HomeMy WebLinkAbout2002-P05465 - temp sign PERMIT
CITY OF ORONO
2750 K Ile Parkwa PO Box 66 Permit Number: Posa6s
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Crys:al Bay, Minnesota 55323 Permit Type: Sign Pernut
(952) 249-4600 Date Issued: 8/��2002
SITE ADDRESS: 3440 Shoreline Dr
Wayzata,MN 55391
P I D: 17-117-23-43-0142
DESCRIPTION:
Proposed Use: Commercial
Permit Class: General
Permit Type: Sign Permit Perxnit Sub-type(s): Sign-Temporary
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
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FEE SUMMARY: Perxnit Fee: $ 35.00 Valuation: $ 0.00
TOTAL FEE: $ 35.00
APPLICANT: David Osmonson OWNER: David Osmonson
3440 Shoreline Dr 3440 Shoreline Dr
Wayzata MN 55391 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLIC T PE EE SIGNATURE SUED BY SIGNATURE ��7��
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
Total Fee: $ ��,`�" Date Received: 3/.-{j.__,
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Entered By: ��1� Permit#: ��<-J(��
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'< CITY OF ORONO - BITILDING PERMIT APPLICATIOl�
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�';} ,� All information must be submitted in full before plan review will be started.
- (please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
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JOB SITE ADDRESS: � )%�L�GC �/�C ��i.. ZIP:
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NAME (3F OWNER: �� �1 � Si� �i�f �S�G�� 1 PHONE: ome G
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MAII.ING ADDRESS: , C �,� � CITY: ZIP:
CONTRACTOR: PHONE:
CON'TACT PERSON: MOBILE/PAGER:
MAII.ING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NANIE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: � � � � � r� � � — ��� - �/��
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
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 understan this is not a permit and work is not to start without a
permit; and that the work will be in acc an w e approved plan.
APPLICANT'S SIGNATURE: -Z� DATE: ��•-3��
NOTE! Parade o 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.
�� I�J ��'l'�rc�-�d 7-3i- (? 2 .�� ,r--
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Sec.13.04 RIGFiTS OF SUB.TECTS OF DaTA •
Subd. i. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall
be informed of: (a)the purpose and intended use of the requesud data within the collecang"state agency,po(irical subdivision,or sratewide system;
(b)whether he tnay refuse oY is legally required to supply the requested data;(c)any known coasequence arising from his supplying or refusing to supply
private or confidendal dara;and(d)the idenary of other persoas or enrides auchorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesdgadve dara,pursuan[to secdon 13.82,subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the noace reauired under this subdivision in the individual income tax oc property taz refund
instructions inscead of on those forms.
Subd. 3. Access to data by iadividual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, private or confidendal. Upon his further request,an individual who is the subject
of stored prsvate or public data on individuals shall be shown the data wichout any charge to him and;if he desires, shall be informed of the content
and meaning of�hat data. Aftzr an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months thereahec unless a dispute or acdon pursuant to this secrion is pending or addidoaal data on the individual has been collected or creaced.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesring person to pay the actual costs of making,cerrifying,and compiling the copies.
The responsible authoriry 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 immediace compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addidonal 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 pri�•ate
data conceming himself. To exercise chis right,an individual shall nodfy in wricing the responsible authoriry describing�he nature of the disagreemenc.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccunte or incomplete data, including recipiencs named by the individuai;or(b)nodfy the individual that he believes the data to be coaect. Data
in dispute shail be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The derermination of the responsible auchority may be appealed pursuant to the provisions of the adaunistracive procedure act reladng to
contesced 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 pemut or license from the Ciry 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 detemune your qualification for the perm.it or license requested.
2. You may refuse to supply data, but refusal may require tha[ 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 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.
6. Your full name is required to process this application or perm.it.
First �Iiddle Last
Address .
City Stam Zip Phone
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