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Home My WebLink About2008-00068 - roofing CITY OF ORONO PERMIT NO.: 2008-00068 . • 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 07/2U2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3225 LAFAYETTE RIDGE CT PIN : 17-117-23-44-0089 LEGAL DESC : LAFAYETTE RIDGE : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT VALUATION : $ 7,200.00 APPLICANT PERMIT FEE SCHEDULE 162.25 AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 3.60 2960 JUDICIAL RD#100 TOTAL 165.85 BURNSVILLE, MN 55337 (952)707-6959 Minnesota State License#: 20169383 OWNER KNUTSON, DONALD&CAROL 3225 LAFAYETTE RIDGE CT 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 Sta[e Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his 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 after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This perrrtit may be revoked at any time r due cause. � � �� / � / � A p�i t Permitee Signature Date Issued By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED BOVE. Ju1-17-2008 10:58am From-CITY OF ORONO +9522494616 T-T26 P.002/003 F-698 Total Fee: $ n�►te�teceived: Entered $y: �ermii#: CYT'Y O�' 0170N'O - �Y7YY,bY1�T� FERII�IT APPLYCATYOI� Atl information must ba aubxnitted in full before plan review will be started. {please ptint all inforrnation) � THE APPLICANT iS: (circle one) OWNER O CQ1�I`I'RACTOR � so�srT�ann�ss: �v�.� �1-� �y��'� R-�d�e zr��: �3�t � 'Will thi� be a arad� of Homes,�emodelers Showease Home or other Display IIome? ❑ Yt',S 0 rfye9,R SpeCial event permit is reguir�d wirh Police Dep�menr urr�Ciry Councr(approva! 64 days prior to the event. Shurtle bus seryice will be reg�uired unless applicunt demor�.sitates su�cient on-srle parking is avarlable. Non pet'mitted events will nr�t be alJowec� NAN�OF UWNER: 1�a� k.�,U,�s s� ��or��: �om��a�.-'�1��`� MAILING ADDRESS:��l�V��-c�ou�'�CXT'Y:��{2�,-�q (woZIP_ " l CON'TRACTOI�:Pq(Y1,P�"iC�tn L�''��.C�YCE'�C,'��• PgON�:q.`�,"?0"1�(d15�1 CQN'TAC'TP�I7SON:(.�iaha �c,1�►_lie e�- M4BIL�'A��2: 1v�AY�.1NCEiDDI"tESS:o`� '— iC� l P-GI-� 0� CITY:'L�u, nSVil�-Z ZIP: �`l STAT�C LICENS�: # �D1 3�3 EXpT�.2ATXQN DATE: �f�� ARCHITECT/EN�INEER: PHONE: MAXLTNG ADD.RESS: CIT`Y: ZIP: NAME: �.EGISTRATION: # TYPE OF W4RK: New Hame Addition Accessory Structure Move Home Remodel/Alteration{ie: Sidin�,Windows) P.ra,y earth mcvemen� may requira MCwD review and permits! ].'�tOPQSEA WORK{describe in derai�:�2G�.r t��„�'P�"0� _ � STORIES: � SQ.FEET O�E.AC�FLQqR: NO. OF BEDROOMS: G�AY2AG�E STA.�.�,5: ATTACHED �3�TAC��D vc) ESTIlIRATED CONSTRUCTI�N'VALUATION(excluding land}: $_�, ��. , _ I hereby apply for a building permiti and I acknowl�dg�that�he information above is complete�nd accurate; thaz the work wi}1 be in conFormance with the ordinances and codes ofthe City and with the State BuiIding � Code;tliat I tuiderstand this is not a permit and wark is noY to start withaut a permit;and that the work wi 1]be . in accordance with the appravesd plan. . AY'PLICANT'S SIGNATURE: +��"t''''-"""'�1� � bATE� O� "I� �a 31 Ju1-17-2008 10:58am From-CITY OF ORONO +9522494616 T-726 P.003/003 F-698 Sec.13.04 Rf GtiTS OF SUBJ�CTS OF DATA Subd t. 1y+pe of dara. The righu of individuaf on whom ihe dara u sYorrd or w be stored shsli be as set Corih;n thi�aeccion, Subd.2.Information required co bc given individu�l.wn individusl asiced w supply privaze or confidrncial da�a conceming himselfshsll be informad ofl. (a}the purposc and intrndrd use of d�e requested data widiin the collecung�Yare agency,polidcal subdi�•�sian,or s�aecwidc syscem;(b) whcthcn c�may refuse or is Iegaf ly requirod w suppiy[he roques�ed da�;(c}rury known conscquCnCv at'ising from his�upplying or rafusing to supply privutc or confidendaJ dam;artd(d)ihc ident;ry af o6}1er petsons or ontitics�uthorized by State or fedotal Isw to raceivr the dt�.This iequitament shall noc npply when sut individual is askod ro supply invbsiigative dxtFs,pursuant rn secijon 13.82,subdivision 5,to a 1aw cr�orcoment officnt. Tha cnmm;csi�ner of revenu�mav n)q¢{�j��pci�r rcnuiied under t}tic sultdivisjen„1P.Lhr�andividusl incnme rax hr n,T�mny LY*efund inawc�ians instead nfon thosr fbrms. Subd.3.Access to dap�by irxlividual.Upon roquas�so a responsibla auenoriry,att individusl shsll bc infomird whether he is the subjcct of �rornd dam on indtviduals,atld whethaf ic iS Classifidd 1S pub[iq privuse or confidonuaL UpOA his iLP[her reque9�,Pu1 uldividua)who is thc subjcei of stored priva[e or public dltta on individuoks sh�l be shown thc data without any chacgc co him and,if hc desires,shall L�e iaformed of t}w concent and meaning of ihas dat�. Aftcs an individu�l has bean showt�the privata dau�and informcd of its mearung,the d�uu n�ed noc bo d;sclosed to him for six manths chcreaf[er unless a dispuc�or action pursunnt to chis eecdan is pcnding or additional d�uuon rhe individual has t�een collecred ar creaied, The responsblc uuthority shatt provide copios of cho privato or publie daas upon roquost by the individusl subjccs vf the data, Tho respons�blo authoriry muy require�he�cquesting porson jo pay�he aewat cosss of mnkin�,cerqfyin�,And compiling she capins, The re��ponsible aurhority shnll comply immedieufy,if possibte,with any requess made pursuan�co[his subdiviaion,or wifiin fiva days of tha date of thc requesc,excludin�Saturdays,Sundays and legal holiday�,itimmediere complianc�is notpossible.!f qe c$ncwt camply with ihe roquce� within that rime,he shall so i�tform the tndividual,artd may h3vc an�dditionsl five days wi�hin which to comply with the reques�,excluding Saturdays> Sundays cnd lcga!holidays, � ' Subd.4. P�oCedure when dnta ie noi accqrttu or cpmplote.An iAdividu2l msry conrs.st tho�eu�aCy or eomplrrrness nf�ublic or privatt dstu coAcernins 6imyrlf. To exrrci�c thi9 risltc,an individual shsll notify in writing rtu respprtstble auchority dnscribing thr n�ure of�he diksgrcanrnt,Ttte re�ponsible aq�horiry shali wizhin 30 days�i[her: (a)c�rrecc thc da�found to bo inaCoutatc ur incomplcu and at[en,pt to notify past recipiants of inancurau or incomplace da�a,including ru:ipiencs nnmrd by d�c individual;or(b}notify thr individua!chai he bel ieves the daca to bc conacc. Dak�in dispuro shall be diseloscd only if thr individual's�e[cment of disagreement is;ncluded with iho disclosed daia. 'T'he determinntion of�he rcsponsiblc auchoPlry may be 8ppe81ed purb-uant W the pPOYisi0zlS of ihc ndminisCxtrivC proCedure nCt rcluting to . con�ested c�ces. D.4.TA PT2T'VACY ADVISORY Tn accordsncc with M.S. 13.44,Subd.2,"'Righrs of subjccts of ctata",we would lil:e to in#'orm you that your rcqucst for a permit or liccnse from the Ciry oFOrono or any of il:s dcpartments may require you to furnish certain private or conf,dential information. . You are notified that: 1. The 9nforrrcatian you furnish will be used to det�rmiae your quatificatian far r,he permit or license resqvested, 2. You may refuse to suppty da�t,but rcfusal may require that the City deny the permit or liccnse. 3. The informatian may be shared wirh other loral, state or federsl agetscies;o the extent necessary to process the permii or liccnsa. 4. If your requested pGrmit or}icense requires Couneil action to approve,somc information may beoomo public. . 5. You have certain rights vnder M.5.13_04(available upon request)to review private data on yourself. 6. Your full name is required to procass this application or permiti. Di��. S�(�e (=�r ��A�u�.v► ��.C�.�c-�xis,�a�c� Fir9t Middit I.Aet G'Inn �.1- �C� _ `� l60 Addreys '-'^ ��U:f1o. �� 33'1 c�-�a�-�S� c�� suT� z�P raoo� I understand my rights as��caced above. ��-' �ignature ' M 32 Dg�E TIME V CITY OF ORONO CALLED IN 7� L INSPECTION NOTICE SCHEDULED - D-U PERMIT NO.o��--��d COMPLETED � ADDRESS 3 ZZ S C.�e t�G. iQ��c. � OWNER CONTR.�. ��c� �07�Q��. TELEPHONE NO. �I Z'�pBS'7l0 3.3 �� DESCRIPTION ��U' " (�T" � ❑ 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 J O DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � � � ��;WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHW HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALITOARRANGEACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-46�0 Owner/Confractor on site- Inspector. .,�� White Copyllnspecto�'s File Canary CopylSite Notice � � �� J�TE� TIME � CITY OF ORONO CALLED IN /�- < "� INSPECTION O I � n��SCHEDULED � PERMIT N0. �� a 00 ETED � ADDRESS � a�� G'XJ� . OWNER CO TELEPHONE NO. — �°�-�D7!��i � DESCRIPTION � � ❑ FOOTING ❑ MECHANICAL RI ❑ EX /GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. � FOLLOW-UP = p PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O >. � O � W � Q � Z W � W � � d W ❑WORKSATlSFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W4LL RETl1RtJ ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTiONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspectian 24 hours in advance. (952) 249-4600 Owner►Contractor on s e: Inspector. White Copyllnspector's File Canary Copy/Site Notit�