HomeMy WebLinkAbout2001-P03512 - windows PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P03512
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 2i7/2001
SITE ADDRESS: 650 Tonkawa Rd
LONG LAKE, MN 55356
PID: 05-117-23-33-0005
DESCRIPTION:
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 41.80 Valuation: $ 1,057.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 42.35
APPLICANT: SEARS SIDING&WINDOWS INC. OWNER: MICHEAL&JEANNIE ADAIR
7610 BERKSHIRE WAY 650 TONKAWA RD
MAPLE GROVE,MN 55311 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.
AIL'w xv ova'*,
APPLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Pagel
Oct-I8-2000 04:07pm From-CITY OF ORONO +9522494018 T-824 P-002/303 F-938
Total Fee: S Date Received: ! (D ' -7 /0 If
Entered By: Permit#:
CITE' OF OROS"O - SUILMNG PEJMII'T APPLICATION
All information must be submitted in full before plan review will be starter!!.
(please print all information)
THE APPLICANT IS:
- (circle one) OWNER O
JOB SITE ADDRESS: t-C S--C) TU ED W:
NAME OF OWNER: PHONE: ( o=) q7
(work) 1-4-71 -r.�epaT.7 -7 /
MAILING ADDRESS: 1 G Tr?[ �4d�c3. CITY: ZIP: S —
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CONTRACTOR: Dr's W/Ylfd-�-PHONE: 2�161� 69
CON'TACT PERSON: r' MOBILE/PAGER: /(�
MAILING ADDRESS: `Ila U eYt_-Shl CITY: te- relveziP:
STATE LICENSE: #_� ,+ r
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ARCBTrECTIE.NGINEER: PHONE:
-MA.YLING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#_
Addition Accessory c
TYPE OF WORE: New Ad essory Stru tute
Move _ _ RemodeVAlteration Land Alteration
PROPOSED WORD(describe in derail): -A1 i PJ D(:> t'�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIl�IATED CONSTRUCTION VALUATION(excluding land): 1_4 4 6S�r
I hereby apply for a building permit and I acknowledge Haat 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 Haat the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
'VOTE! Parade+,fes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Oct-18-2000 04:071pm 2rx-CI7Y OF ORONO +9522494619 T-824 ?.0031003 F-338
sec.l3.o4 iuGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored si;all be as sat forth:r chis steam.
Subd._. Y enation required to be given individual. An individual asked to supply private or confdeotial data concerning himself shall
be informed of: (a)the purpose and intruded use of the req:iesud data within the aolierting ALIG 430ney,political subdivision,or stawwide systdm;
ib)whether he may refuse or is legally required w supply die requested dare;(c)any known,consequence edetic froth his st:pplying or refining to SUPPLY
private or wiif~dcntiai data;and(d)the iderrtity of ether persons grentities aurhorkred by state or federal liw eW receive rhe data. This requirttmem shall
no:apply when an individual is asked w supply investigative dam,pur3uaat to section 13,82,subdivision 5,to a law enforcement offtor.
The commissioner of revenue maw elate the nonce reduiree undV dtlr u ijYlsion in rho individual income tax d'nr'7Aorn>rK.ref7'.trd
jngruprions irmad of Qtr those_fom,
Subd.3. Aceese to data by individual, Upon request m a respoltsible awliotity,as individual:lull be informed whether he is the subject
of stored darn on individuals,uxl wh=cher it is classified as public,private or confidential. Upon his ft:sthcr request,an individual vhf is rhe subject
of swted privam or public dare on individuais shall be shown the darn without any charge to him and,'if he desires,shall be iafermed of dm eohteat
and rtuaning of mac darn, Atter an i:rdividuil has beta zaawn the private data and infer-cod of its meaair:g,the dau teed nor be disclosed:c him for
six moadu dwfaafwr urdess a dispute or action pursuant to this section is pending or adidonai dace on the individual has been collected or created.
The responsible authority fta provide copies of the privan or public dam upon request by the individual subject of the dare. She responsible aatbOrity
may requite the requesting,pdraft m pay the actual costs of making,terrifying:And oomplllrig the copies,
The r_sponsible authority shall comp:y u=wdiately,if possible, with arty request made pursuant to this mbdivislon,or within five days of
the dais of tie Mquast.excluaLu Saturdays.Sundays and legal holidays.if immediate compliance is not possible. Y.°ire earrnae comply with otic requecr
within that thee,ho Shall so inform Is individual,and may have an additional five days within which to comply wish the request,excluding Saturdays.
Sundays and legal holidays,
Subd.4 Proeedure whey data is not accurate or compiste. An iadividual may contest:du accuracy or completon--ss of public or private
data concerning himself. To exercise oris right,wi indivtdcal shall notify is wrting the responsible audroriry describing the nature of the dimome erit-
The responsible authority slid';within 30 days either: (a)correct the data found to be uraccutau-or iocomolere and artarnpt to notify past mcipirnts of
inaccurate or incomplete dau,iaeluaag recipients named by tha individual:or(b)notify the individual rhe:he believes dre dam n be correct, Ante
in dispute shall be discloses only if the L-4vidual's smtetturtr of disagreement is included with the disclosed data.
The dctent.nadon of int responsible audwriry may be appealed pursuant to the provisions of the adminisizative procedure:ret relating in
contested cases.
I)AIA PRIVACY AMISURY
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 er license from the City of Orono or any of ars depM31nen.t5 may require you to f'.irnis31 certain private or
confidential information.
You are notified dal:
1. The information you furnish will be used to determine your qualification for the perncit or licewd requested.
2 You may refuse to supply data, but-efusal .may require that the Cir/ deny the permit or license.
The 'information may be shared with other local, state or federal agencies to the extent aecessaay To process
ilio permi, or license.
4. If your requested permit tar license requires Council action to approve, so= information may become
public.
5. You have certain rights under KS. 13.04 (available upon request) to review private data oat yourself.
5. Your full name is reVired to process this applica?ion or permit.
First Middle Last
Address P C1
C fir i/
Cary State Zip 3?hfnr
I undersLand my rights "a:ed above.
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