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Home My WebLink About2006-P10047 - re-roof PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P10047 Crystal Bay, Minnesota 55323 Permit Type: (952'') 249-4600 Minor Alterations Date Issued: 6/29/2006 SITE ADDRESS: 4620 Tonkaview La Unit# Mound,MN 55364 PID: 07-117-23-32-0063 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Cass: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Replace Roof&Siding FEE SUMMARY: Permit Fee: $ 461.95 Valuation: $ 32,000.00 State Surcharge Fee: $ 16.00 TOTAL FEE: $ 477.95 APPLICANT: Owner/Self OWNER: Todd Courneya NIN 4620 Tonkaview La Mound MN 55364 THE UNDERSIGN REBY REQUESTS PER.MIWON TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREEDO ALL N STRICT CeSMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINN OTA BUILD COD EQUIREMtNTS. Cc -7 APP T PE . TEE SI AT,. ISSUED BY SIGNATURE ies: 1-Fil (Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page I JUN-28-2006(WED) 09: 08 P. 001/002 Total Fee: S 4�:-0 .9G Date Received: 4 i 7 Entered By: L4 hermit#• d CITY OF ORONO -BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) 6WNER R CONTRACTOR JOB SITE ADDRESS: y�2o -1'on4Go til►es.� �-c.►�12 ZIP: 5536 y , Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes XNo If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sujftclent on-slie parking Is available. Non permitred events will not be allowed NAMEOF OWNER: T 0o Ca u ryt� ua PRONE,: (home) o03- (work) qs2 Zzl.CyCq MAILING ADDRESS: 462a LC-r2 CITY: Gre'ia ZIP: M✓U CONTRACTOR: -1--00 Coo r►na.EN PHONE: 952. 2zl.6 y6 y CONTACT PE1tSON: MOBILE/PAGER: MAILING ADDRESS: qG'Q jz Ah .kw Lmd, CITY: Oro^m ZIP: N1 STATE LICENSE: # 411 u4 EXPIRATION DATE: I q ARCHITECT/ENGINEER: O PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding,Windows) Any earth movement may require MCWD review and permitzt PROPOSED WORK(describe in detail): (2ao1,�2 f�cof .� Sic��A STORIES: Z- SQ.FEET OF EACH FLOOR:- NO. OF LOOR:NO. OF BEDROOMS: GARAGE STALLS: ATTACHED X DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): S 3Z;o0a I hereby apply for a building permit and I acknowledge that the info tatitin above is complete and accurate; that the work will be in conformance with the ordinances es of the City and with the State Building Code;that I understand this is not a permit and wo to s without a permit;and that the work will be in sccordancc with the approved plan. APPLICANT'S SIGNA DATE: ` X06 v 31 JUN-28-2006(WED) 09: 08 P. 002/002 S ce.13.rtd RIGHTS OF SUIErdECM OF DATA Subd.1. Type of dura. The rights of imlividual on wliom the dap is xorcd or to be stored shall be as set forth in this mcdon. Subd.Z dnfomwdon requited to be given individual.An individual asked supply private or confidential data concerning himself shall be informed ol:(a)the purpose and Intended use of flit requested data within the collecting atate agency,political subdivision,orslatewide system;(b) whether he may refuse or is legally required to supply Ale requested dap;(c)any known consequence arising from his supplying or refusing to supply private oreonrtdendal data;and(d)the identity of outer persons or entities authorized by state or federal law to receive the data.This tr quirtment shall not apply when an individual is asked to supply investigative data,pumuitatto section 13.5_',subdivision 5,to a law erdurcoutcnl officer. T eh,wmmjaalQ0cr Of revenue msv piste the notice mauired under this sukU3dis an Llhrjn4WdNt11. egme tax or prQperpy tax rcfimd instructions inglyptl,{un those forn", Subd.3.Access to data by individual.Upon requcsttn a responsible authority,an individual shall be informed whether Ire is Ute subject of stored dap on individuals,and wbdlwx itis classified as public.private or conrudentdol. Upon his further request,an individual who Is ON subject of stored private or public data on individuals shall be shown the dam without any charge to him and.If he desirtaa,shall be tnrotmod of the content and meuming of that tlata.Adler an individual has been shown the private data and informed of its mewing,the data need not be disclosed to him for six months themafier unless a dispute or action pursuantto this section is pending cr additional data on the Individual has been collected or created.The responsible authority shall provide copies of pre private or public data upon request by the individual subject of the data.11w responsible authority may require the requesting person to pay Ae actual costs of making,ecrtifying,and compiling the copies. Theresponsible authority shall comply immediately,irponible,with any request made pursuant to this subdivision.or wittin five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance Is not posslble.If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional live days within which to comply with the taiquatst,excluding Saturdays, Sundays and legal holidays. subd.4.Procedure when data is notacpuatcorcomplem An individual muycontesl theacuxauh urcunipietonep ofpublicorpaivaledap concerning himself.To exercise this right;an individual shall notify in wrilingthe twponsible uudiority describing IN naturcofthcdisagroomant.The responsible authority shall within 30 days either: (a)correct the data found to be Inaccurate or incomplete and attempt to notify past recipients of inuccumia or incoinplctu dap,including recipients named by the individual;or(b)notify die individual Akltlie bel ia vwes the data to be comoa Detain dispute shall be disclosed only if the individual's statement of disugnzmeal is Included widh pie disclosed data. The deta r n cation orthc responsible authority may be appeuled pursuant to the provisions of pre administrtttiva procedure actrclatingto cattasled cases, DATA PRIVACY ADVISORY In e=rdancewith M.S.13.04,Subd.2,"Righwofsubjeotsofdata",wewould liketo inform you thatyour request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confitim ial 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 decry the permit or license. 3. The information may be shared with other local,state or federal agencies to lite extent necessary to process the permit or Ilcenso. 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 pefmiL CA U r tn,cy ON Tint LL Middle last Addras 6raAjo AJ G City Swat 7Ip Phone I understand my r • 6-Z8-zoo 6 Signature gl. s, 32