HomeMy WebLinkAbout2000-P02621 (minor alterations) � f PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2621
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: ��s�oo
SITE ADDRESS: � �3229 Casco Cir
WAYZATA,MN 55391
P I D: 20-117-23-43-0003
DESCRIPTION:
Proposed Use:
Buildin Census Code 434
Permit Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 251.25 Valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 258.75
APPLICANT: GARLOCK-FRENCH ROOFING OWNER: MARY SUSAN SWANSON
2309 SNELLING AVE 3229 CASCO CIR
MINNEAPOLIS, MN 55404 WAYZATA MN 55391
TI-�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.
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APPLI ANT PERMI"CEE SIGNATURE SSUED BY SIGNATURE
Copies: City,Applicant, Assessor,Finance Page 1
. . Total F�e: S DaceRec�i�'ed:
• Date:�ooroved:
Er.tered Bv: Py��7'
CITY OF ORONO - BL�ZI.D�G PER1tiIIT APPLICATION
ALL Iti�'ORti1�TION I�IUST BE StiB1�IITTED �t FLZL BEFORE PL�Y REV7EtiV tiVII,L
BE ST�RTED
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THE �PPLIC:��"T IS: � (circ:e one) O�ti�ER OR CO�iTR�CTOR
JOB Sr� ��u�ss: ��x�i ��Q��� C,rc� zrn: �s3� �
N�I�IE OF O`YNER: �L�� �(�J�,Y�SC��(1 PHO��E: (home) �-�4- 106�'
(w�or�)
I�L�II..L�iG�DDRESS: ����� .�SC� Gi�C� _CITY: (iJ i� fi�- ZIP:
CONTR�CTOR: � C�,r �OC�-- FYE�C � Izc�O�►'���. PHONE: (�I .� - 1 ��- -14 � o
I�IOBILE PH NE/PAGER:
--rl� �SIY�P� CITY: �-1�Y���_� c�l�s ZIP: s 5�td
�IAILIPiG�DDRESS: a�0 � �� �� �
ST:�TE LICENSE: � � ��0 l4 3� _
ARCHIZ`ECTr'Eti GLti�EER: PHO��E:
`I�ILL`G�.DDRESS: CITY: Z�:
`���: REGISTR.-�TIO� �
TYPE OF �ti ORb: Ne�v �ddicion Accessory SQucture
Move �e�odeL��lte:ation �_ I.and Alt�ranon
PROPOSEDtiVOR�i(describeindecyii): (V1StC�Q��, �'12� SK-v���'�� � C�J(��
,��"� ��t, QC �S �
STORIES: SQ. FEET OF E�CH FLOOR:
\'O. OF BEDROOI�IS: G�R�GE ST�I.LS: �TT. DET.
ESTLI-L�TED CO�STRL%CTIO\V�I.L:-�TIO�i(escludingla.nd): S$ '1 S(��L� —
I hereby apply for a buildin� pe:�uc and I acknowled�e thac the information above is complece
and accura�e; that che work will be i.n conrormance wi�h che ordinances and codes of the Cic��
and with the State BuildinQ Code; rhac I undersrand this is not a perm.it and work is not to start
�cithouc a permit; and that the work wiil be i.n aceordance with the approved plan.
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APPLIC��1'T'S SIG�I�,TL�RE: d %^ � ' �'�, �'i DATE: �5���'�' .
NOTE.' Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. �Von-permirted evenis will not be allowed.
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Stc.13.0�t RIGHTS OF SUBJECTS OF D�T.a
Subd. l. Type of data. The cigha or individual on whom�he da�a is scorcd or to be storcd shall be as se�ionh in this secaon.
Subd. '_. Iaformation req�rired to be�vea indicidual. �n iadividual asked co supply privatc or conndcnaal daa concerning himself shall
bz informed of: (a) �he purposc and incendzd use of the rcquested daca wi�hin[he collecang'state agency, polidcal subdivision,or stacewide rysum;
(b)whecher he may retuse or is legally cequired co suoply che requcsud dan:(c)any leiown consequeace arising from his supplying or refusing to supply
pnva�e or confidenaal daca:and(d)�he idcnacy oi other persoos or enaaes au�horized by stice or federal Iaw to receive che data. 'Ihis requuement shall
no[apply when an individual is asked co supply iaveso¢aave dara. pursuanc[o secnon 13.82, subdivision�. to a law enforcement o�cer.
Tha cor,i.missioner of reve^ue mav olsce �.ne nodce reauir.d undar his subdi�•ision in che ir,dividual income ta.e or orooem caz refund
ins[;,�ccions insread oi on rhose forms.
Subd. 3. .�.ccess to data by indi�idual. (;oon request to a responsible authonty,an individual shall be infor.ned whe[her he is the subjecc
oi stored data on individuals, and whe:hzr i�is c:assiried as public, pnvae�or contidannal. lipon his iurvyer request, an individual who is;he subjecc
ot scored privace or public daea on individuals shall be shown cht dsta wichouc any chsrge co him and, ii he desires, shall be informed of�he con�en�
and meaning of�hac daca. .�her an individual has been shown ct:e privace da�a snd iniormed of ia meaning, the da�a need noc be disclosed co hun for
six mon�hs [hereartec unless a dispuce or acaon purnanc�o chis secaon is pending or addiaooal dara on rhe individual has been collecced or crea�ed.
'Ihe responsible auchoriry shall provide copies or th�pnvace or public daea upon requtst by�he individual subjzct oi che da�a. The responsible authonry
may require che requesting person to pay che accual cosu of mak:ng. cemfyine• and compiling �he copies.
The responsible auehoriry shall comply immediace�y. if possibie, wi�h any requese made pursuanc co this subdivision, or wi�hin five days of
che dace of[he request,zxcluding Saturdays.Sundays and lezal holidays,ii immediace compliance is no[possib(e. If he cannoc comply wi[h the reques�
wichin�hac ame,he shall so inform che individual,and may have an addiaonal tive days within which co comply wi�h ehe requesc,excluding Sanirdays,
Sundays and legal holidays.
Subd.4. Procedure whea data is not accurate or complete. An individual may con�est�he accuracy or compieceness of public or private
dacz concerning himself. To exeFcise chis righ[,an individual shall nod"ry in wricing the responsible auchoriry describing[he nature of the disagreemenc.
"Che responsible au�horiry shatl within 30 days eicher: (a)correct che dara found to be inaccurace or incomplece and attempc[o norify past recipienrs of
inaccurace or incomolece data, inctudin¢ recipiencs named by che individual: or(b) nod"ry [he individual �ha[he believes the data ro be correcc. Data
in dispute sha(I be disclosed only if che individual's sta�emen�of disaereement is inctuded wich che disetosed data.
The decerminacion of che responsible au�horicy may be aopaaled pursuan�to the provisions oi�he adminis�raave procedure acc relacing �o
contested cases.
DATA PRIVACY aDVISORY
In accordance wi[h M.S. li.04, Subd. 2, "Righa of subjec[s of data", we would like to inform you cha[your request
for a permi� or license from che City oT Orono or any of ics depanmencs may require you to furnish cerain private or
confidential informa�ion.
'i ou arz :.otifted c�at:
1. The information you furnisa will be used to decermine your qualification for the perm.i� or license requested.
2. You may reiuse [o supply data, buc refusal may require thac the City deny the permit or license.
;. The informacion may be shared wich o[her local, sta[e or federal a�encies to[he extent necessary [o process
the permi[ or license.
:}. If your requested permit or license requires Council action to approve, some informa[ion may become
public.
�. You have certain righcs under �t.S. 13.04 (available upon request) co review private data on yourself.
6, Your full name is required [o process this applica[ion or permit.
Firn 1�tiddle ��
Address
Ciry Srate Zip Phone
I undencand my rights as stated above. �
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