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Home My WebLink About2002-P05296 - re-side � � , PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pos296 Crystal Bay, Minnesota 55323 Per-mit Type: MinorAlterations (952) 249-4600 Date Issued: 6iiii2oo2 SITE ADDRESS: 3915 Shoreline Dr Spring Park,MN 55384 PID: 2o-i i�-23-22-000s DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 111.25 Valuation: $ 4,500.00 State Surcharge Fee: $ 2.75 TOTAL FEE: $ 114.00 APPLICANT: Konrad KYuger OWNER: Konrad Kruger 4831 Manitou Rd 4831 Manitou Rd Tonka Bay MN 55331 Tonka Bay MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � �� . � � ��1 �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 4 � � ��{ Cj�; Total Fee: $ '� Date Received: !� -//-�oZ. Entexed By: /1iL_, Permit#: i-�O S�3�� CITY OF ORONO - BiTII,DING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �� 5�,�j�� - ZIP: S�~-S� , NAME OF OWNER: KQ��2.��A �-`i �, �`�- PHONE: (home)Z ��'��`� (work) MAII,ING ADDRESS:'`{�j� l l`l� ��v ,�� CITY: _;rsv��'� ZIP: 5 S� � . CONTRACTOR: �� PHONE: CONTACT PERSON: MOBILE/PAGER: �� t ��`�L� L�Z.7�% MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA�'�IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration_� Land Alteration PROPOSED WORK(describe in detai�: _ S i �i ti�� -' �4 S �t�'-t2� �.iS�=— �1 � (�� STORIES: �"' SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. 1 ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �� -- I hereby apply for a building pernut and I aclrnowledge 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. - r APPLICANT'S SIGNATURE: `,�.,c J(� DATE: �� l �` C� Z NOTE! Parade Qf 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. �J ! Sec.13.04 RIGHTS OF SUB.TECTS OF DaTA Subd. 1. Type of data. The righcs of individuai 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. �.n individual asked ro supply private or confidendal data concerning himself shall be informed of: (a) the purpose and in[ended use of the requestcd data within the collecting�tate agency,political subdivision,or sratewide rystem; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenriry of ocher persoas or enodes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigarive data, pursuant to section 13.82,subdivision 5, to a law enforcement officer. The commissioner of re�•enue mav place the norice reauired under this subdivision in the individual income tax or oropem tax refund instruccions instzad of on those forms. Subd. 3. Access to data by individuai. Upon requesc 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 confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown[he data wi[hout any charge to him and,-if he desires, shall be informed of the content and meaning of chat data. Aher an individual has been shown[he private data and informed of its meaning, the data need not be disclosed to him for six mon[hs thereafter unless a dispute or acdon pursuan�to this secrion is pending or addidonal data on the individual has been collected or crea[ed. The responsible authoriry shall provide copies of the private or pubfic 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, certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible,with any reques[made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immedia[e 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 Ihe 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 this right,an individual shal(nodfy in writing the responsible authoriry describing[he nature of the disagreement. 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 inaccurate or incomplete data, including recipien[s named by[he 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 with the disclosed data. Tiie determinarion of the respensible aurhority may be appealed pursuant to the provisions of the admuustrarive procedure act reladng 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 pemut 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 furnish will be used to deternune your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. 3. The information may be shared with other local, state or federal a;encies to the extent necessary to process the pemut or license. 4. If your requested pernut or license requires Council action to approve, some information may become public. j. 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. First �iiddle Last Address Ciry State Zip Phone I understand my rights �s stated above. �u uZ Signamre