HomeMy WebLinkAbout2002-P05035 - re-roof � '� PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Poso3s
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: a�i�i2oo2
SITE ADDRESS: 1448 Park Dr
Mound,MN 55364
P I D: 07-117-23-43-0027
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 7,900.00
State Surcharge Fee: $ 3.95
TOTAL FEE: $ 157.20
APPLICANT: Suburban Exteriors Inc. OWNER: David&Larel Erickson
7466 Washington Ave S 1448 Park Dr
Eden Prairie,MN 55344 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP LICANT TEE SIGNATURE � ISSUED BY SIGNATURE
Covies: 1-File(Sienitures Required). 1-Anplicant, 1-Monthlv Reports, 1-Assessin�. 1-Finance Page 1
�PR-12-2002 08:57 FRO�-SUBURBAN EXTERIORS E +g528818232 T-863 P.002/002 F-843
Aj�!`�L�'!Pl', U0:4D'GIII PI YW-��I I ui ���vnv ----.. .-..
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Total F�e: $_ ,' � �• �`� _ Aate Recei�ved: �-- ��� � �-'��'
Eatered By: �,=�-����- Permit#: r_1�c� :�S —
�,�v CITY O�F ORUNO - BUIL.DIt�TG PERMIT APPI.ICATION ,
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All inforinat�an must be submitted in ftill before pla.n rc�view will be started.
(please print�ll ir�forncarion)
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TpE AppT,zCANT IS: (c�rcde one) QWNER OR CON"TRACTOR ,
JU� SITE AAAR�SS; � � �� ZIP: �o
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a �HONE: (ho � ?vd��/�
NAME OF OW1V�R: (warl�
MA]L�NG AUDRESS•���� /��G�CITY: ��,f� ZII': 3 �
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CONTRACTU � P'I�O
CONTACT P��SO S: �B�II•E/PA�C A; ZIP: _
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MAT.'LING ADDRES
STATE LICENSE: #
ARCHXT'ECTlENG1NEER: P'J30NE:
1Vtq.ILING ADDRESS- �ITY' �: ----
NAM�: ItEGISTRATION# ,,,
TypE pg wp�: New � Addition Acc�ssory Snvcnue
Move Remodel/AiLeration Land Altera.uon _
pg,pppSED yVORK(descri8e in detai�: _ �
STORIF�S: ____�_� SQ.F�ET O�'LACH FT,OOR:
NO. OF BEDROOMS: GARACrE STA�Y.LS: ATT. �,,,__ AET.
�b'TIlVJATED CONS
TYtUCTION VAT.VA7`ION (excludit►g land): � �d �
Y hareby $pply for a building permit and I aclawwle[lge chaL tbe infornaat�n above is cou►pl�e and �
accurar�; rhat 1�ne worlc will be in conforu�anc�.wirh the ordinanc�s and codes of the Ciry and wi�
rhe 5rar,�8uilding Cade; �hat Y understand rhis is uuoi a permi= dWlan.� no�to start without a
penait; and that the work will be in accordai1ce 'with rbe aPP P
APPLYCANT'S SIGNATURE: ` DATE: `T/ 1��
NOTE! rnl�P �f H� event� require s�aparate permYt approval by Poldce Department and
C�ty Counci160 days prior to the event. Nun perm�tted events witl not be aldowed.
A°''-12-2002 14:05 FROIkSUBURBAN EXTERIORS E +g528818232 T-96A P.001/001 F-854
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be iaformdd of: W du pu:pose sad in�end�use of�he requessd doa wi�ia the collaeong twx sOeary►politicsl subdivisian.or snaevFide sysaeuh
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privape er co�ad�l dnm:aAd(�du idvrniRi►vf o�her Pa�so�or otai�es autb�ized by awte or�ede�s!Lzw ro raaive d�e data. Tbis�quireaAeo�sbaU
' not appiy aVhCfl an individual is ss4ed�o supply invotogaovo d�.pactimat oo saodon 13,63,subdlvifioo 3,w a law e�fonYmaa�otfu�r.
ine comm�ss�oner oF mvem+b mmv el�es the neoc�rcau�un °r is�bdivision ' ' iv" ' ome rar ar
insa�[iaas ins¢ad ne on d�ose P�rms. .,
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o!s�l d�on iadivi�uals,sna whed�er i[is ela€si�ied as publie.Prna�or coaFidasdat-��un and,-�c�ires�sbsu be� info�d of th�no�ru
of sm�d pRvaoe ar public dera on indiV'�uaJs sliaA lx sttiovm ih�dsia�idi�sny�B ��pu dnn need ao�be dis�losod ro him Por
��pg o��hat dara. AC�sr u1 individui{has beeA shawa d�e pcir�[e dao�aad inforrn�d af irs aia
six arondu�d�e[oat�sse ut�ls�s a dispuoe or scdon pursuant co diis sadon is peadu�S�i dd'`bc'�u�diV'��du�l�e�of�eta. 1La respon�b�auNo a
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maY r�N�tba rcquesd�Peiaon co pay d�s mcaal ooyt�vf making.�a�atymS��d comP11ii1S�copir,s.
. '�'he responsble audwriry 91�e1i coe�►ply im�di3ar1Y,i�'P�b�•���"���`��°a"�°D�'u�`vision,os wi�hiu�ve diWs ot
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Suotlsys a0d legal holidays.
$ubd.4. Procedare when daso�ao�aecurote oe ooiapl�e. An individual muy��luc5����ing fieP aaw�of�1Kd�r��e
dp�e eoneerni�6 himsetf. To exercise�his�lgl�E.on iadividu�l shal)aop"ry ia wriw�g�1►��
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oor�es�ed coses. '
DATA 1VAC AA'VISOR'ft
It�accordauce wirh M.S. 13.Oq, Subd.2, 'Ri�ah�s oT'subjeecs af data",we arould like zo infarm yo�rha�your�or
for a pera�i� or ticense f�°m che Ciry of Orano or aay af i�s d�par�u�s u�aY �Nue you w 5ux�ish cer�ain Pri
cosf deA�ial ir�foimaiioa.
yau are notified thec:
1. The iaforrn�ioa you fum�sh will be used tc�de�ermime your qustiticacion ior tha permit or licen90 requae�ed.
2. You may se�se w s 1�P sha��w��iruht ocher o�al�star�vr�e�era]a�gendos w tI�extea�necessar�process
3. Tlu'saformadoa m�Y .
rhe pe�mit or Iice�ns�,
c�. If your ieque�d, pacatit or liccase requires Council aconn to approve, some ilnfosmatioa may become
pubti,c.
5, You hava ceraaia riP,hes uuder M.S. 13.04 (available upon request) w reeiew pcivace daza on yvurself•
6. Your t'uU Qa�e is tequir� w process �his applicacioa or��raiit.
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Sesoy Zip Phone
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1 w►derscaad, eaY nP,hcs as statcd abova ` ,
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Stisnsture
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOj�CE 2 SCHEDULED �
PERMIT NO. y�����✓S COMPLETED ( ��
ADDRESS �y`�� .��� �.��i�-
OWNER CONTR. Sr��: CX7`•
TELEPHONE NO. � �c� �g C� ��7�D
� DESCRIPTION �D,l.l �-�f �.e_.�G�
� 01 FOOTING i t MEC N AL RI 18 XCAV/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 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor o site:
Inspector.
White Copylinspector's File Canary CopylSite NoNce
��� �/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION/19(�,TI�D� '-� SCHEDULED '�
PERMIT NO.r �� �� COMPLE D
ADDRESS_ �� � S � ��J _
OWNER CONTR. �;����rt�,t.G�''`-�-'��
TELEPHONE NO.
� DESCRIPTION ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
FINAL 14 SEWER HOOK-UP 06 PROGRESS
� -SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNEFi/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORFECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner tracto on site:
�
Inspector `
White pyllnspector's File Canary Copy/Site Notice