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Home My WebLink About2008-00382 - roofing CITY OF ORONO PERMIT NO.: 2oos-oo3s2 2750 KELLEY PARKWAY � ' ORONO,MN 55356- DATE ISSUED: 1 U24/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3502 SHORELINE DR PIN : 17-117-23-43-0114 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LINDEFINED VALUATION : $ 17,150.00 NOTE: TEAR OFF AND REROOF APPLICANT pERMIT FEE SCHEDULE 309.75 WALKER ROOFING CO.,INC. STATE SURCHARGE(VALUATION) 8.57 2274 CAPP RD ST.PAUL,MN 55104 MAIL-IN FEE 1.50 () TOTAL 319.82 Minnesota State License#:4229 OWNER ZITZLOFF,LOWELL 319 BARRY AVE S#300 WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail 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 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 appiicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ,�� i i i i Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. ..- ' 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 all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SI'TE ADDRESS: 3502 SHORELINE DR Z�: 55391 Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑✓ NO /f yes, a special event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates suff cient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: LNR PROPERTIES PHONE: (home) �6�2�3to-�9ta (work) MAILING ADDRESS: 319 BARRY AVE S#301 C�.Y� WAYZATA Z�: 55391 CONTRACTOR: WALKER ROOFING PHONE: (651)251-0910 CONTACT PERSON: KYLE MOBILE/PAGER: MAILING ADDRESS: 2274 CAPP RD Cj'j'Y; ST PAUL ZjP; SS 114 STATE LICENSE: # 4zz9 EXPIRATION DATE: 03/31/09 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�: TEAR OFF AND REROOF STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ »,tso.00 I hereby apply for a building permit and I acknowledge that the in ation above is complete and accurate; that the work will be in conformance with the ordinances an d of the ity and with the State Building Code;that I understand this is not a permit an � no st it u permit;and that the work will be in accordance with the approved plan APPLICANT'S SIGNATURE: DATE: �4 �y � 31 Sec.13.04 RIGHTS OF SUBJEC'['S 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 ofthe 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 confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.1'his 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 ma�place the notice required under[his subdivision in[he individual income tax or procerty 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 iu 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 the individual subject of the data. The responsible authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authority 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. [f he cannot comply with the request within that time,he shall so infortn 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 of public or private data concerning 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 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 of the responsible authority may be appealed pursuant to the provisions of the adminisuative procedure act relating to contested cases. DATA PRIVACY ADVISORY In 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 ceMain 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 req;aires 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. WALKER ROOFING First Middle Last 2274 CAPP RD Address � ST PAUL M1�1 55114 (651)251-0910 City Sta Zip Phone I understand my ri a � ted v � �- Signature �� `�u �� 32