HomeMy WebLinkAbout2000-P03282 - re-roof U PERMIT
CITY OF O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03282
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 12/19/20
SITE ADDRESS: 3245 Watertown Rd
LONG LAKE,MN 55356
PID: 05-117-23-11-0001
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83.25 Valuation: $ 2,570.00
State Surcharge Fee: $ 1.30
TOTAL FEE: $ 84.55
APPLICANT: RELIANT ENERGY MINNEGASCO OWNER: C&A RHAME
2305 SNELLING Ave S 3245 WATERTOWN RD
SUITE A LONG LAKE MN 55356
MINNEAPOLIS,MN 55404
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.
A LI NT PERMITEE SIGNA ( jq , SUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Pagel
CITY OF ORONC 6122494616 05/10/99 10:31 (j :03/08 NO:210 8355
Total Fee: $ y 5S Date Received: 1l - Ilam - )b
Entered By: 1) Permit N: A O 3aX
CITY OF ORONO - BUILDING PERMIT APPLICATION
/_ Z 7,
All information must be submitted in full before plan review wlil be started.
(please print all lqformadon)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 1 13 ZIP:
NAME OF OWNER: �0j PHONE: (home) i4-�; - L-AO-73
(work)
MAILING ADDRESS: V CITY: N,n ZIP:
CONTRACTOR: a xoNE: tt �� 2 °x
CONTACT PERSON: M /P GER:
MAILING ADDRESS: CTI'Y: �� ?•�:_� �
STATE LICENSE: M
ARCMTECT/E1tiGINEER: PHONE: _J
M e ITITNG ADDRESS- - --- CI'T'Y:_T ZIP: ----�
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe 'n detalo: ZO,
c�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land):
I hereby apply for a building permit and I acknowledge that the information above is c ora-pletc 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.
APPLICANT'S SIGNATURE: DATE:
NOTE! P.,rade Qf&mes events require separate pe approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
CiTY.OF;ORMU) 6122494616 05/10/99 10:315 :02/08 NO:210
Sec.t7.04 1UGHTS OF SUII.!>rCT3 OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be u set forth in this section.
1144.I. tafermation required to be given Individual. An Individual asked to supply private or confidential dam eoncendtg himacif shall
be iafornse4 of: (a)the purpose and intended use of the requested data within the collecting Stam agsocy,political subdivision,or smetwide system;
(b)whathet he may tefuse or fa legally required to supply Ors requested data.(4)any known coawquaucc arising ham bis supplying or refusing to supply
privwe orconfidendal dam:end(d)the ideadty of other person or eaddss authorized by state or tedcral law m receive the dam. 'ibis requirsment:hail
not apply when en Individual is asked to apply investigative dam,pursuant to section 13.82,subdivision S. to a ltw enforcement officer.
1by gyMjWizJoUr ofrevenue May place the notice teauired under this ntbdfvWon in the Wivi4utl Worav az or orooenr ax ly!%nd
ructions Insmad of am Most km'
Subd.S. Access to data by individual. Upon request to a respottaible authority,an todividuat shall be informed whether he is the subject
of stored dam on individuals,and whether It is classified as public,private or conndennal. Upon his further request,an individual who is the subject
of stored private or public dam an individuals shag be shown the data without any chargs to hire and,'If he desires,shall be bttonned of die eoatent
and moulAS of that dam. After an individual bas been shown the private data and informed of its meaning.the dam need not be disclosed to WM for
six months thsrsiMf union a disputa or action pursuant to tads section is pending or addidoual dam on the individual has been collected or created.
Tbs responsible authority shalt provide copies of die private or public data upon request by the individual subject of dye dam. The responsible authority
pray require the requesting person m pay the actual costs Of nt"S.certifying,tad compiling the copies-
The respotWbis susharity shall comply immediately,it possible,widt any request made pursuant to chis subdivision,or whbin live days of
the dam of rho ragitm excluding Saturdays.Sundays and legal holidays,if lmmedlata eomptiance is not possible. U he cannot comply with the request
w&W tut dine,he shall so Want she Individual,and may have an additional flys days within which so comply with the request,excluding Saturdays.
Sundays and legal holidays.
Subd.4. F?ondure whet date Is not sccurste or complete. An ladividuai may contest the accuracy or eomplereness of pabilc or private
4am eotreesettag hMseif. To exsmim Otis right,an individual shall notify in writing the responsible sudtotity describing the pawn of the dtsagtrsmett.
The mpsasible authority shill within 30 days either: (a)correct the data found to be Inaccurate at Incomplete Ind attempt to todly past recipients of
inaeeumse or incomplete dam, Including recipients named by the individual:at(b)notify ON Individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement Is included with the disclosed data.
Us dearndnadat of the responstbie authority nuy be appealed pursuant to Cie provisions of the adtninistnadve procedure act relatirtg to
eontssted cues.
DATj& PRLYACX ARVISQU
lA 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 furnish certain private or
confidential information.
You are notified that:
1. The information you futzfish will be used cc determine your qualification for the permit or license requested.
2. You may retllse to supply data, but refusal may require that the City deny the permit or Iicense.
3. The Information may be shared with other local,state or federal ageAcies to tate etreot necessary to process
the permit or license.
4. if your requested permit or license requires Council action to approve, some information may become
public.
S. 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
City stem Zip Thome
I understand my rights as stated above.
SignaN[a /
s k
2309 Snelling Avenue
Suite A Minnegasco Home
Minneapolis,Minnesota 55404
Fax:612.721.87133 Service Plus Roclifliriq
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Phone:
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Hard COPY To Pallmnr Via US Mail: yes No
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