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Home My WebLink About2008-00065 - roofing I ♦ � � �� CITY OF ORONO PERMIT NO.: 2008-00065 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1ssUEn: 07/2U2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1972 SHADYWOOD RD PIN : 17-117-23-24-0025 LEGAL DESC : SHADY-WOOD : LOT 037 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 4,300.00 NOTE: REROOF/TEAR OFF APPLICANT pERMIT FEE SCHEDULE ]18.00 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 2.15 5145 INDUSTRIAL ST. SUITE 103 TOTAL 120.15 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 3247 OWNER MISCHKE,MICHAEL 1972 SHADYWOOD RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for oniy 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 construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requ d in conformance with the State Building Code.This permit may be rev ed a�any ti e for�. 1 7 Zi i�� /' Appli nt Per it igna re Date � � L� 7 /a/ lD � I ued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. E � 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. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O �CONTRACTO JOB SITE ADDRESS: �`�� ` ��..� �� ` _��:.� �,��r:'� �� ZIP: `_��7 ) 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 priar to the event. Shuttle bus se�-vice will be required unless applicant demonstrates su�cient on-site parking is available. Non permilted events will not be allowed. NAME OF OWNER: I,L I;� �L'��=x��—t- PHONE: (home) (work) (�12-Z7u -��,�) MAILINGADDRESS: (`T lZ �1,�,,,;�_, �l �� },CITY: G�,,,� � ZIP: �,-s��`i� CONTRACTOR: f{-lls}� �-o.��'�c_{�,'c� PHONE: �(�,j-�(7��-�1vc� CONTACT PERSON: �',,�-�,, , �„�;,�,Iz.�.� MOBILE/PAGER: (,�,>�z 3t c �Z.(�z� MAILINGADDRESS: S'/c�� :-��;;,�C.,� t r��-- CITY: ' ' 'il,y,��, ZIP: S_S�'�;`r STATE LICENSE: # jZ�'7 EXPIRATION D, TE: � -�� 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 re�ire MCWD review and permits! PROPOSED WORK(describe in detai�: ��', -�� . � STORIES: ; SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED� ESTIMATED CONSTRUCTION VALUATION(exctuding land): $ �j�l (� �— I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wil] be in conformance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a permi��d work is not to start without a permit;and that the work will be in accordance with the a}�proved plan. ; . ---_ , �� , APPLICANT'S SIGNATURE: ' , = DATE: �" �=� � � , , 31 1 * 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 himselfshall 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 data;(c)any known consequence arising from his supplying or refusing to supply private or confiden[ial data;and(d)the identity of other persons or entities authorized by state or federal law 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 enforcement o£ficer. The commissioner of revenue ma�place the notice required under this subdivision in the individual income tax or progertv tax refund instructions instead of on those forms. 3ubd.3. Access to data by individuaL Upon request to 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,sha11 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[o him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request m9de 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. Ifhe 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 contest the 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 nature 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 recipienu of inaccurate or incomplete data,including recipienu named by the individual;or(b)notify the individual tha[he believes the data to be correct. Data in dispute shall be disclosed onfy if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act rela[ing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. I 3.04,Subd.2,"Rights of subjects of data",we would like to inform you that your reGuest for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential 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. , �-1Y L-t�� \�\�l�� l 1 First Middle Last ��.� / .� ..l—bi�l� ti��t-� �� Address t�1 %1� ��1�.�� ti��_�� 5��.�.Id �z� City State Zip Phone I understand y rights as stated above. I ,' ---- Signat ^,��q ^',�y6, �. j� � � O�1— D E TIME c � CITY OF ORONO CALLED IN 7��d�� INSPECTION NOTICE SCHEDULED � � PERMIT N �d PLETED ADDRESS � � � �� OWNER � CO TELEPHONE NO. � — `- �'S9 — �D� � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI E AV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTO TO MEET YOU:_YES� , y COMMENTS: L� � � a � U - � G� 0 a � , � 0 � W o � N � 1 --- � Q � r-� A�Q ,� � �s-�-�r Gc9„s-�-. z W � W � � � � � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 Owner/Contractor on sit : Inspector. White Copyllnspector's File Canary Copy/Sfte Notice �^ � �� — " DAT TIME ✓ CITY OF ORONO CALLED IN 0� INSPECTION SCHEDULED �Z�. G� PERMIT NO. ��00�� oMP TED ADDRESS � �� OWNER - CONTR. TELEPHONE NO. �.J N,(�C( — ��3—`�`�%— �� , � � DESCRIPTION � � ❑ FOOTING ❑ MECHANICAL RI ❑ E /GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS 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 p SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUM ____ ❑ FOUNDATION/REMOVAL � OWNE ONTRACT TO ETYOU�ES NO ��., COMMENTS: L� G(J`` W � a • � J O � Ce ,. -(-� �4-�c eS ° �?� �SQd 'F3 �I C.vrL ra c-�o� _ W � � Q � ? W � W � � d � VORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site: Inspector. �,r/ White CopyllnspectoPs File Canary CopylSite Notice