HomeMy WebLinkAbout2000-P03040 - re-roof PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P03040
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 9/27/200
SITE ADDRESS: 550 Tonkawa Rd
LONG LAKE, MN 55356
PID: 05-117-23-32-0004
DESCRIPTION:
Proposed Use:
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: $ 1,391.35 Valuation: $ 170,402.00
State Surcharge Fee: $ 90.00
TOTAL FEE: $ 1,481.35
APPLICANT: GARLOCK-FRENCH ROOFING OWNER: A M CARLSON ET AL TRUSTEES
2309 SNELLING AVE 550 TONKAWA RD
MINNEAPOLIS,MN 55404 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.
APPLICANT PEKMITEE SIUMVURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Pagel
Total Fee: S
Date Received:
Date Approved:
Entered By: PE"r
CITY OF ORONO - BUII.DLNG PERIMIT APPLICATION
ALL LYFORMATION MUST BE SL-BN1ITTED LY FULL BEFORE PLAN REVIEW WILL
BE STARTED
THE APPLICANT IS:~ w (circle one) OWNER 0 CONTR3CTOR
JOB SITE ADDRESS: 5150 ZIP: SS? I
HONE: home
NAlI�IE OF OWNER: �. ,.,�1�} ( QX� �►/l r ( )
(work) 1(,v 3- 21 -�;t
. MINGADDRESS: _CITY: ZIP: 55 I
CONTRACTOR: r of IOC- ' cin C k rHONE: (o I a �l a
MOBILE PPiO1TE/PAGER:
v1AILL iG ADDRESS: 2 3LO Sr�l�i I CITY:P1(\ aa-� u s ZIP: 5 S Lf o�-(
STATE LICENSE: # nn -)14x3=�
ARCHITECTIEN GLVEER: PHONE:
MAILLNGADDRESS: CITY: ZIP:
NAME: REGISTRUTION
TYPE OF `YORK: New Addition Accessory Structure
Move Re:nodellAlteration t--"- Land Alteration
PROPOSEDWORK(describeindetail): T2CU' (��� fP.YbU( a1'' ��
CLAJ
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTLI-IATED CONSTRUCTIO`V .L DATION(excluding land): S
I hereby apply for a building per=r 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 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.SEP 2 20
00
APPLICAlNT'S SIGNATURE: 906. DATE:
NOTE! Parade of 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.
r e
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as sec forth in this section.
Subd.'_. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a) the purpose and intended use of the requested data within the collecting State agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data:(c)any known consequence arising from his supplying or refusing to supply
private or confidential data:and(d)the identity of other persons or entities authorized by state or federal law to receive Elie data. This requirement shall
not apply when an individual is asked to supply investigative dam. pursuant to section 13.82, subdivision 5,to a law enforcement officer.
The commissioner of revenue may olac he notice required under this subdivision in the individual income tax or oroperry tax 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 dam 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 dam. after an individual has been shown the private data and informed of is meaning, the data 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 dam upon request by the individual subject of the dam. The responsible authority
may require the requesting person to pay the actual costs of making.certifying,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 date 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 Elie 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
dam 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 either: (a)correct the data 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 disclosed only if the individual's statement of disagreement is included with the disclosed dam.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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
ity of Orono or any of its departments may require you to furnish certain private or
for a permit or license from the C
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 riLyhts 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 IvEddle LASE
Address
City State Zip Phone
I understand my rights as stated above.
Signature