HomeMy WebLinkAbout2000-P02633 - re-roof � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P02633
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(612) 249-4600 Date Issued: �i6ioo
SITE ADDRESS: 3188 North Shore Dr
WAYZATA,MN 55391
P ID: 09-117-23-32-0011
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: $ 97.25
Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 99.25
APPLICANT: TODD CARSTENSEN CONSTRUCTIO OWNER: J A&D L ROSATI
5550 MAPLE HEIGHTS RD 3188 NORTH SHORE DR
EXCELSIOR,MN 55331 WAYZATA MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMI'ROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIItEMENTS.
D�;Y7�
L I EE I NA ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BITII�DING PERMIT APPLICATION
All informatio�must be submitted in fiill before plan review will be started.
(please print all information)
T'HE APPLICANT IS; (circle one) OWNER O TR.ACTOR.---� �
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NA11�IE OF OWNER: ' ���t�'S r�s�« pHo�: (home) �7'7�-S�Y77
(work)
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COr"I'R.ACTOR: � � '���."-,�.� �o "— PH0�1E: ���-/S`��i� .
COti�'ACT PERSO �: -T000 GA�s���-�MOBILE/PAGER: ���`Zlo7 � .
M�II.,ING ADDRESS: �S$�o /r'r�I/>rE �-��r.5� 2�CITY:�',���F�S��v ZIP:�'�'� � / ..
� STATE LICENSE:'# Zo�6�9v� 7 �
A�CHITECT/ENGI�i TEER: pA���
l L�II.ING ADDRESS: CITY: ZIP:
NA1ti1E: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: ���/L �� ���� ��C
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET.
�
ESTI1,i IAT'ED CO�iSTRUCTION VALUATION (excluding lancn: $ �lD�
I hereby apply for a buildin�permit and I acknowled?e that the information above is complete and
accurate; �hat the work will be in confor�mance with the ordinances and codes of the City and with
� the State Buildin� 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.
APPLICANI'
'S SIGNATURE: DATE: � �0�
� NOTE! �arade of Homes events require separate permit approval by Police Department and
� City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0�i RIGHTS OF SUBJECTS OF DATa
Subd. 1. Type of data. The righrs oi icdividual on whom the data is r•or:d or a�t�e swred shall be as sec forch ia chis secrian.
Subd.'_. InfocmaCon reqirired to be�.m individual. An individual uked to suppty privare or confidendal daa coneeraing himself shall
be informed of: (a)the purpose and iar_aded use of ehe requesred dam wirhin ehe collecdng Ytate ageary,palidcal subdivision,or snrewide rystem;
�b)whe�er he may r.fuse or is legally required m supply the requesud dsta:(c)aay Imown eoestquence arisiag from his supptyiag or refusing w supply
privare o�conr.dendal dara;and(d)the idenary of aeter peaoas or enddes aurhoriz:d by siam or fedeczl law to receive[he dara. This requiremeac stiall
not appfy when an individual is asled ro supply iar•arigadve dae,pursuanc ro sc:aon 13.82,subdivision S,co a law enfoczeaeat officer.
'!he commissioner of tevenue mav ola:e the nodce rauired unde�this subdivision in the individual incame tax o�orooertv taz esfur.d
inscrucdons ins.a=d of on chose foRns.
Subd.3. aecas to data br-iadividuaI. lipon request m a msponsible auchaciry,aa individual shall be informed whe�her he is ttie subjecc
of sco�d data on individuals,and whe:her it is ctassified as public,privau-.or con::dendal. L;pon his fnrcher cequest,aa individual who is the subjecc
of stor:d privace or public dae;on individuals shall be shown ehe dan widiout any cauge m him and;if he desires,shall be iniormed of[he con�enc
az:d meaniag of rhat dam. After an individua!hit�een shown che priva�dae and iniormcd oi ics meaniag,the dara need noc be disclosed oo him for
su mandu checeaiu�unless a d'upute ar acdon pursuanc to �his secdon is pending ar addidoa�i dact on the individual has been coilected or crcared.
The cespansibie auehority shall pcovide copies of che privace or pu6lic data upon cee,uest by the iadividual subject of che dact. Tne respansible auchoriry
may cequire che requesring person to pay the acnial cosa of making,cerdfying.u:d campiliag the copies.
The respansible au[horiry shzll comply iaurcediately,if possible,with a:y request¢�ada purntant to this subdivisian,or wirhin five days oi
the da[�of the reques4«ciuding Saturdays.Sundays and legal holidays,if immedi�4 compliaace is not possible. If he cannot comply widi�e requesc
wiehia chac dtae,he shall so inform rhe individuai,and may have an addiuoaal five days wichia wluch to camply wic:�ehe request,ezctuding Saturdays,
5undays and legs!holidays.
Subd.4. Proeedure whea data is not accurste or complete. An individual may concest che accuracy or compleceness of public or pri�ate -
data canceming himself. To exemise�is righc,an individual shall nadfy in wridc;�:e respoasible auchoriry dascribing ehe naeu:e of the disagreemeaG ..
The responsible auchoriry shall within 30 days eid:er. (a)corcncc�he dard found ro 6e inaccc:rac_or incomplece and aaempt to norify past recipienu of
inaccurace or incomplete dan, inctuding recipiena named by[he individual:or(b)coafy el:e individuat thac he believes the daa to be correcc Dara
in dispuce shall be dise!osed onIy if ehe individual's sracemene of d'uagreement is irciuded wich[he d'uelosed daa.
'Ihe decerminadon of eha rzsponsible auchoriry enay be appealed pursui:c to the provisions of eht adminisaarive procedure act reladng to
conmsc:d cases.
DATA PRNACY �D`'ISORY
In accordaace wich v1.S. 13.04,Subd.2, "Righu of subjecu of da[a", �•e would like to inform you that your request
for a permit or license from the Ciry of Orono or any of ics depz�ments may require you to furnish cercain private or
confiden[ial information.
You are nocified thac: .
1, The information you furaish will be used to determi,::e your qualification for the perm.it or license requested.
? You may refuse to supply daca, buc refusal may require that the Ciry deny the permic or license.
;. The information may be shued with other local, stac�or federal a;encies to the extenc 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 cercaia riQhcs uader M.S. 13.04 (available upon request) to review private data oa yourself.
6, Your full name is required to process this application or perm.ic.
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Signscuce
STATE OF MN DEPT. OF COMMERCE '
BUII.DING CONTRACTOR ��::
IDA►'l016S90? �'�•;,����
BUII.DBR ;a .. """^''''�
IIdDIVmUALPROPRIBTOR � �•<,
�ARSi'EN�i TODD CONSfR �.,� f -
. ``P��,'�',�i�x��g;'
SSSO MAPLE HEIGHTS RD
EX�EIS[OR MN 55331�d00
QP:TODD 7 CARSfEN�N
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DATE TIME
CITY OF ORONO CALLED IN ` ' �� p J �,� °
INSPECTION TICE SCHEDULED � �'� a
PERMIT NO. �D L �' 3 3 COMPLETED — � �_' ���
ADDRESS '.�.� I g g Y�� S � �Q �. � ,F� ,:��..
OWNER f �`">��� ! CONTR. TO��P CQ�2 S� PnS��
TELEPHONE NO. ��" `� � � �� �' l
� DESCRIPTION �.,.-�`�-(' � ���'._.,'�'�
l� 01 FOOTING 11 MECHAM�AL RI 18 EXCAV/GRADING/FILLWG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 09,:�+/fttt'BD. 12 WATER HOOK-UP 17 SITE INSPECTION
�'`�05 FINAL ,� 14 SEWER HOOK-UP 06 PROGRESS
�---8�1°'L7�1(CT 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
Q OWNERICONTRACTOR TO MEEi YOU:_YES_NO
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� ORK SATISFACTORY:PROCEED �PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED _, ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,- pHOTOTAKEN
INSPECTOR WILL RETURN
' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-460�
OwnerlContr or on site:
Inspector. ���^-��Da.�,"'
White Copyllnspector's File Canary CopylSite Notice