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Home My WebLink About2003-P06204 - alarm system � � '"' ' PERMIT CITY C�f= ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06204 Crystal Bay, Minnesota 55323 Permit Type: Fire Systems Permit (952) 249-4600 Date Issued: 4/18/2003 SITE ADDRESS: 3333 Shoreline Dr Wayzata,MN 55391 PID: 20-117-23-11-0024 DESCRIPTION: Proposed Use: Commercial Pernut Class: General Pernut Type: Fire Systems Permit Permit Sub-type(s): Alarm System DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 50.95 Valuation: $ 1,400.00 State Surcharge Fee: $ OJO TOTAL FEE: $ 51.65 APPLICANT: Floyd Total Security OWNER: Rick's Super Value 9036 Grand Ave. S 3333 Shoreline Dr Bloomington,MN 55420 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. n � � . � - .--�- � ra _ L�� .= � <�� AP IC TPERMITEESIGNATURE ISSUEDBYSIGNATURE Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 �• � � �Total Fee: $ ,�� Date Received: � �' �_3 J Entered By: �e Permit#: � n (�=��'�� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � -------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWiVER OR CONTRACTOR JOB SIT'E ADDRESS: �Z«�Sc�.��,q�:.� �3��Si�sec�-r�.,11��. ��c � NAl�iE OF OWNER: PHONE: (home) . (work) MAILING ADDRESS: 3��3 ��.Kz�� ll� CITY: �/}�A,e(zc ZIP: �"S�G� CO\�'I'RACTOR: �-c-c�� t� lor r4�:�G.U:a.rrz�`t� PHOI�'E:_ �}S2 �� 11 C�5 COr�TACT PERSON: C ` � ,�� NIOBILE/PAGER: � 12 4 GS LIS�7 NL4ILING ADDRESS: y036 -t(�r�►�� . � CITY: �i.�cj�_.tir r� ;y��IP: SS 2L ST�T`E LICENSE: # ARCHITECTlENGINEER: PHONE: MAII.,ING ADDRESS: CITY: ZIP: NA.IIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: A--p� �w,� R� p 1 y}.��2 �U i�l t'I�Q I 1�6 T�� C�x t�(�-r- i tJ�, �cc,�rz- �T�, �,�G � STORIES: SQ. FEET OF EACH FZOOR: NO. OF BEDROOviS: � GARAGE STALLS: ATT. DET. ; EST�IATED CONSTRUCTION VALUATION (excluding land): $ I �l C�C!� I hereby apply for a building pernut 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 wi�I be in accordance with the approved plan. APPLICANT'S SIGNATURE: v►��J DATE: � ' � g ' � NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. 5 . , � � �� . . Sec.13.04 RIGHTS OF SiJBJECTS 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 secrion. Subd.2. Information required to be given indiridual. An individual asked m supply private or confidenaal data concerning himself shall be informed of: (a)the purpose az�d inre�Med use of the requesud data within the collecang state agency,political subdivision,or statewide rystem;(b)whether he may refuse or is legally required ro supply the requesud data;(c)any lmown consequence arising from his supplying or refusing to supply privare or confidenoal daa;a�(d)the idenaty of other persons or enades authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the norice reauired under�h�s subdivision in the individ�al income tax or oro�ertv tax refund instrucrions mstead of on those forms. Subd.3. Access to data by iadividual. Upon request to a responsible authority,an individua!shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,privau or confidendal. 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[he contenc and meaning of that data. Aher 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 acuon punvant ro this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. The responsible authoriry may require the requesdng person to pay the acmal cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possibte,wirh any request made pursuant to this subdivision,or within five days of the da[e of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that dme,he shall so inform the individual,and may have an addiaonal five days within which to compty with the request, excluding Samrdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may coatest the accuracy or completeness of public or private data concerning himself. To ezercise this right,an i�Mividual shall nodfy in wriang the responsible authoriry deuribing the�nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or iiuomplete and attempt to noafy past recipiencs of inaccurace or i�omplete data,including recipients named by the individual;or(b)noafy the individual that he believes the data to be correct. Daa in dispute shall be disclosed oaly if the individual's statement of disagreement is included with the disclosed data. The determinadon of the respoiuible authoriry may be appealed pursuant to the provisions of the adminisorauve procedure act relating ro contested cases. �ATA 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 �iry 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 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 pemut or licease 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. c—�vu� �-[�N r4�21� vW�2�Sa� First Middle �� _ ��3�-, C� o__��D A-� Sv Address l' �o� ��)�-,`f6� � i� 542_C) �tSZ $X`l 11 �� C�ry Srate Zip Phone •y� I under tand my rights as stated above. � Signature 6