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Home My WebLink About2000-P03063 - windows C�TY OF �R�NO PERMIT , 2750 Kelley Parkway - PO Box 66 Permit Number: Po3o63 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (612) 249-4600 Date Issued: ioi2i2oo SITE ADDRESS: 6�o sRowN x�rr LONG LAKE, MN 55356 P I D: 34-118-23-12-0007 DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Buildings Windows DETAILS: Approved per resolution #: Separate permits required: NOTICES/REMARKS: FEE SUIVIMARY: Permit Fee: $ �>>�75 Valuation: $ 60,000.00 State Surcharge Fee: $ 30.00 TOTAL FEE: $ 743.75 APPLICANT: CREATNE BU[LDERS INC OWNER: M J&J G CALIHAN 412 MILL AVE NE 38 ADDRESS PENDING WATERTOWN, MN 55388 MN 00000 THE UNDERSIGNED HEREBY REQiJESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNE50TA BUILDING CODG REQUIREMENTS. l�. - � .�,�C4" � � � APPLICAN'I'PERMIT[il�SIGNA�CURE �7�- ISSUED BY SIGNATURE Copies: City,Applicant, Assessor, Finance Page 1 'T PERMIT . - ` CITY OF �ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po�o63 Crystal Bay, Minnesota 55323 Permit Type: ;MinorAlterations (612) 249-4600 Date Issued: � 10�2�200 SITE ADDRESS: 690 BROWN RD N LONG LAKE, MN 55356 PID: 34-118-23-12-0007 ----�� DESCRIPTION: Proposed Use: f, � �/ Permit Class: Building � �� Permit Type: Minor Alterations Permit Sub-type(s): Buildings Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: ` 1 , FEE SUMMARY: Permit Fee: , $ 713.75 Valuation: $ 60,000.00 State Surcharge Fee: $ 30.00 TOTAL FEE: $ 743.75 APpLICANT: cREaTivE suii,DExs irrc OWNER: M J&J�cALIHAN 412 MILL AVE NE 38 ADDRESS PENDING WATERTOWN, MN 55388 MN 00000 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. � / � �./ �C;3�--� ��_� Z�.-..�.� , APPLI ANT PERMITEE I NATURE ISSUED BY SIGNAT[JRE . Copies: City, Applicant,Assessor, Finance Page 1 � . Total Fee: ' $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � ' � ZIP: NAME OF OWNER: -- � <-- ��.6'S�=/� PHONE: (home) (work) l�IAILING ADDRESS: ��% ,�/ �'j�� ' _ ._, _ CITY: L..�-z L �- ZIP: CONTRACTOR: L.�1�.��u� �,� �� ,.l-'�t— PHONE:�Z J 5 5- �c.� Z CONTACT PERSON: '7,�r MOBILE/PAGER: 6�7 �� G� `l Z- MAILING ADDRESS: '/l L �-�l� ,�v� a.'t�� CITY: �- � _ � ��,-� ZIP: �,�� STATE LICENSE: # ��=�3?2t,c• ARCHITECT/ENGINEER: PHONE: �IAILING ADDRESS: CITY: Z�: �,TAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: 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 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 ' the approved plan. '� Z-L,r� APPLICANT'S SIGNATURE: � DATE: �� - NOTE! ParadeQf 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. a Sec.13.04 RIGHTS OF SLIBJECTS OF D�TA Subd. 1. Type of data. The righrs of individual on whom the data is stored or co be stored shall be as set forrh in this secrion. Subd.'_. Information reqirired to be given indiridual. ,4n individual asked to supply private or confidendal data concerning himself shall be informed of: (a) the purpose and inrended use of the requested data within the colleccing"state agency, political subdivision,or sta[ewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any l�own consequence arising from his suppiying or refusing to suppty priva[e or confidendal data;and(d)the identity of other persons or enrides authorized by state or federal law to receive the data. This requirement shall noc apply when an individual is asked to supply invesrieadve dara, pursuan�to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the norice reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of s[ored data on individuals,and wherher it is classified as public, private or confidendal. Upon his further request, an individual who is the subject of stored private or pubiic 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[hat data. Afrzr an individual has been shown the private data and informed of iu meaning,che data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuan[to [his secaon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require[he req�esting person to pay the actual cosu of makine, certifying,and compiling the copies. The responsible au[horiry shall comply immediately, if possibte, 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[he individual,and may have an addidona(five days within which to comply with the request,exctuding 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 pri�•ate data concerning himself. To exercise[his rieht,an individual shall nodfy in writing the responsible au[horiry describing�he na[ure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, inciuding recipients named by the individual; or(b)notify the individual that he believes Ihe data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. Ttie de[ermination of the responsible authoriry may be appea(ed pursuant to the provisions of the administnrive 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 reauest 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 permit 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 pernu[ 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 full name is required to process this application or permit. First �fiddle Las[ Address C��, State Zip Phone I understand my ri ts as ated ve. �� Signature