HomeMy WebLinkAbout2000-P02524 - re-roof + PERMIT
,CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2s24
Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Aiterations
(612) 249-4600 Date Issued: 6i6i2000
SITE ADDRESS: 2645 Casco Point Rd
WAYZATA,MN 55391
P ID: 20-117-23-24-0030
DESCRIPTION:
Proposed Use:
Permit Class: 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: $ 9�.25 Valuation: $ 3,100.00
State Surcharge Fee: $ 1.55
TOTAL FEE: $ 98.80
APPLICANT: MICHAEL O'CONNOR OWNER: N J GREENE&A K GREENE
3795 TOGO Rd 2645 CASCO POINT RD
WAYZATA, MN 55391 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.
:
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�APPL � T PERMITEE SIGNATURE IS D BY SIGNATi.JRE
Copies: City,Applicant,Assessor, Finance Page 1
' Total Fee: $ ��� ��� Date Received: lC--�P-c r
� Entered By: /���� Permit#: �� �`� ,�5�� __
CITY OF ORONO - BUII�DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all iriformation)
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THE APPLICAI\"I' IS: (circle one) OWNER OR UNTRACTOR �°� - �t`�"�-���_-
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JOB SITE ADDRESS: i-�(��� �ifISGU �G' ��� � ZIP:
NAlVIE OF OW1�ER: /-�-��e/� �v���'N� PHOYE: (home)
(work)
1�IAII�I�i tG ADDRESS: -�/o y5 ��+SG� ,�� �� CITY: ��r v�-%u ZIP:
CON'TRACTOR: /� �'c h�( � � �'o'�n�� PHOivE: �5 Z- �7/ Od�3
COi�t'TACTPERSON: �t-t � !�� 1�iOBILE/PAGER: �/z �d 7 �sy`f _
NLAII.,ING ADDRESS: 3 7 r S fa,v r2� CITY: c�,��z.��,¢ ZIP: �s-�5i -
STATE LICENSE: # nlc�'�
ARCHI"TECT/E\GINEER: PHO�tE:
I�iAILIi�'G ADDRESS: CITY: ZIP:
N��,�: REGISTRATION#
TYPE OF `VOR�i: New Addition Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED WORK(describe in detain: f��r 1��-� ✓2� /`�f��= -
STORIES: �_ SQ.FEET OF EACH FLOOR:
NO. OF BEDROO�IS: GARAGE STAI.LS: ATT. DET.
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ESTI�i IATED CONSTRUCTION VALUATION (e.�cludi.ng land): $ 3/�
I hereby apply for a buildin�permit and I acknowledQe that the information above is complete and
accurate; �hat the work will be in conformance with the ordinances and codes of the Ciry and with
� the State Buildin� 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.
APPLICANT'S SIGNAT'URE: � �— DATE: ��G�-�U
NOTE! Parade 4f Homes events require separate permit approval by Poliee Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0�3 RIGHTS OF SUB.TECTS OF DATa
Subd. 1. Type of data. The righcs o[iadividual ou whom the dan is scored or ro be sto�sd shall be�s set foct�;n this secdon.
Subd.2. Information reqirired to be�ven individual. �n individual asked w supply privarL or confidendal dari.oacerning himself shall
be informed of: (a)the purpose and imm�ded use of[he cequesred dard within the collecdng�rt agency,poliacal subdivis:ea,or satewide system;
(b)whecher he taay rfuse or is legally tequired ro sunpty[he rtquested data:(c)any Irnown coauquence arising from his suppl�::g or refusing to supply
privace or conndendal dara;and(d)the idenrity of ocher persoas or endries auchorized by stac_or federal law co receive che da�. This requiremeac shall
not app[y when an individual is asked to supply ia�'esri¢adve daa, pursuanc ro secrion 13.82,subdivision 5, to a law enfor_�.ac o�cer.
'Ihe commissioner of r�e1u r-iav pla- che nodc- rauired under chis subdivision in rhe individua! income at or prooem raz refur.d
inscrucdons insczad of on chose forms.
Subd. 3. ?.ccess to data b�iadividuaI. lipon request to a responsibfe auchoriry,an individual shall be infocmed whe�her he is the subjecc
of scor_d data on individuals,and whecher it is ci�csif:ed�s public, privace or confidendal. L'pon his funher request,an i�div:dual who is the subjecc
of stored privace or pubtic daci on indir•iduals shall be shown[he data wichout any charge co him and,�if he desires, shall be iaiormed of the concenc
and meaniag oi rhac dac►. Aher an individual hu been shown che privare dan and informed o[irs meaniag,the data need noc be disclosed m him for
six mon�hs cheraiur uriless a dispuce or acrion pursuan�co ehis secrion is pending or addiaooai daci on�he individual has�e�a collec[ed or creaced.
The responsibie au[horiry shall provid�copies of fie privace orpublic data upon requesc by rhe individual subjeccof�he daci. i�e responsible authoriry
may require che requesdng person to pay che acnial coscs of making.cerrifying,and compiling [he copies.
Tne responsibla auchoriry shall comply immediatety, if possible, wirh any request made pursuant to this subdivis:ea,or wi�hin five days oi
the date of rha requesc,exciuding Sacucdays,Sundays and legsl holidays,if immediate complia�ce is noc possible. If he cannoc comply wi�h the reques�
wichin chac dme,he shali so inform che iadividual,and may have an addidonal five days wirhin which co comply wich[he reqLcst,excluding Satucdays,
Sundays and legsl holidays.
Subd.4. Procedure when data is not accurste or complete. An individual may contest che accuracy or compler.^.ess of public or pri�•ate -
dact conceming himself. To exer:ise chis righc,an individual shall nodfy in wridng che responsible aurhoriry describing[he naa;re of the disagreemeac. ..
The responsiblz auchoriry shall wi[hin�0 days eic`.er: (a)correct[he data found co be inaccura�.or incomp(ece and aaempc;�nodfy pazt recipienrs of
inaccurace or incomplece dara, inciuding recipiea�named by the individual; or(b)aorify [!:e individual cha[he believes[he dara to be car�ec. Data
in dispuce shall be disc'.osed only if[he individual's statemene of disagreemenc is ir.cluded wieh[he disclosed dara.
'Ihe dzcerminaaon of the responsible auc.horiry may be appealed pursuanc to the provisions of chz adminisuarive �;o:.edure act relaring to
contes:cd cases.
DAT� PRIVACY ADVISORY
In accordance wich M.S. 13.04, Subd.2, "RiQhts of subjecu of data", we wouid like to inforn you that your requesc
for a permit or license from the City of Orono or any of i[s departments may require you to fumisa certain private or
confidencial information.
You are notified that:
1. The information you fumish will be used to determine your qualifica[ion for the pecmi�or license requested.
?. You may refuse to supply data, but refusai may require tha� che Ciry deny the permit or license.
;. The informacion may be shared with ocher local, sta[e or federal agencies to the extent necessary to process
the permit or license.
:}. If your requested perm.it or license requires Council action to approve, some infor.nation may become
public.
5. You have certain ri�hcs under �i.S. 13.04 (available upon request) to review privatz data on yourself.
(, Your full name is required to process this applicacion or permit.
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Ciry Smce Zip Ptc�..
I understand my ri;hcs as staced above.
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Signa ro