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Home My WebLink About2008-00258 - roofing CITY OF ORONO PERMIT NO.: 2oos-oo2ss . ~ 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/29/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2304 SHADYWOOD RD PIN : 17-117-23-44-0107 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,200.00 APPLICANT pERMIT FEE SCHEDULE 47.75 RUSSO&LISA CONTADELLCI,COREY STATE SURCHARGE(VALUATION) 0.60 2304 SHADYWOOD RD WAYZATA,MN 55391 TOTAL 48.35 OWNER RUSSO&LISA CONTADELLCI,COREY 2304 SHADYWOOD RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT 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 dces not grant permission for additional or related work which requires sepazate 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 appli ant is responsible for assuring all required inspections aze requ ted conforman � e State Building Code.This permit may be revo � a y ti�ne for d e c u . <�h _ � M /� �� ,_�� ]v �>_�, pplicant ermitee Signature Date Issue By � ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIB ABOVE. � � a Total Fee: � Date Received: Entered By: Permit#: CITY OF ORONO - BtTILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ -- —�._�� THE APPLICANT I�: (circle one) OWNER�R CONTRACTOR .. �___-- JOB SITE ADDRESS: _-��C:.�- `:�..��c�� k.s� zlr: ��..��`��t \ , Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes NO Ifyes, a special event permit is required with Police Department and City Council approval 60 days prror to the event. Shuttle bus servace will be reguired unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: Y" `Z �.�,� d�� PHONE: (home)��J1'�-��'�(OS� �- �work) �P l�•SO�' �P�`J� MAILING ADDRESS: ,� ��-�`'��`-�=�'`��-�CITY: ��L,��:; ZIP: ��S�pLI CONTRACTOR: �� (�i�.- PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # 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 niay require MCWD review and permits! PROPOSED WORK(describe in detai�: (�.�,�vl�t�- �'��- STORIES: ,�-• SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � c��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 approved plan. • � APPLICANT'S SIGNATURE: ;�{�_5 � DATE: v(Z. � .� � � 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 shall 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 confidentiai data;and(d)the identity ofother persons or entities authorized by state or federal law to receive ihe 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 officer. The commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or proaertv tax refund instructions instead of on those forms. Subd.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,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 collected or created. The responsible authority shall provide copies of the private or public data upon request by Ihe individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. 'Che responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the 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. M individual may contest the accuracy or completeness ofpublic or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authoriry 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 reeipients named by the individual;or(b)notify the individual that he believes the data to be correct Data i❑ dispute shall be disclosed only 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 relating to contested cases. DATA PRIVACY ADVISORY [n 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 deparhnents may require you to furnish certain private or confidential infonnation. . 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 perhlit 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. First Middle Last � t�-�� -Y� ��-�) Adt�ress (�� tc�� M �� S�i \ C�l � � c��57 C�tY State Zip Phone I unde tand my rights as s above.� " � �� Signa e• ��e�� C/U / �/C--c� D T/�� TIME � CITY OF ORONO CALLED IN � D� INSPECTION NOTICE SCHEDULED lv � PERMIT NO.�a d�-OD�j�� COMPLETED ADDRESS C7 U � OWNE � � C NTR. TELEPHONE NO. S�' �.� �= ��PS � � DESCRIPTION — � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o �Q c� "�'c� ��r i�--( LJ,�'-h � �A � �r �A C ��c r' S (�c�C S D N �i-�2 ° �� A.� � L�,1 A �s- Prt� �� -�- -�c,a-J ° i + � �i tiJ 8 Q f A-t�c� o�es' 1� i+ Q � �A �eS — � 11er,� F�� W ,�i�c' � q c 1 � e � � �- 1�..?- � �f �1 ' �1 �� a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN PECTOR WILL REfUFN S .CAIL INSPECTOR �CITATION ISSUED O INSPECTIOIV REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector. / � ' � r� �D.S White Copyllnspector's File Canary CopylSite Notice // D yT TIME ✓ CITY OF ORONO CALLED IN �D / INSPECTION NOTICE SCHEDULED /D- �- /�� PERMIT NO. o?DG�-DGL�SB COMPLETED ADDRESS a3D ��a- � OWNER Ll.SQ `J�SD ONTR. TELEPHONE NO._ . �`S� a�� 9657 � DESCRIPTION /�e��os�� v� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ 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 ❑ WARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOii TO MEET YOU:_YES_NO � COMMENTS: � W a � �V Q �C�(1/� GG� -f-�'AC�r' 0 � 4 r l.�J f�c��n Q�/�S' I S �C�,� � ° �P Roo� G� t r l� � c�r' w Q � c.�; � r �-b s�- A - �fia f� � / . I��//� �ll�Q�' �N -�'� S W � ��07�c�-a W � � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY V BEFORECOVERING PERMANENT ❑CORR UNSAFECONDiTION WITHIN HOURS. p pHOTOTAKEN SPECTOR WFLL RETURN .CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on sit : r inspector. , f 1 f �.�P lr."�I�C White Copyllnapector's File Canary CopylSite Notice