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Home My WebLink About2000-P02657 - re-roof � - PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 Po26s� Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (612) 249�600 Date Issued: ��ll�oo SITE ADDRESS: 3150 Ridgewood Cir LONG LAKE,MN 55356 P I�: 04-117-23-23-0022 DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 60.10 Valuation: $ 1,700.00 State Surcharge Fee: $ 0.85 TOTAL FEE: $ 60.95 APPLICANT: �N OSTMAN OWNER: K P OSTMAN&L S OSTMAN 3150 RIDGEWOOD CIR 3150 RIDGEWOOD CIR ORONO,MN 55356 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUFSTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS. � � � �/��YZ�w� ) ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 t F• Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII..DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER R CONTRACTOR � J � p ro�i a Y�h- JOB SITE ADDRESS: 3/Sa �i`G[�P GlJ6a9 C�7'� ZIp: -�'�' 3 S'� �� NAME OF OWNER: �7�s� O.S'�fha� PHONE: (home) /� �f4 � ��/S (work) MAII.ING ADDRESS: �`t �' �— . CITY: ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOS D WORK(describe in detain: �� .s'�r �h �� 1 r� o � o o � �C�( 4 Q � /r�f s ct ryr a � .� STORIES: � SQ.FEET OF EACH FLOOR: �� D ��/�i� -� -�` - NO. OF BEDROOMS: Z GARAGE STALLS: ATT. �_ DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��D�O� � a I hereby apply for a building permit and I acknowledge that the inforrnation 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. APPLICANT'S SIGNATURE: i�� DATE: 7 l� O D NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. .� w Sea 13.04 RIGHTS OF SLJBdECTS OF DATA Subd. 1. Type of data. The righa of individual on whom[he data is scored or to be stored sha11 be as set forth in ttus secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concorning himself shall be informed of: (a)the purpose and inrended use of the requesred data wirhin the collecting Ytate agency,polirical subdivision,or stacewide rystem; (b)whether he may refuse oY is legally required co supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supp(y privau or confidenrial data;and(d)the idenary of ocher persons or enrides au[horized by stace or federal law to receive the data. This requiremenc s6a11 not apply when an individual is asked to supply invesrigadve dara,punuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income taz or prooertv 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 class�ed as public, private or confidendal. Upon his further request,an iadividual who is the subjecc of stored private or public data on individuals shall be shown the dara wichout any charge to him and,-if he desires,shall be informed of the content and meaning of[hat data. Aher an individua!has been shown rhe private data and informed of its meaning,the dara need not be disclosed to him for six months tttereafter unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or created. The responsible authoriry shali provide copies of the private or public data upon request by the individual subject of the data. The responsible aurhoriry may require[he requesting person to pay the acaal cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediacely, if possible,with anY requesc made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the requesc within that time,he shal!so inform the individual,and may have an additional five days within wluch 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 concerning himself. To exercise[his right,an individual shall noafy in writing the responsible authoriry describing che nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and atumpt to nodfy past recipienu of inaccunte or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's stacement of disagreement is included wirh rhe disclosed data. The determinarion of the responsible authority may be appealed pursuant to the provisions of the administrarive 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 fumish 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 Ciry 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 pemut 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. (, Your full name is required to process this application or permic. �� a� G O.s�� . / � iddle Last F«53/Sd ��G�y�e u>a� � �'� �r c�� Addross � !il S'.S' 3.S'� �� / �� /a/� DY'o� O City State Zip Phone I understand my rights as stated above. ��G� Signamre