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Home My WebLink About20028-00214 - re-roof , CITY OF ORONO PERMIT NO.: 200&00214 ,. 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 09/1 U2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3067 FARVIEW LA PIN : 04-117-23-33-0007 LEGAL DESC : FARVIEW : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT , �/ � VALUATION : $ 16,500.00 ��-��''-��"� ' � �� APPLICANT PERMIT FEE SCHEDULE 295.00 PYRAMID RESIDENTIAL CONSTRUCTION 11587 ALDER STREET NW STATE SURCHARGE(VALUATION) g.25 COON RAPIDS, MN 55448- TOTAL 303.25 (651)2143481 Minnesota State License#: 20580074 OWNER RAPPAPORT, JON&DIANE 3067 FARVIEW LA LONG LAKE, MN 55356 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 the State Building Code. This permit is for only the work described and does ❑ot grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become nuil 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 applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date � � Issued B��Signature Date S�PAF�.'�� ERIvIITS A,r,QUIR�^ FOR WOR� OTHER TH.�I� DESCRIBED .ABOVE. _ CITY OF ORONO PERMIT NO.: 2008-00214 • ' � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE Iss[1ED: 09/1 U2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3067 FARVIEW LA PIN : 04-117-23-33-0007 LEGAL DESC : FARVIEW : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT VALUATION : $ 16,500.00 APPLICANT PERMIT FEE SCHEDULE 295.00 PYRAMID RESIDENTIAL CONSTRUCTION STATE SURCHARGE(VALUATION) 8.25 11587 ALDER STREET NW COON RAPIDS, MN 55448- TOTAL 303.25 (651)214-3481 Minnesota State License#: 20580074 OWNER RAPPAPORT,JON&DIANE 3067 FARVIEW LA LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be petformed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit 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 ordinar�ces goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nu11 and void if consVuction 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 applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoke.d�at any time for due cause. � � /, ;. , ��-�F�. . ��,,�-� � l/ l t';� 9/ �� / �� p cant Permitee Signature Date Issued ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE. . • Total Fee: $ Date Reoeived: Entered By: Pem�it#• CITY OF ORONO- BUILDING PERMIT APPLICATION All information must be submiited in full before plan review witl be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ��O 6 7 �'c�r U ��.►,,.' �- v` . ZIP: � 5 3S 4� 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 City Council apprrnal 60 days prior to the event. Shuttle bus service witl be required unless applicantdemonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: �-�,b-r ��( R• 1-��► � I'Z.� 1 PHONE: F,.5-�.-a)`-f-3'� �j I CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: 1 i S S 7 A(�c Y �� N:,J CITY: L�� 12��:�T ZIP: S�"�/'1�'' 5TATE LICENSE: # �G S S v v J�1 EXPIRATION DATE: 3-- 3 i- ,��;rl ARCHITECT/ENGINEER: /V//=� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding,Windows) Q� �� . Any earth movement may require MCWD review and permita! PROPOSED WORK(describe in detait�: �h s k.�I n�� 2c�� . STORIES: SQ.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): S ��✓�' � I hereby apply for a building permit and I acknowledge that the informarion 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: ��ATE: �-//- �� 31 � , . 5ec.13.t1A RtGH1'9 pF'SUBJ�C'C9 UF llATA Subd.1. Type nf d�tr�. "I'ho righte nf individuul on whom the datn i�etored nr tn be rtnr�d nluill Ma�r�et forth in th�eedinn. 9ubd,2. Infr�rnution required to be given individuel An u►dividuet aeked ta euPP�Y p�'jvet�crr ooafidentisl data conceming huu.effeluill be it�'octned of: (n)the purpoee and intended uee of Hie reqneeted drtr within the cnllneting�t�te agenoy,pnlitirai eubdivisicm,or etatawide�yetem;(b) wAetha ho mry r�n or ie legally requireci to eupply ihe requoeteJ duttr;(a)any known coneoquence rrieing frnm hie eupplying or refueic►g tn eupply privata nr cunf'identirl d�ts;and(d)the identiry ofnther pemone or entitiee xuthorizeci by ehte nr federrl la�w W rouuive the dnta.'I'hie requirement e}uill nnt rpply when+u►individwl u detcad W eupply invertigative dau,pureuutt tn eection 13.82,eubdivwian S,to r law atforceateat officer. 'Ttie cn �rei��inn�nf reva+Le n�ny,�LcR�ha no`�ce raq��tl'8 i LHAd[L�L1N NLfIlVl6lbft L Lhtl L�AfV1tILI Lntltlriftl LX 11S_�(�j�'LY Ctlfli+lLl ieutruadnnd inMtesd of nn these fortne, 3ubd.3,Aeeeer tn data by individual.Upnn roqueet to e rerpen�ibla euthoriry,an individual ehall be infnrn�od whether ha ir tha rubj�ct nf etvc�d drta nn individuxl�,utd whethar it u cLeei£ied re publia,privrte nr crmfidentiel. Upon hie further requeet,an individual who ie the enbject nf etored privrte or publir d�tn nn individunlr shnil be shown the drta without rny ohnrge w him and,if he de�iree,ehrll be infnmted nf the contant and merning nf that dnu. After rn individual}ue bd�bhown thn pr'rvatn data end informed nf itr merning,tho data n�ed not be discloeed to him fnr ei�c mcmthe thereafler unlese e d'upute or ration puruunat tn thir�ection ie pending nr additional detx on the individusl hae been cnllected or croat�d. `fhe rerponeible ruthvrity ehrll providu ropia af tho privete ar pnblic datr upon requeet by the individu�l eubject of the dab, 'I'he rwpcmuiblo�nthority may t�equire the requeetittg persnn to pay the actual ooete nf makittg,cartifying,and compiling the copiee. 'I'he roepemeible authority elwtl nomply immedietoly,if poe�ible,with any roquedt made pureuiuttta thid eubdiviram,nr within frve dayr vf the date nf th�requ�ut,exoludin�Saturdayr,Sundnys xnd legal hnlidaye,i�immedi�tn�nmplirnca is notpo�sible.If hn cannnt comply with tho requeut within that time,ha dhrtt dn infnrm the individual,rnd may have m edditioml five dxye within which w armply with the roqueet,mcclud�g 3�turcLyr, Sunddy�und legol hnlidaye, Subd,4.PrncroBnre when drL i�not aeCurrte or oomploto. An individurl mny ranteet khe recuraey vr oomplet�nnee nf publio or priv#e deta conceming himeul�.7'n eacarcira thie right,�n individual eluall notify in wridng th�reepcmeible authnrity deeeribing the natur�nftha dibngreoment'1'he reepnneibte onthnrity eholl with�30 drye either� (g�CtliTOCI 1t18 tIB�FOlit1A 10�tl fNCCpIYI�tlt 11lCOtClpIO�B ItIfI NK61fIpt Ytl tlMl�QaA�f8C1p1C[I�l1 0� inurcueute nr incnmplata dnta,innluding renipiunla nnmad by the individusl;ar(6)nntify the individual thrtho beliovnr the deta tn be cerrrect.brt�in dieputd ehrll bo d'ucln��d cmly if'the inclividurl'e�tatanont nf diergreemdnt ie inoluded with the d'ualoeed data, 'I'he dote�mination nfthe roepnndibin authority mry be appo�lod punuant to tho pwvuione nf tho adminirtrrtivd prncvduro act mlating to cnntaetec!cuues. DATA PRIYACY ADVISORY In accdrdnnce with M.S. 13.04,Subd.2,"Itights of subjects df data",we wnuld like to inform ynu thxt ynur request fnr g pennit cn license from the City nf Chonn or any of its dapartments m�y require you to fiuni�h certain private nr cu�d�ntigl inform�tion, Ydu are ndtified tt�at: 1. 'I'h� infonnetion ynu fiunish will be used to detc�rmine your quelificatinn for th� permit ur license requested. 2. You may r��fiase to supply dats,but refusal may require th�t th�City deny the pe�nit or license. 3. 'I'he inforn�aticm may be sh�red with oth�r locel, state crr fecicral ugencies to the e�nt necess�y to proc�ss the pennit or lic�nse. 4. If ynur requ�sted permit nr lioen�e requires Cnuncil Bcticm tn approve,some infcmngtion mey become public, 5. Ynu t�ttve certain rights under M.S, 13.04(ttv�ileble upon reque�t)to review priv�te datn cm yourself, 6, Your full name is required tn process this epplicetion or permit �'Irrt Middle Lrrt �� b � ,�l �2 . �u � �- z� I Addnwr � � � D 7 %1'�'G�( J I • 'VW �GC+4� 1�4�0 ��a.�J , �,n� .S � y 4 b' Cky Btxta Zip Phnna 6 S�-�.1�-/-3 �l�/ t under�tand my rlght� rteted ebnve. ' � : 1 —//— Ci 'S11 ra Reset E'otm 32 �—� <�� J� DA TIME t� CITY OF ORONO CALLED IN /// � INSPECTION NOTICE SCHEDULED /o. rrc�-�4M PERMIT NO.r�08-DOo�!�' COMPLETED C� � f cti( ADDRESS �� 7'�� Uu� L�!/)� OWNER CONTR. � /�o • TELEPHONE NO._�oS 1 — 0�1� J� �O l � DESCRIPTION D D� �-� � ❑ FOOTING � MECHANI AL RI ❑ EXCAV/ G/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 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 O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED I� PROJECTCOMPLETE � ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: r�) Inspector. c,��r`��S ,� White Copylinspector's File Canary Copy/Site Notice �� _ �iE �/ TIME � CITY OF ORONO CALLED IN � 7 �d INSPECTION NOTICE SCHEDULED �' � PERMIT NOl�(�(,�S�' DD�/�COMPLETED ADDRESS �[Z(�� _ U�� _ OWNER ONTR. � ti�-�- �-- TELEPHONE N0. � ` — ��— � — � DESCRIPTION � ❑ FOOTING p MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �NAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on sit : Inspector. � White Copyllnspector's File Canary Copy/Site Notice