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Home My WebLink About2002-P05395 (re-roof) ' � � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pos39s Crystal Bay, Minnesota 55323 Pe►-mit Type: Minor Alterations (952) 249-4600 Date Issued: ��9i2oo2 SITE ADDRESS: 1485 Bay Itidge xd Wayzata,MN 55391 PID: 10-117-23-34-0006 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 167.25 valuation: $ 8,167.50 State Surcharge Fee: $ 4.60 TOTAL FEE: $ 171.85 APPLICANT: �'�'estern Cedar Supply OWNER: John C Holm 9700 13th Ave 1485 Bay Ridge Rd Plymouth,MN 55441 Wayzata,MN 55391 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. , i� �� 1z�= APPLICANT PERMITEE SIGNATURE ISSUED F3Y SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 r - Total Fee: $ Date Received: l �y -�'�. Ente�ed By: ��- Permit#: j�'c� �� S` CITY OF ORONO - BUII,DING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------------------------------------------------------- --T.__- -----_ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOl�� JOB SITE ADDRESS: f Y�S a r� � ZIP: -5�3�� NAME OF OWNER• (Jz�t�, ,j�� PHONE: (home) 5S�-%�` S� 3 (work) MAILING ADDRESS: ��]-h-4'-- CITY: �by�„�f�� ZIP: _��3�/ CONTRACTOR: �'�z.�r� Crr� PHONE: ��3 �-S�/-c2�d% CONTACT PERSON: /r�,�� BILE/PAGER: �� :��y��f MAILING ADDRESS: l7� i�3�` � �/ CITY: �(, Q,� ZIP: :SS�/% STATE LICENSE: #�� 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 detai�: %_ O � ��c�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. _s�; ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, /� � I hereby apply for a building pemut 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. �7 -�� APPLICAI�'T'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. � . Sec.13.04 RIGHTS OF SIJB.TECTS OF D�TA Subd. 1. Type of data. The righa of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested dara within the coUecang'stace ageacy,poliacal subdivision,or sratewide rystem; (b)whecher he may refuse ot is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply privace or confidendal data;and(d)the idenriry of other persons or enddes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve da[a,pursuan[to secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav piace the norice rewired under this subdivision in the individual income tax or oropem tax refund instructions instead of on those forms. Subd. 3. Access to data by indiridual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and wherher it is classiFied as public, private or confidendal. Upon his furcher request,an individual who is the subject of s[ored private or public data on individuals shal!be shown the dara wichout any charge to him and,-if he desires, shall be informed of the contenc and meaning of�hat data. Aher an individual has been shown�he private data and informed of its meaning,the data need not be disclosed to hun for six mon�hs thereafrer uriless a dispute or acoon pursuanc to this secrion is pending or addido�al data on the individual has been coilected 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 the requesang person to pay the actual costs of makine, certifying,and compiling the copies. The responsible au[horiry shall comply immedia[ely, 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 no[possible. If he cannot comply with the request within chat time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,exc!udiag 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 conceming himself. To exercise[his right,an individual shall noafy in wri[ing the responsible authoriry describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempc to norify past recipients of inaccurate or incomplete data, including recipients named by[he individual;,or(b)nodfy the individual that he believes the daca to be correct. Data in dispu[e shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. The determinarion of the rasponsible authority may be appealed pursuant to the provisions of the administrarive 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 [o 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 N1.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permic. First Middle Last Address C��, State Zip Phone I understand my riahts as stated above. --- -- ��i Signature