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Home My WebLink About2002-P05297 (Re-roof & Re-side) - PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P05297 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6illi2oo2 SITE ADDRESS: 1355 Arbor St Wazayta,NIl�I 55391 P I D: 10-117-23-31-0052 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Perniit Sub-type(s): Building-Re-Side Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUAAMARY: Permit Fee: $ 279.25 Valuation: $ 17,000.00 State Surcharge Fee: $ 9.00 TOTAL FEE: $ 2gg,25 APPLICANT: Topline Construction Roofing OWNER: Gregory&Juliane Peterson 200 West 98th Street 1355 Arbor St Bloomington,MN 55420 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 .� -�- �� ,� � �APPLICANT PER ITEE SIGNATURE [SSUED B, IGNATURE �� Conies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . ' Total Fee: $ Date Received: Ente�ed By: Pernut#: CITY OF ORONO - BUII.DING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) -------------------------------------------------------------------------- - -- ------- -------------------- THE APPLICANT IS: (circle one) OWNER O �ONTRACTOR JOB SITE ADDRESS: ` 3 S S �� j(J�-. S��{- ZIP: NAl�ZE OF OWNER: �-�2�=; �-�� S_D�, PHONE: (home) 9s z- �t?S - 3 2 �. / (work) MAILING ADDRESS: 13 S'� �r �o� -s�- CITY: �v�vh � ZIP: CONTRACTOR: �� Z� i h-� C�-. Z �ao�/�,' �• PHONE: �IS2- 8g�� GS'� CONTACT PERSON: S-fc �` MOBII,E/PAGER: G l2- 32 P- PS'G / MAII.ING ADDRESS:�o ��cs '>- �� '� S�'f CITY: j3loor��S �o, ZIP: s's �z c STATE LICENSE: #2�ZI(r�¢ P� 3 ARCHITECT/ENGINEER: PHONE: iVIAILING ADDRESS: CITY: ZIP: NANIE: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(desc,3-ibe in c�etai�: ��,�. o�-� � � c y�vo� � I� �,� ��-� � � I`-c s�c�—� STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. Gv ESTIMATED CONSTRUCTION VALUATION (excluding land): $ l � � �O� ` I hereby apply for a building permit and I aclrnowledge 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 th.is 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: l? ^ l� � NOTE! Parade Qf 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.13.0�RIGHTS OF S[JBJECTS OF DaT?. Subd. 1. Type of data. The righ�s of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Informarion reqirired to be given individual. �.n individual asked to supply private or confidendal dara conceming himself shall be informed of: (a)the purpose and intended use of the requesud data within the collecang'statE agency,political subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the ideaory of other persoc�s or enriaes au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy invesdgarive data,pursuan[to section 13.82, subdivision 5, to a law enforcement o�cer. The cammissioner of re�•enue mav place the norice reouired under this subdivision in the individual income tax or propertv rax refund instructions inscead of on those forms. Subd. 3. Access to data by indi��dual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals, and whe�her it is ctassified as public, private or confdenaal. Upon his further request,an individual who is the subject of stored private or public dara on individuals shall be shown�he dan wichout any charge to hicn and, if he des'ues, shall be informed of the contenc and meaning of�hat data. After an individual has been shown[he private data and informed of its meaning,[he data need not be disclosed to hirn for six months thereafrer unless a dispute or acdon pursuane to this secrion is panding or addiaonal data on the individual has been collected or creaced. The responsible au[horiry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the actual cosu of making,cerrifying, and compiling the copies. The responsible authoriry 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 not possibie. If he cannot comply with the request within chat tune,he shall so inform the individual,and may have an addiaonal 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 conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing�he nature of the disagreemeat. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipienu of inaccunte or incomplete data, including recipients named by the individuai;,or(b)nodfy the individual that he believes the data to be correct. Data in dispuce shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. T'fie determinarion of the respensible authoriry 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, "Ri�hts 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 Ciry 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 pemut or license requires Council ac[ion 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 permi[. First �tiddle Last Address Ciry State Zip Phone I underst y rights as stated a ve. � . Signature