The URL can be used to link to this page

Home My WebLink About2002-P05009 - re-roof � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Posoo9 Crystal Bay, Minnesota 55323 Per'mlt Type: MinorAlterations (952) 249-4600 Date Issued: a�s�2ooz SITE ADDRESS: 2821 Casco Point Rd WAYZATA,MN 55391 PID: 20-117-23-32-0009 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 $UMM14fZY: PermitFee: $ 181.25 Valuation: $ 9,235.00 State Surcharge Fee: $ 4.65 TOTAL FEE: $ 185.90 APPLICANT: John Haley#1 Roofer OWNER: R E DEMSHAR&M M DEMSHAR 6305 Cambridge St.#201 2821 CASCO POINT RD St. Louis Park,MN 55426 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 MINNE QTA BUILDING CODE REQUIREMENTS. i �,� , .� �� .i�h��-� PPL[CANT PERMITEE S[GNATURE r ISSUED BY S[GNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � � Total Fee: $ ��S�: �1 G t- - �a- Date Received: ��22�'ic; Entered By: ��r'�'� Permit#: O 5 00 `' CITY OF ORONO - BUILDING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) -------------------------------------------------------------------------------===�-�.��------------------------- _ . THE APPLICANT IS: (circle one) OWNER OI�CONTRACTO_R� �..--___ .__� _ JOB SITE ADDRESS: �:��, „L I � C;�c � (�{ �� ZIP: �,�;3 "� � � NAME OF OWNER ��C n �� s l� c�r- PHONE: (home) � a� `�� I-�% ",� � �- (work) MAILING ADDRESS: � � :�� C aSc� ('-� ��CITY: �.� �-� � l� ZIP: ��`� l ,. CONTRACTOR: � � 1+�i (-��-c `"1 PHONE: C�"1�1 `��S-��S� CONTACT PERSON: '' �4,�`l�� MOBILE/PAGER:( (� ��>�;�2�-�-� � �/� MAILING ADDRESS: - -L,r c:��b,, , S � CITY: �i ��ss �,� ZIP: =�� 1 � STATE LICENSE: # ,�� i� ��2��L ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New _� Addition Accessory Structure Move Remodel/Alteration Land Alteration .-� �, PRQPOSED WORK(describe in detai�: -��a r � - - �-►�u� - ��-� �,�s e CZ�. � c c��<�� -� � STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: 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 City and with the State Building Code; that I understand this is not a pernut and work is not to start without a permit; and that the work will be in ac�o dan�e with e approved plan. �� , � APPLICANT'S SIGNATURE: � �� 'i�'��(,'" .�� DATE: � ��D-�� , ,_ 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. r - Sec.13.04 RIGHTS OF S[JB.TECTS OF D�TA Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confideadal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,polidcal subdivision,or sratewide system; (b)whether he may refuse or is legaily required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenrity of other persons or enaries auchorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement ofFicer. The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income tax or propem tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, privace or confidenaal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown che data without any charge to him and, if he desires, shall be informed of the content and meaning of�hat data. Aftzr an individuai has been shown the private data and informed of its meaning, the data need not be disclosed to him for six months thereafter unless a dispute or acaon pursuanc to this section is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or pubfic data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual 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 the request,excluding Saturdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which ro comply with the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or compiete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise[his right,an individual shall nodfy in wridng the responsible authority describing�he nature of the disagreement. The responsibte authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipienu of inaccurate or incomplete data, including recipienrs named by the individual; or(b)nodfy the individuai thac he believes the data to be correcc. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinapon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating to con[ested 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 determine your qualification for the permit or license requested. 2, You may refuse to suppiy data, but refusal may require that the City deny the pemut 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 permit 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. , �� Firs Middle Last -; �� :Y � ; 1�� , S ��- c � Address c C c S) ' {� �..! S ��"�� `-�� -I �6 �J� �(�S �,�_,�. ��ry State Z�p Phone. I under my rights s ted above. �1. �ti� � Signa re