d3d nf an Se(QRn9. ,
SuEd�3. Aaess w dae�by idiriduol. Upon tequat m a re�ponsibk su�horioy�an indi�idusl shdU be inior�d weataer tu is�he subje:�
ot swem ds��an individusls,ind Whe�her i�is elsssificd�s publia.Pdvata o��onf�denosl. �P°°�is WMer request.aa iodiYidwt who is du subject
of soerod peivax o�public d�n on iadivi0uals�ul be shaWn the dun wi�hou�•rar eairge�0 6io►�uud:J ha dettres.shsU be inloeaed af�e eonrea�
iud meaaias of�u dsd. whee sn iuQiridu�l eas ban shown the pri�ou dsp�nd intormed vf in maaoi�t�� �he dan need�oc bc disclosed Ie aim for
sy�moddtis d�erafser unle�e a aispu�e or uden puesus�u oo rhis seecon is pn+din6 or sdeirioesl dirs on�e iudi�iduel�s beea eollec�d or craaed.
1t,e reapoasbk i�tihoei�r sbaU provida copies of thc pdv�te orpuelic dau upon csques�by d�iadividas[subjece o!iha dus. ?he eesponsible su�eeiry
aisy nquiee rbe�equesting pason m p'y the uaql eosa ol RukiA�.�:eRiiyin�.and eoa+p�ag�e eopies.
17u responstble�u�eriry sball een�ply i�nedisaly.if pas:ible,wim�rcqaetl f�d�pur�usnc W tt►is subdivision.or widun five dayi of
d�e daa oI�requesc.euludi�g SswrdaYs�SuqdsYs aad leg�!holidaya.if ienmad'wte wmplisna is not possible. (f he ea�o�eompl�with tht r�qust
wirhin�hu d�ae,he Sh�li so inloem tlie individual.aM mar ha�e an■d,livanal hvc diys wirAin vr6ich!o eotnply Wi�lt�8e eeqtJes�,exeNCina SaNI�lays.
Sund�►yys and le�al hotidays,
� Subd.a. ProerAvice Nbe�d�ta it�accurate or aowplcce. M itbdividwl auy aonrett me xc�taay o�aanpltaaess ot publie ar pn�s�e
daa eoerrmiA;himseff. To eset�cise�is ri�hi.ill indi�idwl sAii{I nodty itt weJ�mg me resp00li'b(e rud�onry describing du tuitute of the disag�emen�.
Tbe tesponsible sutaeriqr sh�U withiq;0 dsys ci�tr. fs)carreet the o�w lovnd w bc inueueam or iaeompkre zad uxtnpt oo aedty pasc reeipiencs of
in�ecuna ar ineonlplaoe d�n.ioebrdin�nupiaoc�o�ned py d�iaJi�idwJ:or(6)aodty du individual�h,ts bo bclicveS�he daa w be�ottee�. Daes
�dispux 9Asll be disclosed o�ly ii�e indi�idwl's inoeaum of dis�i:racment i!incl�ded wid��e disalosed din.
TAe deteelniemaon of rhe eesponsibte wtlwriey uwy he spFaskd pucsuto�w t!w provisiorts of dfc a0�iaistrsrive piv�edure occ rolsong to
oonoesad rasrs. �
P Y
la accordaaee wich M.S. 13.04� Subd.Z� 'RigAcs of subjects of d8ta". we would like m iafocm you�hat your requesc
for a pe�ic or liees�sa [rom cbe Ciry of OroAo or�y �►f ics depa:tmtaa asay require you w furnis6� eeRain privace or
CO�dCa�IBI lAfOtRl��30p•
You are aotifud �haz:
1. 'I�r iafom�arioa yau furnish will be used n�dececmiae your qualificacioa for the per�oi�vr lice�se requesced.
2. You may refuse w supply data, bu�retusd may nquire chac che Ciry dmy rhe peroiit or 1'uense.
3. 7'he iaformatioet m$y ba s6ated wirh othet loeal, s�ace or fedessi sgencies co che exceati aecessary ie process
tha peemii vr l[eease. '
4. lf your teques�ed permi� or licaose requires Couacil acciori ta approve, some iaforma�ion �y becou�
public.
5. You have certain d+gb�s under M.S. 13.0� ($vailable upoa ceques� co review private daca on yourself.
6, Your full narae is tequired co process rhis applicatioa o�petmic.
R��c�."s' �NL-nG `1
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Addoeas rn IJ ss�.���. �..� G�Z"9���a1�Jq
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`�' ��•tal'..�,.:5 Pe�s�►-. i?_.,�, C�l���-
I oadaa tay righu as s�a�d above. (�jr�a.'�t::+�+5 �Ar�+�
.
Si�niRre
TOTAL P.05
/ DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTION N I E SCHEDULED �
PERMIT NO. COMPLETED � "' � 1�
ADDRESS ` O
OWNER CONTR. �-���u-1!`-{
TELEPHONE NO. �v�� 'S��"'5.��7
� DESCRIPTION ` � �C /��o�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL
� OWNER/CONTHACTOR TO MEET YOU:�ES_NO
� COMMENTS:
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��IORK SATISFACTORY:PROCEED �ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR FiEINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-�6��
OwnedContrac��on�it�� �J
Inspector.
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