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Home My WebLink About2008-00211 - roofing . CITY OF ORONO PERMIT NO.: 2oos-oo21� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/10/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 4315 NORTH SHORE DR PIN : 07-117-23-43-0028 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUII,DING-UNDEFINED VALUATION : $ 1,000.00 NOTE: ROOFING FOR BOAT HOUSE APPLICANT pERMIT FEE SCHEDULE 41.25 WEATI�RS CONSTRUCTION INC STATE SURCHARGE(VALUATIOl� 0.50 410 LAKEVIEW AVE TOTAL 41.75 TONKA BAY,MN 55331- (952)476-2687 Minnesota State License#:20182956 OWNER NESBITT,SHARON 4315 NORTH SHORE DR MOLJND,MN 55364 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 separate permits. All provisions of laws and ordinances goveming 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 The applicant is responsible for assuring all required inspections are requested in wnformance with the State Building Code.This permit may be revoked at ' e fo due caus � ` � � / �/O � Applicant ermitee Signature Date Issued ignature Date SEPARATE PERNIITS REQUIRED FOR WORK OTI-�R THAN DESCRIBED ABOVE. . . _ . Sec.13.04 RIGHTS OF SUBJECfS OF DATA Subd.1. Type of data. 1'he right�of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2.lnformation required to be given individual.An individual asked to supply privaYe or confidential data conceming himself shal I 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 the requested data;(c)any 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 requiremern shal I not apply when an individual is asked to supply invesiigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. • The commissioner of revenue may place the notice required under this subdivision in the individual income tax or oro e�riy tax refund instructions mstead of on those for�. 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 fiuther request,an individual who is the subject of stpred private or public data on individuals shall be shown the data without azry charge to him and,if he desires,shall be informed of the content and meaning of that 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 thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual hes 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,cerdifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to Uus subdivision,or wiU�in five days of the date ofthe 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 haue 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 righy an individual shall notify in writing the responsible suthority describing the nature of the 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 Uelieves the data to be correct. I�ta in - dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. 1`he determination of the responsible authority may be appealed pursuant to the provisions of the administraYive 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 inforrnation. . You are notified that: 1. T'he 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 shazed 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. IR/4C-ey �. W�-°L7�t�r�S First Middle L$st H CO Zl4-k-e V�+�w 1�-e. Address �C9N,�ci YJli�s �L�(J �5�,3 ( �5'2-��"76-268'� C�tY State Zip Phone I understand m 'ghts as s ted above. Signature .�.��ef�� "�� 32 9 � Total Fee: $ DateReceived: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION . All information must be submitted in full before plan review will be started. (please priHt all information) THE APPLICANT IS: (circle o�ae) OWNER OR CONTRACTOR JOB SITE ADDRE5S: �/.�/S /�o� S(�e v� �f�'8�� ZIp; �S 3 S6' Will this be a Parade of Homes,Remodelers Showcase Home or other Display Iiome? ❑ Yes �No If yes, a special event perrrait is required with Poldce Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless appdicant demorrstrates sufficier�t on-site parking is available. Non permdtted events will not be adlowed NAMEOFOWNER: S�+apo�u ��so�u PHONE: (home) (work) MAILING ADDRESS: �(3/'S' /t�o•iti• S'�io�e pr� CITY• �Qa�D ZIP• 5' �3 S 6 CONTRACTOR: ��a�i ews �o�572c.�T1a� ia�� PIiONE: 952-�176r.26g� CONTACT PERSON: T/t/�cs.� (,vea�e�s MOBILE/PAGER: MAILING ADDRESS: ye6 C�ke 1/i ew 6��e, CITY: �� v,gaY ZIP: '�'S3� 5TATE LICENSE: # �ol g2 q 5� EXPII2ATION DATE: 3/,3 j/2ooQ ARCHITECT/ENGINEER: PHONE: MAII�ING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home emode Alteration(ie: Siding,Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: �F,p�g�y c�o 2 (�o�-� �o�s� STORIES: ( SQ.FEET OF EACH FLOOR: 2 6 a NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ ��D O, G� 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 permit and work is not to start without a permit;and that the work will be in accordance with the approved plan. - APPLICAN'T'S SIGNATURE: J� -� • � � e g )ATE. � 31