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Home My WebLink About2008-00011 - roofing ' � ` � CITY OF ORONO PERMIT NO.: 2oos-000�� ' � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/03/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2868 CASCO POINT RD PIN : 20-117-23-31-0067 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 2,800.00 APPLICANT PERMIT FEE SCHEDULE 88.50 LINDGREN, EVERETT STATE SURCHARGE(VALUATION) 1.40 2868 CASCO PT RD TOTAL 89.90 WAYZATA, MN 55391- PAID WITH CASH 89.90 OWNER LINDGREN, EVERETT 2868 CASCO PT RD 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 Che State Building Code. This permi[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 governing this type of work shall be compied with whether or not specified herein.7'his permit will expire and become null and void if construction authorized is not commenccd 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �<'��>��' � .z.rx� / �.J� �a� ' t.,,,,� �YYt��-�`'� /�' �� c3� �� Applicant Permitee Sig ture Date Issued By Si nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED 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. (please print all inforrriation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS:�� fv p`"�i�'I��QI,c� ZIP: j��/ Will this be�rade of Homes, Remodelers Showcase Home or other Display Home? ❑ YCS �10 Ifyes, a special event permit is reguired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: ��/P�t�� hi Y�(1�� PHONE: (home) - ��(��3// (work) MAILING ADDRESS: ,��?�1��p�,� (�� CITY: � • � �� ZIP: �S 3�% CONTRACTOR: 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 may require MCWD review and permits ! PROPOS WORK(describe in detai�: , Pat�`��5�,�' d S ��%r' v� � 5�.� 'i` P � � � t'��c� STORIES: �'�_ SQ.FEET OF EACH FLOOR:%��_�;.E,�� NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHE � DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $�B�U� 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� DATE: �� _ 31 f � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. L 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,pol itical 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. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or propert} tax refund instructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subjec[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 con[ent 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 ofthe private or public data upon request by the individual subject ofthe data. The 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,exduding Saturdays,Sundays and legal holidays,ifimmediate compliance is not possible. Ifhe cannotcomply 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 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. Da[a in dispute shall be disclosed only if the individual's statemen[of disagreement is included with the disclosed data. The determination ofthe responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subj ects 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 are notified that: L 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. l � a/`�/' /`�idtL►' " r's�.,. First Middle Last _��O CSC4 �/F'D��i'lC� � Address `r �i� � ' �0�f/ C�h' State Zip Phone I understand my rights as stated above. � Signature � Reset Pom� 32 �—/� �� TIME � CITY OF ORONO � CALLED IN O INSPECTION NOTICE � SCHEDULED � PERMIT NO. f �o��a COMPLETED ADDRESS o � �� - OWNER `1 CONTR. L? TELEPHONE NO. �� j — ��l�o —��1� / ,� >- DESCRIPTION d `� J GC�t. �v�' � � ❑ FOOTING ❑ MECH NICAL RI ❑ EXCAV/GRADING/FILLING � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � � ❑ INSUlAT10N � WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MA�NT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNEH/CONTRACTOR TO ME YOU:_YES_NO � COMM TS: /` � —�G-G-lG S� � �l� � � G � — � � � O '� �i�� ( c��F �"�� c�f-�vr� ��c��;►��e � � .�,_c �-v��s �� .�'ce �►�c� °` ��q -��s- _ Q � z w � W � � d � ❑WORK SATISFACTORY:PROCEED f�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ^; ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN '�CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. � / � �- � White Copyllnspector's File Canary CopylSite Notice