The URL can be used to link to this page

Home My WebLink About2001-P04645 - re-roof c � PERMIT �ITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P04645 Cryst�l Bay, Minnesota 55323 Permit Type: Minor Alterations �952) 249-4600 Date Issued: llii9i2ooi SITE ADDRESS: 780 Brown Rd N Long Lake,MN 55356 P I D: 34-118-23-11-0002 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S- Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 9,800.00 State Surcharge Fee: $ 4.90 TOTAL FEE: $ 186.15 APPLICANT: Western Cedar Supply OWNER: Dale Lindquist 9700 13th Ave 780 Brown Rd N Plymouth,MN 55441 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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. � �.�. % 1 r � Li° � � AP ICANT PERMITEE S[GNATURE 1'SUED BY SIGNATURE � Copies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 -� e Total Fee: $ /c��. / S DateReceived: //-/� -U� Entered By: �,Gtit-- Permit#: '�0��(p y� CITY OF ORONO - BUILDING PERNIIT APPLICATIOIeT All information must be submitted in full before plan review will be started. (please print all information) ��-- ------ _. THE APPLICANT IS: (circle one) OWNER CONTRACTOR� JOB SITE ADDRESS: ��n �• �j,�"� c,�n Q�,c��ZIP: �53�5� NA1�iE OF OWNER: � �P Ci ir(�(�r U �S � PHONE: (home) �/ 7 3 '-�.5� �l (work) MAILING ADDRESS: ��'`J�'t� � CITY: ,(a"��O ZIP: S-� 5,�, CONTRACTOR: �-t�'��i,v^ �{�r��- PHONE: CONTACT PERSON: �'Ll �l r � BILE/PAGER: �� ,��- ��?�'�'�2S,S MAILING ADDRESS: `j �7��0 � -_,r �.� o� CITY: (� ZIP: SS%-�/ STATE LICENSE: # �p/SSS/> � 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�: ��'C r��j'��a� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOI�iS: 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 Ciry and with the State Building Code; that I understand this is not a permit and work is not to start without a pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATIJRE: �7� DATE: i�- %7 �%/ 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 RIGH'TS OF STJBJECTS OF D�TA Subd. 1. Type of data. 'Ihe righrs 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 supply private or confidenaal dard concerniag himself shall be informed of: (a)the purpose and inunded use of the requessed dara wi[hin the collecting'state agency, poliacal subdivision,or sratewide system; (b)whether he may refuse or is legally required to supply[he requested data;(c)any lmown consequence arising from his supplying or refusing to supply priva�e or conCdendal data;and(d)the idenriry of ocher persons or enaaes authorized by sta[e or fedetal law to receive the data. This requirement shall not apply when an individua] is asked to suppiy invesdgadve dara,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the norice reauired under this subdivision in the individual income tax or propertv tax refund instructions ins�ead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible aurhoriry,an individual shall be informed whecher he is the subject of scored da[a on individuals,and wherher it is class�ed as public, private or confidenrial. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown[he da[a without any charge to him and, if he desires, shall be informed of the content and meaning of chat data. Aher an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for six mon[hs thereafter unless a dispute or acrion pursuanc to [his secdon is oending or addidonal data on the individual has been collected or creared. The responsible au[horiry shall provide copies of the private or public data upon requesc by the individual subject of the data. The responsib(e authoriry may require the requesring person to pay the acrual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of[he request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc wichin that time,he shall so inform[he individual,and may have an addidonal five days within which to comply with the request,excluding Sarurdays, 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 chis righc,an individual shali noafy in wriring the responsible authoriry describing�he na[ure of the disagreemenc. The responsible authoriry shat!within 30 days either: (a)correct[he data found to be inaccurate or incomplete and attemp�to norify past recipienu of inaccurate or incomplete data, including recipients named by [he individual; or(b)nodfy the individual that he believes[he data to be correcc. Data in dispuce shall be disclosed only if the individual's stacemenc of disagreemenc is included with the disclosed data. The determinarion of the responsib(e authoriry may be appealed pursuant to the provisions of the admuvstrarive procedure act relacing to contesced 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 fumish 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 to supply data, but refusal may require that che Ciry deny the permit or license. 3. The information may be shared wich other local, state or federai a�encies to the extent necessary to process the pemut or license. 4. If your requested pernu[ or license requires Council action 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 permit. First �tiddle Last Address C��, State Zip Phone I understand my ri;h[s as stated above. Signacure