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Home My WebLink About2008-00147 - roofing E . CITY OF ORONO PERMIT NO.: 2008-00147 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/19/2008 952 249-4600 FAX: 952 249-4616 ADDR�SS : 1360 REST POINT CIR PIN : 07-117-23-32-0031 LEGAL DESC : REST PO�NT PARK LAKE MTKA : LOT 003 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPI$RTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVTTY : O/S BUILDING-UNDEFINED VALUATION : $ 5,000.00 APPLICANT pERMIT FEE SCHEDULE 118.00 SKYLINIE EXTERIORS STATE SURCHARGE(VALUATION) 2.50 6491 AI�,THUR ST NE TOTAL 120.50 FRIDLEY,MN 55432 (763)5741531 Minnesota State License#:20215480 OWNER JR,DAVID&JENNIFER BOIES 1360 REST POINT CIR MOUND,MN 55364 AGREEMENT AND SWORI�i STAT�MENT The work for which this permit is issued shall be perfortned according to the approVed plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gant pertnission for additional or related work which requires separate permits. All provisions of laws and ordinances governiq'g this type of work shall be cqmpied with whether or not specified herein.'I'his permit will expire anc{become null and void if construction authorized is not commencCd within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after wor�C has commenced. The appliaant is responsible for assuring all required ins�ections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �/�C`� �l �`� l � �l / i0�' Applican ermitee Signature Date Iss d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Total Fee: $ ��0 •S� g/ �g/� Date Recerved: Entered By: Permit#: o� 8= j�/ T CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. � (please print all information) THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR JOB SITE ADDRESS: �J�� {f 1� �Q��'^� �� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �Zv-L ��/� -J PHONE: (home) (work) MAILING ADDRESS: /3�0 /��..s� �,r¢ C,�'CITY: �� ZIP: CONTRACTOR: �Sl� l�� E'7`�-✓�,��fs PHONE: ��3_S-�y.�s-3 i CONTACT PERSON: -e✓►n<') C'z�"�s�.� MOBILE/PAGER: MAILING ADDRESS: /7�,o( �o r.� y0/ /�/ CITY: /^��c G-/,�..� ZIP: S'3'? /r STATE LICENSE: # �o a. f S'�C g o EXPIRATION DATE: O � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: �{t��a� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED �� ESTIMATED CONSTRI;TCTION VALUATION(excluding land): $ ,�v�� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the 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 approued plan. APPLICANT'S SIGNATURE: �� — DATE: �'��'a� 31 ' Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shal l be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested dats;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or propertv tax refund instructions mstead of on those forms. Subd.3. Access to data by individual. Upon requestto a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been wllected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. 1'he responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of � the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contestthe accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nahue of the disagreement.The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination ofthe respodsible authoriry may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY Iri aCcordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confid�ntial information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve,some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. ��/I. � � �z,/'� � 2✓��d ''� First Middle Last l70�0 / Ql � f� ��i�.e ,� Address ' .��-� Gr��--� �i SfJ i� �c, .�-r�y�rr 3 i C��Y State Zip Phone I understand my rights as stated above. —� `'�� Signature I �� , 32 �l -� a�°��/ �-s�-� ,/ DATE TIME CITY OF ORONO CALLED IN g � �� INSPECTION NOTICE SCHEDULED �� PERMIT NO��8' -(,OD/�'JCOMPLETED � r ADDRESS � �� e� I�/�� CGe- - OWNER CONTR.c S��-1�l�-e ^ �i''/D�.f TELEPHONE NO. ��3 " S ��'�.S-3� � DESCRIPTION �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j �l ' O >. � O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IIVSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on sit • inspector. White Copyllnspector's File Canary Copy/Site Notice D�� 7 DATE TIME � CITY OF ORONO CALLED IN D INSPECTION NOTICE ,�/ scHEou�Eo �� PERMIT NO.�C1�'�"�COMPLETED ' ADDRESS /3 �� ll�lf �%1 _YG[.C.. ' OWNER CONT � r�� TELEPHONE NO.��3 �J 7SL- � J/ � DESCRIPTION I � � � ❑ FOOTING ' ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION ��NAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARO COVER REMOVAL J p PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O >. � O � W � Q � 2 W � W � � C! ' W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPL W ❑CORRECT WORK 8�PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiI`IONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETWRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAL�INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-4600 Owner►Contractor on site: inspector. n r . White CopyllnspectoPs File Canary Copy/Site Notice