The URL can be used to link to this page

Home My WebLink About2006-P09974 - re-roof � . PERMIT CIT`��' OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09974 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/12/2006 SITE ADDRESS: 2660 Casco Pt Rd Unit# Wayzata,MN 55391 P�� 20-117-23-24-0002 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building 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: $ 181.25 valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 186.25 APPLICANT: Giertsen Company OWNER: Floyd&Diane Hair 2010 E. Center Circle 2660 Casco Point 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 COMPLtANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �,-- . , � ^ �;, "� ��, `�. ( 2.��''? `�V! �� -;►� � APPLICA PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page] � : Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (p/ease print all informatior�) ------------------------------------------------------------------------------------------------------------------------ �- - THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: Z�;�;(,! (`G�,c� I t- .,�� ZIP: �� 1�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS � No If yes, a specia!event permit is reqi�ir•ed tivith Po/ice Depai•trr�ent and City Coa�ncil approval 60 days prior to the event. Shuttle bars service wi(l be regzrired unless applicant demonstrates sufficient on-sdte parlcing is available. Non-permitted events tivill not be allowed. NAME OF OWNER: �� "1n� � PHONE: (home) �'��Z' ��l��l J `�) f1 (work) MAILINGADDRESS: ZG.��I� l�,'��v i�+ Yi� CITY: ��'�'✓�� ZIP: 553`1/ CONTRACTOR: � -��<'. PHONE: �b ��S�I�,-I�d� CONTACT PERSON: d ` �� MOBILE/PAGER: 7 � -Z 54 �U'�9 � MAILING ADDRESS: ��S �J r� � CITY: ^c ��, L �� ZIP: �� STATE LICENSE: # j��j� EXPIRATION DATE:_��31 ,�D`7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home � eration 'e: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detai�: ��,-�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROONIS: GARAGE STALLS: ATT�CHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): � ��i U�?(� 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 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�vork will be in accordance with the approved plan. �,, APPLICANT'SSIGNATURE: (�� DATE: � JZ D 31 � i. t Sec.13.0�1 R[GHTS OF SUBJECTS OF DATA Subd. l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private orconfidential data conceming himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or contidential data;and(d)the identity of other persons or en[ities au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue ma�,olace the notice rec�red under this subdivision in the individual income tax or pro�ertti-tax refund instructions instead of on those fonns. Subd.3. Access to data by individuaL Upon request to a responsible authoriry,an individual shal(be infonned whether he is the subject of stored data on individuals,and whether it is classitied as public,private or confidentiaL Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed ofthe content and meaning of tliat data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriN shall provide copies oFthe private or puUlic data upon request by the individual subject ofthe data. The responsible aud�ority may require the requesting person to pay the actual costs of making certifying and compiling the copies. The responsible authority shall comply immediately,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,ifimmediate compliance is not possible. [fhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or compierene�s oCpubl ic or private data conceming himself. To e�ercise this right,an individual shall notify in�vriting d1e responsible autltority describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomple[e data,including recipients named by the individual;or(b)notify the individual that he believes[he data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authonty may be appealed pursuant to the provisions of the administrative 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 detennine your qualification for the permit or license requested. 2. You may refuse to supply data,buc 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 NI.S. 13.04(available upon request)co review private data on yourself. 6. Your full name is required to process this application or permit. C��'lt,�� •'�� c� First �liddle Last ��' Address C��, State Zip Phonc I understand my rig as t ed above. 4 f / I � �: V Signaturc Reset Form �-'