HomeMy WebLinkAbout1996-008200 - roof for walkway � CITY OF ORONO PERMITPERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66t l NCS
Permit Number:
Crystal Bay, Minnesota 55323
(612)473-7357 Date Issued: 07/25/96
SITE ADDRESS:
1145 WYNDMERE PD
e
P. I . N. , 26-11;-3-23- 41-0011-
DESCRIPTION:
ROOF iF F�tR WALKWAY
Building Permit. Type} SF-ADD/REMODEL
Building Work Type? RE-ROOF
Ce=nsus Code} 4:34 ALT . RESIDENTIAL
REMARKS:
FEE SUMMARY:
VALUATION $11 ,000
Base Fee $174. 75
Surcharge ---------
Total Fre $180. 2S
CONTRACTOR: - Applicant - ST . LIC OWNER:
GARLOCK FRECH ROOFING CO 17227129 142:3 JACKSON SUZANNE
2:309 SNELL I NCS AVE 1145 WYNDMERE RD
MINNEAPOLIS MN SS404 ORONO MN SS391
(F 1'2) 722-7129 473-7926
THEltltht# t? 'HEREBY REQUESTS PERMISSION 1"NE REQ § w
S '�C F I ED AND AGREES T 1 ALL W0RK N"" TRC , �� ; `` fy "
606Nn ORD I NANC:ES AND STIATE,'OF M I NNES T W10INS t
APPLICANT%PERMITEE SIGNATURd ISSUED BY:SIGNATURE
Total Fee: S Date Received:
Date Approved:
Entered Bv: Permit T
CITY OF ORONO - BUILDLNG PERMIT APPLICATION
ALL INFOPUNIATION.'FUST BE SUBIIITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
THE APPLICANT IS:w (circ11e one) OWNER 0 k ECO�NTRACTOR
JOB SITE ADDRESSW Irl ZIP: I
NA11NIE OF OWNER: �UYlrl� �k�<,�-�►r` PHONE: (home)
(work)
I�IA.ILINGADDRESS: l S Y\ CITY: Q______ZIP:
CONTRACTOR: ���/� �� - eA PHONE:
MOBILE PHONE/PAGER:
MAILING ADDRESS: CITY: M S ZIP: S�y
STATE LICENSE: 0 60 I (23
ARCHITECTIENGINEER: PHONE:
NI JAILING ADDRESS: CITY: ZIP:
NAlvIE: REGISTRATION n
TYPE OF WORK: New Addition Accessory Structure
Move Remodel!Alteration ✓ Land Alteration
� � P
PROPOSED W RK(des eindemil): o—
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTL IATEDCONSTRUCTIONVALUATION(excludingland): $ /A —
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.
i
� 1►
SUBJECTS OF DATA
of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
oration required to be given individual. An individual asked to supply private or confidential data concerning himself shall
urpose and intended use of the requested data within the collecting State agency, political subdivision,or statewide system;
or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
i;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall
lual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
mer of revenue may place .he notice required under this subdivision in the individual income tax or properev tax refund
those forms.
ss to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
als,and whether it is classified as public, private or confidential. Upon his further request,an individual who is the subject
:data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content
After an individual has been shown the private data and informed of is meaning,the data need not be disclosed to him for
:ss a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created.
shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
g person to pay the actual costs of making.certifying,and compiling the copies.
e authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
:luding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
;o inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
rs.
edure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.
shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data
ed only if the individual's statement of disagreement is included with the disclosed data.
tion of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
DATA PRIVACY ADVISORY
vith M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request
se from the City of Orono or any of its departments may require you to furnish certain private or
tion.
,d that:
formation you furnish will be used to determine your qualification for the permit or license requested.
iay refuse to supply data, but refusal may require that the City deny the permit or license.
formation may be shared with other local, state or federal agencies to the extent necessary to process
rmit or license.
r requested permit or license requires Council action to approve, some information may become
ave certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
MI,name is required to process this application or permit.
2 3 o-i v P It
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State Zip Phone
ly rights as stated above.