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Home My WebLink About2008-00288 - roofing y CITY OF ORONO PERMIT NO.: 2008-00288 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/14/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 180 NORTH SHORE DR W PIN : 06-117-23-22-0024 LEGAL DESC : CHADWICK : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,079.40 NOTE: TEAR OFF&REROOF APPLICANT PERMIT FEE SCHEDULE 162.25 WEATHERGUARD CONSTRUCTION STATE SURCHARGE(VALUATION) 3.54 5641 MEMORIAL AVE N TOTAL 165.79 STILLWATER,MN 55082- (651)439-4320 Minnesota State License#:202/2484 OWNER SULLIVAN,ERIN 180 NORTH SHORE DR W MAPLE PLAIN,MN 55359 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 governing this type of work shall be compied with whether or not spe ' d herein.This permit will expire and become null an i if co frac n authorized is not commenced within 180 ays of e d of isbuance,or if construction is suspended for a pen of 180 ays any ' e after work has commenced. The applicant is resp nsibl for s 'n I required inspections are request in c nfo i Building Code.This permit may be revo cj at an 'me r ue se. ( � 10 //L-( / 09 sol l O Appli rmi a gna Date s ed By Signature Date PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. j3 Total Fee: $ /l0 5. 9 Date Received: Z) / b Entered By: Permit#: C23 1�9(2 8 - D OAF 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 CONTRACTOR JOB SITE ADDRESS: 14O ) ()K A SHG P-F- N: W ZIP: 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 approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: C�1� SUW V Y1 PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: PHONE: W-t 3n-g3Zo CONTACT PERSON: cfe MOBILE/PAGER: MAILING ADDRESS: �,j(Oy l I'Y1t M00 0,(- KE t�CITY:Silt l ;t�i�(C_ ZIP: f fM� STATE LICENSE: # 2&,-433,4514 EXPUZATION DATE: '3-31-09 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) �►ZCiG Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detail): 'T EArl- Oer- S t2F-2GC.F STORIES: SQ.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 10-7(�, y C) 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. /06) APPLICANT'S SIGNATURE: - DATE: I 1, 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data The rights of individual 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 orconfidential data concerning himself shall 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 requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity ofother 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 mace the notice reatured under this subdivision in the individual income tax or nro =tax refund instructions instead of on those fortes. 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 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 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 of the private or public data upon request by the individual subject of the 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 of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.lfhe 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 notaccurate or complete.An individual may contestthe accuracy or completeness ofpublic or private data concerning himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe 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 believes the data to be correct Data m dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data The determination of the responsible authority may be appealed pursuant to the provisions of the 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 Omno 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 refimd may require that the City deny the permit or license. 3. The information may be shared 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 aapp lication or permit. First '7 Midilk Lost Addre0 7 City State Zip Phone I unde d my rights as stated above. *-I gna re 32 7VVV DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED ��-9'�g PERMIT NO.2 - 0'0' COMPLETED ADDRESS ATO °iQ`(/ W OWNER / CONTR. TELEPHONE NO. (05( 5�-3�( DESCRIPTION ` `Aa ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS h ❑ 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 v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: j 0 a Cr 0 2 W cc Q W W ac 4j ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE QC W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours In advance. (952) 249-4600 Owrner/Contractoroln situ Inspector. 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