HomeMy WebLinkAbout2008-00163 - roofing CITY OF ORONO PERMIT NO.: 2oos-oo163
2750 KELLEY PARKWAY
! ' ORONO,MN 55356- DATE ISSUED: 08/22/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 3285 LAFAYETTE RIDGE CT
PIN : 17-117-23-44-0090
LEGAL DESC : LAFAYETTE RIDGE
: LOT 001 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,100.00
NOTE:
RE-ROOF TEAR OFF
APPLICANT pERMIT FEE SCHEDULE 177.00
AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 4.05
2960 JLJDICIAL RD#100 TOTAL 181.05
BURNSVILLE,MN 55337
(952)707-6959
Minnesota State License#:20169383
OWNER
JAMIESON,DAVID&JANICE
3285 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
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. 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 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.
1'he applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at time fo ue cause.
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Appl' t ermitee Signature Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Au�-23-2001 08:23am From-CITY OF ORONO +9522494616 T-685 P.002/003 F-617
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Tqtal Fee: $ f g �' 6� Date Receirred; �a- U
� j Entered By: �'?/Z r- Permit#: o�O �"- Dd/��j
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�CITX O�' ORONO - BTJIIIDT.�TG PERMIT APPLICATION
. A11 information must be submitted in full before plan reYiew will be started.
(please print r�ll i�{forniation) .
TITE APPI,YCANr IS: (circle one) OWNER 0 CONTR.ACTO
JOB SITE AriDRFSS: �.��J ��U�'e, R-IG�e �C ZiP: FJS��(.
N�OF O'GS'NER: �av i d J�I,M,(��S61/L PHOI�: (home�-4'!(-'7a7a...
(work)
1�IAILri�iG ADDY2ESS:<<�' La�2-4�e� �{d �"CITY• ZYP:���
CONi'RACTOR: �l •�'Cf�'EExS �'.FHONE:Q`'�2�Ztfl-�fC�1�t
C4NTACT PERSON: ` c�, t c e 1V10BILE/PAG�ER:
1��Y N G A DnRFSS• R 1 o 0 J'u d� � -�I�CITY:�"�1sVc (I.e ZiP:����1
STATE LICENSE: � � (��3 .
ARCHI'Y'ECT/'F.NGJ�NEE�t: PHONE:
iVIAILING►ADDRESS: CITY: 2II':
N�: �GISTR,A,TYON# �
TY�'E OF WORI�: N'ew Addition Accessory Stiuc�ure
Move RemodeUAlceration Land Alteration
PR4pOSED WORK(describe in detain:�G� �k- Y���
STOItIES: SQ.FEET OF E;ACH FLOOlt:
NO. OF BEDROOMS: CARAGE STALLS: ATT. DET.
EST�MA1"'ED CONSTRUCT14N'VALUAT[ON(excluding lancn: $ �_ ,�_� __
I hereby apply for a building permit and I acknawledge that the information above is complete and
accurate; that the work will be in confonnan,ce with the ardinances aad codes of the City aad with
the State Building Code; that I understand thi� is not a permit and work is not to start without a
permit; and that the work will be in accordancz with the approved plan.
, r- � DATE: �c�r�� ���
APPLYCA,N'�' S SIG►NATURE: �1G���
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NOTE! Parade of A2n�es events require separate permit approval by Police Departrnent and
� City Council 60 days prior to the event. No,r permitted events will not be allowed.
N��g-2?-Z001 08:23am From-CITY OF ORONO +g522494616 T-685 P.003/003 F-617
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Sec.13.o4 RiGiiTS OF SC.lB.TEC7's OF DaTA
Subd. i. Type of data. Thn dgku o!iadividual oa wbow sAe d�a is uoRd or ro be scored shal!bc as sct for�h in dus section.
Subd.3. Informatioa req+ssrcd to be�;ivea iadividw3t. Pui iadividual asiccd to supply privaa or confidaadal dat�coaccroing himsctf sdall
be informed of: (�the purpose and farended use o!fLe nqvesrsd dan widiio die collecriag S�sce agracy,policical subdivisiosr,or sncewide sysrem;
r,b)wbac6er he►suy refusc ot is legaUy nqui�sd eo supply�Le:eqnemd dan:(c)any l�wn eonsequeace arisiag t�vm bis supplyiag or refus�g eo supply
privsre or wuiidentr+l dac►;and{d)ehe ideaacy of oiherporsons orendaes authorized by s�u or fednrel!sw to►ticeive ihe dsta. This tequiremea[shsIl
not apply wh¢n an iridividual is astied to supply invascguive daa,putsvsnc to secrion 13.83,subdivision S,w a faw snPorcemea�officec.
'T'he commissioner of_ 'enue mav oface the nocce reaui�eci anQer deis subdivision in the individual ome mx or arooem ux refarxl
inse�uctions insT _ of on chose Po�ms.
Subd.3. Access to data by iadividvsl. iJpon requesc to s responsble au�ocip�.sn ind+vidu�l shall be informed wbe�her he is ehe subjeca
oF scored dara on individu�ls,and whc�bcr i�is class'�ied ss pubIic,pnvaa or eoafidendal. 11poa his futsher rcquesc,aa iadividua!wdo is tfu subject
of srnred priv�u or public dara oQ individuals shall be ahown e6e dan.widiout aay charge�o him sad;if he desirea,sEall be informed of ine contenc
and mrattiag ot�lfa[da�. Afur an individuaJ bss beea s6own du pri�ate dan xnd itttorraed af irs moaciag,du dan Aeed not be disclosed ao hisu for
six mondis d�ereafur unlcss a d'upuu or udon pecrsaanc�o shis secaon is pendieg or sddicoa�l dan oa che individua!6ss bern collccted or crzased.
T3e caponsible suthoriry shatl p�ov�Qa eopies pf the privare or pt,blie aaa apon ceqursc by che iadividtta!subject of�he dan. The responsible surho�iry
may rcquire d�e nqucsdng parson to pzy du acnL�!cos�of malv�g, ccrdfyi�,and compitin6 tbe eppies.
Thc�esponsible aurhoriry shall compty imme�iately.if possible,wid�aqy nques�made pursuant w rhis subdivision,or wishin five days of
�he dau oP rhe requa�exctuding Saattdays,Sundaya and legsl holidays,if iiucnediate compliamca is noc possibk. If he wmo�comply widt d►e requesc
wi�hin�}tu tima.he shall so inform tha ir,dividvaf,aad may lfave sa adJt�oaai hve days wirhin which to cocnply wieh�he nquess,excludiag Saturdays,
Sundays and legal hoiidays.
Subd.p. proexduie whqs data is aot accurate or complete. An individusl any tontes�t1u acc�uacy u�eompleceaess oP pubiic or pri�aQ
daa eocieemins himself. To exeeeise td"u right,an indiridual shall noc�ty in wridag the responsible authoriry describing ehe nsn,re of rhe disagreea�en�
T!:e cr,yponsi6le au�horiry sbatl wirAin 30 dsys ei�er: ts)cortcct du aaca tound ro be insccurate or incomplets and'acmpi to notiTy Dast�ecipienrs of
inaccwaic or incomple�c data, including recipieaa nsmed by�e iadiviAvai;or(b)no�ify�hc individual that he believes d�e daw w be corisec Dan
ia dispuce shall be diselosed only if du adivideui'S sneement of disagroemenc is included with the disclosed daffi.
Thc daerminadon of tha responsible suchoriry may be apX.��led porsuauc�o rhe provisions of du admuusaacive procedure ac�nl�dng w
concesxd cascs. . . .
DATA PRI�ACY ADVISORY
In accordanCe wich M.S. 13.04, Subd.2, "Rig�ts of subjects of data"�we would like to inforax yoa that your requcst
for a permi� or liccnse from the Ciry of Orano or aay<�f iu departmears may require you to fumish cenain priva�e or
confidential informatioa.
You are no�ified that�
1. The inforinazioa you furnish will be used to�iecermine your qualification far the permic or license requested.
2, You may refuse to supply daca, but rcfusal may require that the Ciry d�ny the permi� or lieense.
3, The infotuiation may be shared wich other tocal, scate or federal agencies to the ex�ent necessary co process
rhe permit or Iicense.
4. If your requesced permit or iicenst requiras Council action to approve, some informauoa may become
pubIic.
S. You have cer�ain rights under M.S. 13.04 (avaiiable upon request) �o review private dars on yourself.
6. Your fuil t�ame is rtquired to process thii application or permic. .
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Signsiurc
DATE TIME
I OF ORONO � CALLED IN
INSPECTION NOTICE CHEDULED -Q
PERMIT NO. f�"�'S��OMPLETED
ADDRESS ��o��� - ����j�Z
OWNER CONTR. �w�n � _'��� '
TELEPHONE N0.
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� DESCRIPTION
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/ RADING/FILLING
Q ❑ FRAMWG ❑ 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
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J � PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� IIVSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector. �/ ,, �
White CopyMspector's File Canary CopylSite Notice
D - � ��°�i�/ /
q DAT TIME , /
CITY OF ORONO CALLED IN / �'
INSPECTION OTI SCHEDULED �
PERMIT N0. � ���� COMPLEfED � �
ADDRESS � �
OWNER CONTR. �
TELEPHONE NO. — � —707— � �
� DESCRIPTION � �� � i��
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING p MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z 0 WALL BD. ❑ WATER HOOK-UP ❑ SITE iNSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAWT. ❑ COMPLAINT
Q ❑ DEMO-FINAL p SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� RK SATISFACTORY:PROCEED �{{,�JECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
Inspector. � i
White Copyllnspector's Ffle Canary CopylSite Notice