HomeMy WebLinkAbout2000-P02490 - re-roof , PERMIT
��C I TY O F O RO N O Pe�it Number:
2750 Kelley Parkway- PO Box 66 P02490
Crystal Bay, Minnesota 55323 Pe�mit Type: 1�inor Alterations
(612) 249-4600 Date Issued: si2aioo
SITE ADDRESS: 2455 North Shore Dr
WAYZATA,MN 55391
P ID: 09-117-23-44-0008
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 363.25 Valuation: $ 22,410.00
State Surcharge Fee: $ 11.25
TOTAL FEE: �,�$374.50
L-----
APPLICANT: FOUR SEASONS ROOFING&SIDING OWNER: S S&J C MARFIELD
3010 HENNEPIN AVE S 2455 NORTH SHORE DR
MINNEAPOLIS,MN 55408 WAYZATA MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�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.
�
�
NA UED BY SIGNATURE �y
1
Copies: C ty,Applicant,Assessor,Finance Page 1
� •Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDIVG PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
1'HE APPLICANT IS: (circle one) OWNER OR ONTR.ACTO �
JOB SITE ADDRESS: � �� NU1� 1`" � �0}�-� �✓�ZIP: S� ��
NAME OF OWNER: �� ��cv`� PHONE: (home) �7 ZJ �3�L"�'
��'_ (work)
NIAILING ADDRESS: S U I� V"-e CITY: ZIP: �
o r �S�H rr�: 82Z� ��� ��2)
NTRACTOR: �Ir � SdY�S I� ✓
CO
CONTACT PERSON: � BILE/PA ER: ( ( 6f� .
Mr�II.ING ADDRESS: o CITY: S ZIP:�SS�ig ..
STATE LICENSE: # `��
ARCHITECTlE�TGINEER: PA���
1��IAII.I1``G ADDRESS: CTTY: ZIP:
NAI�: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move RemodeUAlteration� Land Alteration
PROPOSED W RK(describe in detain: � -�r� � �
c� e
STORIES: SQ.F'EET OF EACH FZ.00R:
NO. OF BEDROONIS: G?iRAGE STALLS: ATT. DET.
ESTi�i IATED CDNSTRUCTION VALUATION (excluding lancn: $ � � 0
I hereby aoply for a building permit and I acknowledge that the information above is complete and
accurate; chat the work will be in conformance with ihe ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
� DATE: � � O 0
APPLICANT S SIGNATLTRE: J
NOTE! Parade of Homes events re ' e separate permit approvt�l by Police Deparlment and
� City Counci160 days prior to the event. Non permitted events will not be allowed.
�5Z � 2�� � ��� �
� �,3� � ��5�
�
Sec.13.0�i RIGH'TS OF SL'BJECTS OF DaTa
Subd. 1. Tvpe ot data. 13e righcs of iadividual on whom�he daca is nored or co be stored shall be as sec fonh ia this secrion.
Subd.2. Information req�red to be givm individual. An ir.dividuai asked to suppiy private or coafidendal dara eonceraing himseif sha]I
be informed oF (a)rhe purQose and iamnded use of�he ceques,�dam wi�in chc collecdag 3-race agenry,poliacal subdivision,ar sratewide rystem:
(b)whesher he may refuse aT is legally csquited to suppiy the cer,uattd dac�:(c)aaY la�own coasequeace arising from his supplyiag or refusing to supply
privare or conndendal dara:and(d)�he idendty of ocEer peaoas or eaddes authorized by starL or federal law to�eceive rhe dara. This tequiremenc shalI
not apply when an indir•iduai is asf:ed to supply iacadgaave daa.Qursn3nc ro secrion 13.82,subdivision 5,w a law enfareemen[officer.
The cammissioner of re�enu r�av oli- the no�c r-auired under this subdivision in the individuai income tax or proaertv taz refur.d
instrucrions instead of on ehose focros.
Subd.3. Aeeess to data b�individual. lipon requesc ro a responsible aurhoriry,an individual shall be informed whether he is the subjecc
of stor_d dara on individuaLs,and whesher ic is clusified as pubLc,priva`or confidendal. Lipon his fucdser requesc,an individuai who is the subjecc
of stor.�d privace or public dan on individuals shall be shown rhe dan wid:out any cha:ge tn him and;if he desires,shall be iniormed of ttie concenc
and m:aning of ehat dan. Afur an individual has 6een shown the privare data and informed of ics meaaiag,the dara need noc be disclosed to him for
six monrhs chereaher unless a d"upute or acdon pucsuanc to �his secrion is pending oc addidonal data on che individual has been collected or creared.
The responsibie authoriey shall provide copies of the privaee or public dara upon mquesc by the individual subject of�he data. The responsible auehoriry
may czquire dse requesring penon ro pay ehe acaial cosu of maidng.cerrifying•and compiling ehe copies.
The responsible aurhoriry shall comply immediately,if possible,wi[h aay request made pursuant to chis subdivision,or within five days of
the date of che reques4 ezciuding Satuniays.Sundays and legal holidays.if immediace compliaace is nat pouible. If he caanot comply wi�h the reques�
wi�hin chac dme,he shail so iaform dse individual,uid may have an addidonal five days wirhia which to comply wi[h the request,excluding Saturdays.
Sundays and legal hotidays.
Subd.4. Procedure when data is not aceurate or complete. ?.n individual may contest che accutacy or compleceness of public or pri�at: '
dara conceming himself. To exercise�his righc,an individual shall noafy in wridng�he responsbte au[horiry describing che nacure of the disagreemeac. ..
'I1u tesponsible auchoriry shall within 30 days eid:er. (a)corr.ct che daca found oo be inaccuratL or incompleu and aaempt W n�dfy past recipienu of
inaccurace or incomplece dact,inctuding recipiena eamed by rhe individual:or(b)aorify[he individual thac he believes rhe dard to be correcc Daea
in dispuce shall be disc'.osed only if ehe individuai's stacemenc of d'uagreemenc is included wich ehe d'uclosed data.
The decerminadon of the responsible authoriry may be appealed pursuanc to the provisions of the adminisuarive procedure act reladng to
concested cases.
DAT?, PRIVACY t1D�'ISORY
In accordance wich�I.S. 13.04, Subd.2, "Ri�cs of subjects of data", we would like to inform you tha[your request
for a permit or license from the Ciry of Orono or any of iu deparcments may require you to furnish certain private or
confidencial information.
You are notified that: .
1, The information you furnish will be used to decermine your qualification for the permit or license requested.
2, You may refuse to supply data, buc refusal may require thac the Ciry deny the perm.ic or lieense.
3, The information may be shared with ocher local, state or federal a�encies to the excent necessary to process
the permit or license.
4, If your requested permit or license requires Council action to approve, some information may become
public.
�. You have certain riQhts under M.S. 13.04 (available upon request) to review private data on yourself.
E, Your full name is required to process this applica[ion or permit.
� �r �ir�� `��l '
�► �t
Fusc �
�
.�.ddreu / O � 6�
l
C�ry m� Zip Phone
I uad stan� my rights st d bove. .
Signaatre
.DATE TIME
CITY OF ORONO CALLED IN /0�
INSPECTION N ICE SCHEDULED � S �� r� �l��
PERMIT NO. �D oZ��l� COMPLETED l �
ADDRESS s J � � `
<
OWNER CONTR. -�"�
TELEPHONE NO. �/.Z —�Z��� /���
� DESCRIPTION /�-�ir��if
� 01 FOOTW�_,� 11 CHANICAL RI 18 EXCAV/GRADING/FILLING
FRAMIN 13 MECHANICAL FINAL 19 IAKESHORE/N/ETLANDS
O LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
�ORKSATISFACTORY:PROCEED - PROJECTCOMPLETE
� G CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�l CORRECT UNSAFE CONDITION WITHIN HOURS.
�: PHOTO TAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
L7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac on te:
Inspector.
White Copylinspector's File Canary CopylSite Notice