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HomeMy WebLinkAbout2002 - P05594 - re-roof PERMIT CITY OF ORONO Permit Number: 275E Kelley Parkway- PO Box 66 P05594 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9/10/2002 SITE ADDRESS: 2607 West Lafayette Rd Excelsior,MN 55 331 PID: 21-117-23-21-0010 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code 0/S-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: $ 195.25 Valuation: $ 10,500.00 State Surcharge Fee: $ 5.75 TOTAL FEE: $ 201.00 APPLICANT: Garlock-French Roofing Corporation OWNER: M Pride&S Coon 2301 East 25th Street 2607 West Lafayette Rd Minneapolis,MN 55406 Excelsior MN 55331 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. VaDD 623A-21---,1----/72-7 APPLICANT PERMITEE S NATURE ISD BY SIGNATURE Conies: 1-File(Si&nitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 SEP.09 '2002 09:58 6127229754 GARLOCK FRENCH ROOFING #7137 P.002/002 Total Fee: $ ( ,L / Cr� Date Received: r7��� 7 Entered By: 0 Permi,t#: L0 9/C? CITY OF ORONO BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. -�3,� --(please print all information) THE APPLICANT IS: (circle one) OWNER ORT JOB SITE ADDRESS: Ziol- Favi Rua ZIP: 55334 NAME OF OWNER: Sb v1e-• Ccs^ PHONE: (home) - (work) MAILING ADDRESS: 2.1"(A W. L ' la• CITY: Urso ZIP: 5533 I CONTRACTOR: t c,• ..1•C- 'CA toe A PHONE: - 7) CONTACT PERSON:Pt & j EMfic a 101 OBILE/PAGER: MAILING ADDRESS;71 E. acr'^ rt. CITY: X15 ZIP: 55'-fog., STATE LICENSE: # 000kki ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move • Remodel/Alteration Land Alteration PROPOSE)WORK(describe in detail):y1 - Pwl.s3ciiYmN 51.1,3A rnSith•tto 41- Vatki S'Ckdl hkp 00\ 4cCAlk Jl0.Skv.rNtit? . '41,A0tlr- ` CA ki .(ter i w __ Dl Vtt�, LQiA\kO I gluey k6 . STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1o, 00 • od I hereby apply for a building permit 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. APPLICANT'S SIGNATURE: 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. SEP. 09 '2002 09:58 6127229754 GARLOCK FRENCH ROOFING #7137 P.001/002 2;1!*/1 - GAiRTACK-FRENCH ROOFING Sinrr, 1932 2309 Snelling Avenue • 722-7129 Minneapolis, Minnesota 55404 Company Name: 0:bd 0 Orar a Attention N e Telephone Number; 95 - - Li C'OD Fax Number. - 2 9 - Col Le Number. of Pages (including cover. page): ?- From.: I 'Y i EkA U J Oc Telephone Number: 722-7129 Fax Number. 722-9754 Date: J I I 0 - Time: !O,00arn Reference; Ad.d.ii�.on.a.l. Cornm.en.ts: IJ I& / L aXYi d um.) b k - AL A)e GLV - '\17 Total Fee: $ 2x) 1.06 Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. -4-;17) (please print all information) THE APPLICANT IS: (circle one) OWNER OR C ITRACTO. JOB SITE ADDRESS: 21101- \N- La-Fak.y12-oc.d ZIP: 5533k NAME OF OWNER: SECa\t`( \t Cc-1-3, PHONE: (home) -`-lel - 1053 (work) MAILING ADDRESS: 2U0l' w' L - ld• CITY: CW ''c ZIP: 5533 CONTRACTOR: &A-(106(-- -clYtV-Y1' —A Pc.i PHONE: I(2--0)-"Al CONTACT PERSON:Pcra- I Emu o \01MOBILE/PAGER: MAILING ADDRESS: I E• a51''N t-x-c.t, CITY: rbi.31S ZIP: 5SNa(, STATE LICENSE: # (AM a3 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail):Te.Mi'X.1 OCNciYA Sik:Ak svkk ,rS-tatl ay a- WOO s t\l l nkbW\it ,Fuca klckSvO . VAAA0v1- ate, cQ.J% .cL w w s u Ll STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 10,Soo . UO I hereby apply for a building permit 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. APPLICANT'S SIGNATURE: ,�.!( C , ,,o,DATE: 7'-X1--02 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. I 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 set forth in this section. Subd.2. 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 the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82,subdivision 5, to a law enforcement officer. - The commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or property 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 data 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 data. After an individual has been shown the private data and informed of its 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 data 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 data. 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 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 either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the 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. 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 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 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 application or permit. First Middle Last Address . City State Zip Phone I understand my rights as stated above. Signature