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Home My WebLink About2002-P05263 - re-roof CITY OF ORONO PERMIT 2750 Kel�''ey Parkway - PO Box 66 Permit Number: Pos263 Crystal Bay, Minnesota 55323 Pet'mit Type: Minor Alterations (952) 249-4600 Date Issued: 6i19i2oo2 SITE ADDRESS: 2755 Casco Point Rd WAYZATA,MN 55391 PID: 20-117-23-23-0007 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: �--�---- --�— -�- --�-- ..:,Y�.,..,�...,. �....:b:-� FEE SUMMARY: Pernut Fee: $ 335.25 Valuation: $ 20,800.00 State Surcharge Fee: $ 10.90 TOTAL FEE: $ 346.15 APPLICANT: St. Croix valley OWNER: D S&7 BREITNER 2511 Hwy 7 2755 CASCO POINT RD Excelsior,MN 55331 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. r �� .�' � �.��—-�� , � a� � c�� APPLICANTPERMITEGSIGNATURE ISSUEDBYSI ATURE � v Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 JUN-04-2a02 10:32 FROM:ST CROIX VALLEY CONT 9524704413 T0:+9522494616 P.003�003 Jun-D4-2002 OO:tla� F�om-CITY OF ORONO +9522494616 T-3T1 P.002/003 F-144 , T�tal Fee: .$ `1`/L� �� '� Aat�Received: ��`�,t- ` Entered By: r) ��L Permit#: ; 1 � ' �,'Y CYTY O�` ORONO - �YJYY,DYNG �RMIx AP'PLICATIQN � a� V All informatian must bE �ubmltted it� �11 bePore plan review will be started. � (please prind ald dnformanioR) ___�._.._�_.�_._._............._. ._.__�� .........,._..�...._--- T� APPLYCANT YS: (circle one) O'UVNER CONTR.ACTOR aoa srr�annn�ss: �7.r� �t s� ��-� z�: �''�'3� t N'� OE OyVNEYt: �/�'u i D ��C r�,�e� PHONE: (home) 9.r 2-933-�'0�0 (work) MATLII�iG ADDRFSS: Z7.t�' Cks� �. I�D Cx'�"Y: w a}1 a�r� 2�: .,��r 3S�- CON1'RACTQR: S� Cec jy� V�t��ey,�,vT/1Ac�iiJ6 _ PFYONE: CONTACTPERS4N: 44 3R�2 MOBII.�'.lPACEYt; �SI-7��-.t'b�f� MAILING ADDIZFSB: �'1 � CYTY: �i Lc�.,s�� ZIP: �'S 3 3 l STATE LICENSE: # �-2�3o y�y s- ARCIi�'�CT/ENGINEER: P�-YONE: MA7LING ADnRESS- CITX: �Y.P: NAME: R�ISTRATION� . y T'Y�'E OF WOI�tK: New Addi�ion Accassory SQucture_ Move RemndeUAlteradon Land Al[eraii0m ��OPOSFD WdRK(describe in detnan; �E�-v�F � /2.c �ic � STOYtYES: SQ.�ET UF EACH�'I�04R: N0. OF 8ED1tOONLS: GA.RAGE STALLS: ATT. DET. E.S'TIIbiATED C4NSTRUCTION��AI.UAT[ON(excludiug laad): $ �� vo i hereby apply for a building pemut aad I�awledge tbat the information above is complete and accurate; that che work will be ia cnnformanre with tl�ordiaances and cades of the Ciry aad with the State Suilding Code; that I understand this is nnt a permit and work is n�t to scar�wirhoue a perm,it; and thai the wark will be in ordance with the approved plan. APPLICAN'I''S SYGNA DATE: G-�t- y- NOTE! �f l�mes evenas require separate permit approvaY by 1'olice De�aard,eent and � GYty Councid 60 dc{ys prinr to the event. Non-perntftred events wiJd no6 be ailowed. Total Fee: $ Date Received: Er�tered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOle1 All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O ONTRACTO JOB 5ITE ADDRESS: v�7,�,� CR-S�o �i. 2�D . ZIP: J��3 �l I NAME OF OWNER: ��v ��2 C , i Ne/z PHONE: (home) 9S��'33-c�'U�b (work) MAILING ADDRESS: a�� S�� -. �.a CITY:�,4-r�i ZIP: ��3 g i CONTRACTOR: �T.�o�r x ��-c �o.J�'�t�q c-�-r�✓v PHONE: 9.�2 -y?b�-� �,� 3 CONTACT PERSON: �Ft�C.[�-� � E� MOBILE/PAGER: G�l��,J= ,�� MAILING ADDRESS: dS'I I �-�'wy 7 CITY: �'�CCx.�-sc�2 ZIP: J:1�3 3 f STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: N��; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��R/� -O�� ' � ��'� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��8 3� • 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 SIGNAT C�'Ge;�uvc.i•��/✓(� DATE: G '/�- Z- NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. ` Sec.13.04 RIGH'TS OF SUBJECTS OF D�TA 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 secdon. Subd.2. Information reqirired to be given individual. An individual asked to suppfy private or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng"state agency,polidcal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenaty of other persons or endries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy invesrieadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the nodce required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd. 3. Access to data by individuai. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of scored data on individuals,and whe[her it is ctassified as public, private or confidenaal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content and meaning of rhat 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 thereaher uriless a dispute or acdon pursuant to chis secdon is pending or addidonal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon r�quest by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of making, certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuan[to this subdivision,or within five days of the date of the request,exctuding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the reques[ within that time,he shall so inform the individual,and may have an addirional five days within which to comply wi[h 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[his right,an individual shall nodfy in wridng the responsible authoriry describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct che data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual; or(b)nocify the individual that he believes the data to be correcr. Data in dispute shail be disc(osed only if the individual's statement of disagreement is included with the disclosed data. Ttte determination of the responsible authoriry may be appealed pursuant to the provisions of the adminisuarive procedure act relaang 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 pemut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. . Your fuil name is required to process this application or permit. �-�c.�1,C.�',✓�-� w Df�'�i� First � Middle Last a,r-< < k� ,� � 7 Address��..C-C_.-S C�2 �/J ��I ,)3 l 6J�� '_'77J��1��"'t' G C�ty State Zip Phone I und tand my rights as stated above. Si amre