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Home My WebLink About2008-00004 - roofing . , CITY OF ORONO PERMIT NO.: 200&00004 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/OU2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1205 FRENCH CREEK DR PIN : 10-117-23-23-0001 LEGAL DESC : FRENCH CREEK : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 80,000.00 NOTE: TEAR OFF AND REROOF WITH CEDAR SHINGLES. REMOVE&REPLACE CEDAR SHINGLES ON THE DORMERS. NEW ICE AND WATER AND FELT. APPLICANT PERMIT FEE SCHEDULE 906.75 GIERTSEN COMPANY STATE SURCHARGE(VALUATION) 40.00 2010 E. CENTER CIRCLE PLYMOUTH, MN 55441 MISC FEE 0.00 (763)546-1300 TOTAL 946.75 Minnesota State License#: 1796 OWNER WINSLOW, CLARK& SHARON 1205 FRENCH CREEK DR 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 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. A(1 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 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 afier 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. / / Appl�cant Permitee Signature Date � � Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Total Fee: $ O� � DateReceived: �J�O �O Entered By: Permit#: � J o2vZ/3 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 O CONTRACT R JOB SITE ADDRESS: ��5 rlL�,`�t (,�c�p-� �J�' ZIP: ('��J Will this be a 1�arade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS ��10 If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se�•vice wil!be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events tivill not be allowed NAME OF O WNER: �I.t.o1 ►� �,1�,l�S��-,,✓ PHONE: (home)� - Z-Ht�� Z7 Z� �- '/ (work) MAILING ADDRESS: I L J 5 �T�'✓1�(�'�el�I�',' CITY: �� ZIP: CONTRACTOR: �� PHONE: `�f��'j`��-13,?t� CONTACTPERSON: - MOBILE/PA ER: —Z3� -0� 5� MAILING ADDRESS: ' p� . I(�, CITY: "�,(� �/.� ZIP: ��J STATE LICENSE: # 1 5 6 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 r�jview and pe mits! PROPO�S ED WORK(describe in detai : � �0�'C (ti� � �/- l�: 1.�� .�-��, v� � i� i ��.� �le.� ✓S�-+��9 S �v� +� /✓��,5. STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED �j �v ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� (/� I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; tl�at the work will be in confarmance 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 rt without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: `\ � DATE: � � �� 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. l. Type of data. The rights of individuai 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 reques[ed data;(c)an��known consequence arising from his supplying or refusing ro 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 may place the notice rec�uired under this subdivision in the individual income tax or pro�ertv 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[hat 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 orthe priva[e or public data upon request by the individual subjec[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,excluding Saturdays,Sundays and legal holidays,if immediate 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 inaceurate or incomplete and attempt to notify past recipients of inaccurate or incomple[e data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Uata in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed data. The determination of the responsible authority may be appealed pursuant to the provisions ofthe administrative 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 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 loca(, 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. First Middle Last �{ L.� o _ " �. Address �3�� !� . f�• ��d� ( �r S � rJ�, � �+ S l Z � 76��i3� C��' State Zip Phone I unders�and y rights as st d abo e. � „ , Signa ure ReseY Form 32 DATE TIME �/ CITY OF ORONO ��ppa�LLED IN INSPECTION NOTI E SCHEDULED �-Z-�g PERMIT NO. COMPLETED � � ADDRESS l�S ��2''�� r OWNER CONTR. ��e�'se-/`-J TELEPHONE NO. J�G/ � �la �� 9 7�/ � DESCRIPTION `C�- °� wG2'�-c'�> —" / �Q'C OJ� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � 2 w � w � � d W� �GVORKSATISFACTORY:PROCEED i� PROJECTCOMPLETE W/O CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor Inspector. White Copyllnspector's Fite Canary CopylSite Notice ! DATE TIME ✓ � CITY OF ORONO ' CALLED IN � r� INSPECTION N I SCHEDULED � PERMIT NO. � COMP e , ADDRESS OWNER TELEPHONE NO. ` CONTRACTOR ' � �� , . „ �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION � WOOD BURNERJFIREPLACE ❑ SITE INSPECTION Q ❑ R ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEfi REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICON MEET YOU:_YES_NO � ° CO TS: � � r�� r d , r` ' r@ � � � 0 � � � � W � Q ' � 2 � � W � i j I d i W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN , ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adv�aq . 2 249-4600 OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSite Notice