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Home My WebLink About2008-00112 - roofing CITY OF ORONO PERMIT NO.: 2oos-ooii2 � � � " 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUEn: 08/OS/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3011 SUSSEX RD PIN : 04-117-23-32-0018 LEGAL D SC : FOX BEND : LOT 007 BLOCK 002 PERMIT PE : MINOR ALTERATIONS PROPERT TYPE : RESIDENTIAL �/�- CONSTRU TION TYPE : ROOFIN��HALT p�� g�a��t�l'� VALUATI N : $ 19,000.00 � J J�� nU� �� APPLICANT PERMIT FEE SCHEDULE 324.50 HUBER CO STRUCTION STATE SURCHARGE(VALUATION) 9.50 9766 FALL N AVE. TOTAL 334.00 STE 105 MONTICEL O, :VIN 55362 (763)271-76 3 Minnesota S te License#: BC-201026 OWNER CRISTIANI,JUAN&RENEE 3011 SUSSE RD LONG LAK ,MN 55356 AGRE MENT AND SWORN STATEMENT The work for w ich this permit is issued shall be performed according to the approved pl ns and specifications,applicable City approvals,and the State Building ode. This permit is for only the work described and does not grant permi sion for additional or related work which requires sepazate permits. All pr isions of laws and ordinances governing this type of work shall be compie with whether or not specified herein.This permit will expire and beco e null and void if construction authorized is not commenced wit in 180 days of the date of issuance,or if construction is suspended for a eriod of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in con ormance with the State Building Code.This permit may be revoked at y t me r due se. � /` � � � � /� / G/ � / ��j' Q C.�O Applic t Pe ' ee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE OVE. 1 � �� Total Fee: $ Date Received: I Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. I (please print all inforrrcation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR C TRA��OR ��---.': JOB SITE ADDRESS: _3C�1� -�U �5� X �• � ZIP: ��J� �� 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 Ciry Council approval 60 days prior�to the event. Shuttle bus service will be required unless applicant demonstrates , su�cienl on-site parking is available. Non permitled evenls will not be allowed. NAME OF OWNER: � U�,� C`-;c-� ��n � PHONE: (home) � /I` (work) ' MAILING ADDRESS: `X.�./'Zt /-� .A�j✓� CITY: ��C�r'�Cr ZIP: ' CONTRACTOR: ��i�e( (_vr��' � �C� PHONE:�76"3�2�� -7G 6� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: `�� //�y� .A,,c CITY: �};�_I/o ZIP: 536 Z STATE LICENSE: # �f c�2� �Z EXPIRATION DATE: ,3-31-Dq ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: � NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) >G' Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�:_�- ��,Sy- - stir hSf e� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED_ I ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /�l� �� 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 a{aproved plan. APPLICANT'S SIGNATURE. �C%� DATE: �" .� � � 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 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 confidential 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 officer. - 7'he commissioner of revenue mav place the notice required under this subdivision in the individual income tax or prop�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 stoted 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 ptusuant 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. 1'he responsible authority 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 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 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 naUue 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 administrative procedure act relating to contested cases. DATA PRNACY 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 certain private or confidential information. You aze 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 publia 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 Address City State Zip Phone I understand my rights as stated above. Si re ' S � 32 � .�` a�C�" � p�- D Ea�/ TIME CITY OF ORONO CALLED IN a d INSPECTION OTICE SCHEDULED oZ0 �� PERMIT NO - � COMPLETED ADDRESS !/ SK S �.�. OWNER CONTR. . �/ �/ TELEPHONE NO. �h/l — 7(03��d �O� ��d � DESCRIPTION �L�lst�.. � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL B0. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q '�I FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. p FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j O � � O � tu -- � Q � 2 W � - _ W - � � � d 41�VORK SATISFACTORY:PRbCEED ROJECT COMPLETE � O CORRECT 1NORK 8 PROCEED , ❑ SUE GERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,GALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCE3S. Ca11.foF the next inspection 24 hours in advance. (952) 249-4600 OwnerlConUactor on site: Inspector. � 1 White CopyMspectors File Csaary Copy/Site Notfce