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Home My WebLink About2008-00384 - roofing CITY OF ORONO PERMIT NO.: 200&00384 2750 KELLEY PARKWAY - ORONO, MN 55356- DATE �ssUE�: 1 U13/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2755 COPPER VIEW DR PIN : 33-118-23-43-0019 LEGAL DESC : ROSCH ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILD[NG - UNDEFINED VALUATION : $ 12,883.00 APPL[CANT PERMtT FEE SCHEDULE 236.00 ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 6.44 3560 K[LKENNY LN MEDINA, MN 55340 TOTAL 242.44 (763)550-0444 Minnesota State License#:20172153 � OWNER VOGT, JOHN & MAUREEN .._ ____,_______ 2755 COPPER VIEW DR LONG LAK�, IvIN 55356 - — - - - - AGREEMENT AND SWORN STATEMENT - - � _ _ The work for which this permit is issued shall be perfonrted according to- - - _ the approved plans and specitications,applicable City approvals,and the State Buildmg Cvde. Thrs permit is for only_the.work described and does _.. .__ __ _. no[grant permission for addi[ional or related work which requires separa[e �� permits. AII�ovisions of laws and ordinances governing this type of work shall be compied with whether or nofspecifieztherein.This permit w+ll -.-- expire and become null and void if construction authorized is not commenced withip 180 days of the.11ate of issuance,or if construction is suspended for a period of 180 days at any time afier work has commenced- The applicant is responsibie for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any ti use.., _. _ _ - �; - --y � f� ��,8- � � p 'cant Permitee Signature Date Issued By � nature Date SEPARATE PERM[TS REQU[RED FOR WORK OTHER THAN DESCRIB 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 information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: Z 7,S q��jv� �,P��--�,r�, ZIP: Will this be � Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �NO If yes, a special event per•mit is required with Police Departmenf and Ciry Counci!approval 60 days prior to the event. Shuttle bus se�-vice will be required unless applicant demonstrates su�cient on-site parking is available. Non-perniitted events will not be allowed NAME OF OWNER: �pI�,1 �"" PHONE: (home)� �'�Z-ZS��'-/�(�( (work) MAILING ADDRESS: 27�5' �4�� U«��,, ��c. CITY: ��ilQ ZIP: CONTRACTOR: �f oG��o. iUl'� ,�h C, PHONE: 7�3 -S'S'�' �� CONTACT PERSON: MOBILE/PAGER: �3'�,,�� MAILING ADDRESS: �3.S6D ,��i/-� L��- CITY: /l��c� ZIP: .SS'.�O STATE LICENSE: # Z0I7Z/,�3 �— 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 ! PROPOSED WORK(describe in detai�: �Pa�r-C��Z�A'�3�i�� 4��'7f � �S�'��PGI/`-- STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �Z ��.3.E?O 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 pennit and work is not to start without a permit;and that the work will be in accordance with the approved plan. � '�i APPLICANT'S SIGNATURE:,.-'� DATE: /l��D� � �� 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 concerning 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[he requested data;(c)am�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 im�estigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or pro�erty 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 shal I be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning ofthat 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 compilin�the copies. The responsible authoriry shall comply immediately,ifpossible,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. 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 individuai 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 ofthe 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 ofthe 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 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. J O�i� First Middle Last .4ddress City Statc Zip Phone I understand my ia a �e ab e. i /�� . '�L SItT., UI'C . . / / �`�� Reset�Form 32 � � � � � DA E TIME ✓ CITY OF ORONO CALLED IN << � -,�� INSPECTION R I E SCHEDULED U�S U t'��' PERMIT NO. v� 'D� � COMPLETED ADDRESS �-5 V -2►� ��v� OWNER CONTR.� TELEPHONE NO. � �� -I� �� DESCRIPTION / � � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION � �-FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � J 0 � � 0 � W � Q � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED '- I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTIOfVREQUIRED.CALLTOARRANGEACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on sit . � - � Inspector. White Copyllnspector's File Canary Copy/Site Notice o p�v / //D�� TIME CITY OF ORONO CALLED IN � INSPECTION N�O^TI�CjE ?�((� SCHEDULED � PERMIT NO.��/0 —Ud`�" " COMPLETED ADDRESS a 7S 5 CD�� Vi�'c,v �O r OWNER CONTR. /CD� CO . /U�- TELEPHONE NO. 7ln�J J�SO O 7 �`�'� � DESCRIPTION ��- �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � �� C- ll. - b�J�� ►� S lti, � �i O `i /�� C'��`j S �4 t�`-/ c� S /��'f S W -� Q 5p � � i.� f�oo i= � Z W � W � � a W ❑WORK SATISFACTORY:PROCEED L� PROJECT COMPLETE � ' CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-460� OwnerlContractor on site: Inspector. �c �S White Copyllnspector's File Canary CopylSite Notice