HomeMy WebLinkAbout2000-P02538 - re-roof t .
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P02538
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 6/8/00
SITE ADDRESS: 425 Tonkawa Rd
LONG LAKE,MN 55356
PID: 06-117-23-41-0088
DESCRIPTION:
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 3,700.00
State Surcharge Fee: $ 1.85
TOTAL FEE: $ 99.10
APPLICANT: INCLINE ENTERPRISES INC OWNER: B KNIGHT&J RIESNER KNIGHT
26175 BIRCH BLUFF RD 425 TONKAWA RD
SHOREWOOD,MN 55331 LONG LAKE MN 55356
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.
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ISSUED BY SIGNATURE L1J�0
Copies:City,Applicant,Assessor,Finance Pagel
t
Total Fee: $ Date Received:
Entered By: Permit#:
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) OWNER O
JOB SITE ADDRESS: las" Mo. ZIP:
NAME OF OWNER: fin,► T�, PHONE: (home)_�/7 -' 3)
(work)
MAILING ADDRESS: yid CITY: , ZIP:
CONTRACTOR: - Zinu PHONE: Y7)-4&dr
CONTACT PERSON: c MO ILE/PAGE : -5-V—
MAILING ADDRESS: s ,yt �� CrTY: tkZIP:
STATE LICENSE: # AV h 3�
ARCHITECT/ENGINEER: PHONE:
NIAILING ADDRESS: CITY: ZIP:
NAINEE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
7
PROPOSED WORK(describe in detain:
STORIES: SQ.FEET OF EACH FLOOR:
• ATT. DET.
NO. OF BEDROOMS: GARAGE STALLS.
ESTBIATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; chat 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 a cor ance with the pproved plan.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade gf 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.
A
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the dart is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be givea individual. An individual asked to supply private or coaf denial dam concerning himself shall
be informed of: (a)the purpose and iamnded use of the requested dam within the collecting ante agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested dam;(c)any(mown consequence arising from his supplying or refusing to supply
private or confidential dam;and(d)the identity of other persons or entities authorized by star_or federal law to r- -ive the don. This requirement shall
not apply when an individual is asked to supply investigative dam,pursuant to secdoa 13.82.subdivision 5, to a law enforcement officer.
The commissioner of revenue may oface the notice rauired under this subdivision in the individual income mx or orooeav = 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 dam on individuals,and whether it is classified as public,private or con;.dendal. Upon his further request,an individual who is the subject
of smr:d private or public dam on individuals shall be shown the dam without any charge to him and:if he desires,shall be informed of the content
and meaning of that dam. After an individual has been shown the private dam and informed of its meaning,the dam need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or additional dam 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 dam. The responsible authority
may require the requesting person to pay the actual costs of making,terrifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the da-of the request,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional 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 private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. ..
The responsible authority shall within 30 days eh.tr. (a)correct the dam found to be inaccurate-or incomplete and attempt to notify past recipients of
inaccurate or incomplete dam, including recipients named by the individual;or(b)notify the individual that he believes the dam to be correct Data
in dispute shall be disc:osed only if the individual's statement of disagreement is included with the disclosed dam.
The determination of the responsible authority may be appealed pursua t to the provisions of the administrarive 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 dep=ments 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 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 applicatioa or permit.
Fust riiddle Luh
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Address �3� J [
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City State Zip Phone
I understand my ;hts s d above
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Signature