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Home My WebLink About2008-00192 - roofing . CITY OF ORONO PERMIT NO.: 200�-00�92 . 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE IssuED: 09/OS/2008 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 538 RUSSELL AVE PIN : 02-117-23-42-0001 LEGAL DESC : AUDITOR'S SUBD.NO.307 : LOT 009 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT VALUATION : $ 5,290.00 APPLICANT pERMIT FEE SCHEDULE 132.75 HELP HANDYMAN STATE SURCHARGE(VALUATION) 2.65 5810 W. 78TH STREET BLOOMINGTON,MN 55439- MISC FEE 0.10 (952)440-2124 TOTAL 135.50 Minnesota State License#:20408377 OWNER FAZIO,TIMOTHY KNUTSON&TRACEY 538 RUSSELL AVE WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed 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 grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if constructiom authorized is not commenced within da of the date of issuance,or if construction is suspended for a riod of 0 days at any ti after work has commenced. The applicant' responsi e for assuring equired inspections aze requested in onform with the Stat ilding Code.This permit may be revoked at y ' e f due cause. � �^� � �/ � / � pplic t Permi e Signa Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRI ABOVE. Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (p[ease print al1 information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: �� U��-�� f`�. ZIP: �S 3�) I Will tliis be a Parade of Homes, Remodelers Showcase Home or other Display Home? � YeS � NO /f.ves, a speciul erent permil is��eyurred with Police Deparin�enl und Crly C'ouncil approval 60 days prior to the even�. Shuttle bi+s service N�i!l be required unless applicant demonstrates sufficient on-si/e parking is avai/ab/e. Non-perniitted evenls ivil/no!be a/lowed. NAME OF OWNER: I i vt, �v�u�'�"C�"1� PHONE: (home) (work) MAILING ADDRESS: J� �' n�SS�� {�t CITY: Wa��t-��. ZIP: .�,5-.�� / CONTRACTOR: %�e �D ��y yi...p,�,. PHONE: ��-Z N�j 0 �l Z�C� CONTACT PERSON: �J-e�vt n i 5 cTU G�,vt�s 6�� MOBILE/PAGER: (�� (Z- Z32 S'rb u�� MAILING ADDRESS: S�SID (�tl. �� S�: tl z-2-D CITY: ' c7rM�, ZIP: 5,;�! � STATE LICENSE: # �tl �j D �3"�� EXPIRATION DATE: 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�JQRK(describc in detain: T�ai-- •.t f�'t /-� - l�'06 f STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S,7 �0, � 1 hereby apply for a building permit and[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 an ork is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: � �� C� 31 Sec13.04 RIGH7'S 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 tbrth in this section. Subd.2. Information required to begiven individual An individual asked to supply private or contidential data conccrning himselfshall be informed of: (a)the purpose and intended use of the requestcd data within the collecting state 2gency,political subdivisiai,or statewide system;(b) whether he may refusc or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or contidential data;and(d)thc identity of othcr persons or entities authorized by state or federal la��to receive the data.This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforceinent ot�ticer. I�he commissioner of revenue mav place the notice required under this subdivision m the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3 Access to data by individual. Upon raquest Lo a responsible authority.an individual shall be in(ormed whether he is thc subjectof stored data on individuals,and whether it is classified as public,private or contidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data witho�u any charge to him and,if he desires,shall be intonned of the content and meaning of that data. Atter an individual has becn shown the private data and infonned of its meaning d�e data need not be disclosed to him for sis months thereaRer unless a dispute or action pursu�nt to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copics of the private or public data upon request by the individual subject of the data. The responsible�uthority may require the requesting person to pay the actual costs of making,certitying.and compiling the copies. The responsible authorit�shal I compl� immediately.it possible,with any request made pursuant to this subdivision,or within tive days of the date of the reyuest,e.ccluding Salurdays,S�inuay�and Icgal h��liday;,if in��inediate coinpliance is not pos;ible. If he ccnnot aomply witl�tl�e request within tl�at time,he shall so infonn the individual,and may have an additional tive 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 contest the accuracy or completeness of public or private data concerning himself. To e�ercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreemenL 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 thathe believes the data to be correct. Uata in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The detennination ofthe responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance�vith M.S. 13.04,Subd.2,"Rights oPsubjects of data",we�vould like to inform you that your request for a permit or licensc trom the City of Orono or any of its departments may require you to furnish certain private or conYidential information. You are notitied that: I. The infonnation you 1�urnish will be used to deterinine your qualitication 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 liccnse rcquires Council action to approve, some information may become public. �. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Yow•full name is required to process this application or permit. � �t vf E�-�wo�-� l�/cw�lz�. � � First Middle Last ��:? �� 1 U 3'� �"� �ess �'e�� /�►-^� J a" �� 51"z �Yu z r�,� City State Zip Phone I under nd rig as stated above. Si ature Rcsct Form 32 - �}. DAT TIME V � <� CITY OF ORO CALLED IN `7� INSPECTION fiLpT� `�!n�SCHEDULED — � � PERMIT NO. 1 '� COMPLETED ADDRESS��g ��-�-SS -� I �-�/c�. OWNER CONTR. ,�0�� l �(J� TELEPHONE NO. l l � ' a �o� " � V`f q � DESCRIPTION / ' �— +G O� � � FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q � FRAMING ❑ MECHANICA�FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � � DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU' YES_NO ��., COMMENTS: � W a J O >. � O � W � Q � 2 W � � W � ' � W ❑WORKSATISFACTORY:PROCEED �FiOJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in aclvance. (g52) 249-4600 Owner►Contractor on ite: / Inspector. White Copyllnspector's File Canary Copy/Site Notice