The URL can be used to link to this page

Home My WebLink About2002-P05537 - re-roof a 'i CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Poss3� Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: si23i2oo2 SITE ADDRESS: 3405 Sixth Ave N LONG LAKE,MN 55356 PID: 29-118-23-43-0010 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 167.25 Valuation: $ 8,495.00 State Surcharge Fee: $ 4.75 TOTAL FEE: $ 172.00 APPLICANT: Western Cedar Supply OWNER: THOMAS L&NANCY L SAWYER 9700 13th Ave 3405 SIXTH AVE N Plymouth,MN 55441 LONG LAKE MN 55356 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 SfATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , /h� �� _�';'�r l'�__ ��-----� APPLICANT PERMITEE SIGNATURE I UED BY SIGNATURE � Cooies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 . . Total Fee: $ �� 2' Date Received: ,`S-� �'C�Z Entered By: ��,�� Permit#: ' 4;S_3�7 CITY OF ORONO - BiJII.DING PERNIIT APPLICATION All uiformation must be submitted in full before plan review will be started. (please print all information) ----------------------------------------------------------------------------------s---------------------� THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� JOB SITE ADDRESS: �y�'J jc�.,� �c � 1�� , ZIP: 5�'5.�� NAME OF OWNER: f� fr- /L/,��,vc y S;��L•��.-- PHONE: (home) ��-%Cx/� (work) MAILING ADDRESS: 5�i��- CITY: ��..L7�-� ZIP: :5 31`E' CONTRACTOR: C,t,�'S ��^ � �.+ ,-� � PHONE: CONTACT PERSON:_��,� OBILE/PAGER: �/� -3t��-ya� MAILING ADDRESS: �II�7C� t ��I� � CITY: ��( �� { ZIP: s5'f�y STATE LICENSE: # C�,p��Su� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIg: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure � Move Remodel/Alteration Land Alteration �--- PROPOSED WORK(describe in detai�: � - �� f�� STORIES: SQ. FEET OF EACH FLOOR: NOa OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $��'J� I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate; that the wark 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: �� 1� DATE: � ��"-t-'� NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. . . Sec.13.04 RIGH'TS OF SUB.TECTS OF DATA Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or ro be stoced shall be as set forth in this section. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shali be informed of: (a)the purpose and intended use of the requested data within the collecting�tate agency,political subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested dara:(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federnl law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data,pursuant to secdon 13.82, subdivision 5,to a law enforcement o�cer. The commissioner of re�enue mav place the norice rewired under this subdivision in the individual income tax or property taz 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 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 acrion pursuant to this secdon 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 coscs of making, certifying,and compiling ihe copies. The responsible authority shall comply immediately, if possible, with 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 tune,he shall so inform the individual,and may have an addiaonal 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 individuat may contes[the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing[he nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccutate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual; or(b)noufy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individuaPs statement of disagreement is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the adminis[radve 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 fumish 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 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 application or permit. First Middle Last Address C��, State Zip Phone I understand my rights as stated above. �� %nS�-' Signamre