The URL can be used to link to this page

Home My WebLink About2001-P04522 - re-roof - - PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04522 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: ioi22i2ooi SITE ADDRESS: 3928 Cherry Ave MOUND,MN 55364 P I D: 08-117-23-3 3-0018 DESCRIPTION: UBC occupancy R3 Proposed Use: Kesidentiai 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: $ 125.25 Valuation: $ 5,825.00 State Surcharge Fee: $ 2.95 TOTAL FEE: $ 128.20 APPLICANT: Western Cedar Supply OWNER: DONALD R O'REILLY&WiFE 9700 13th Ave 3928 CHERRY AVE Plymouth,MN 55441 MOUND MN 55364 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. � �-�, � � �1�1�'�; ��.�_(�. ��- APPLICANT PERMITEE SI NATURE ISSLTED BY SIGNATURE Copies: 1-File(Signitures Reguired), 1-Applicant, 1-Monthly Reports,1-Assessing, 1-Finance Page 1 . ,, Total Fee: $ � ��y ' �� Date Received: �C% -�,—(�1 Entered By: _ �'�x-- Pernut#: ��'�-1 S�� 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 O ONTRACTOR JOB SITE ADDRESS: �� ' � hNrr' ' �P ZIP: SS�J�y NAME OF OWNER: �11 ��/°(e%��ly PHONE: (home) ��71`�`�GS (work) MAILING ADDRESS: 5��, CITY: (�c.��; ZIP: 55 �`/ CONTRACTOR: _ �`Ec. r�n 1� PHONE: �C � �s%/��,..5^'�l CONTACT PERSON: ��r��,.,f O ILE/PAGER: MAILING ADDRESS: �7nc� i 3 � � CITY: ��, ZIP: S�/�/ STATE LICENSE: # �p i,sS�iE ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# f TYPE OF WORK: New � Addition Accessory Structure 1�Iove Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ,��'��/�-�'cz�? � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� S 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 accordance with the approved plan. APPLICANT'S SIGNATURE: �� DATE: iQ' a�-�i NOTE! Parade of Homes events require separate permit approval by Poli:.e Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. ,, . Sec.13.04 RIGHTS OF SUBJECTS OF D�T,� Subd. 1. Type of da[a. The righcs of individual on whom[he 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 confidendal dara concerning himself shall 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 oY is legally required to supply the requested data;(c)any l�own consequence arising fmm his supplying or refusing to supply priva[e or confidentiai data;and(d)the identiry of o[her persons or endties authorized by stare or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrieaave dan, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income tax or properry tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible au[horiry,an individual shall be informed whether he is the subject of stored dara on individuals, and wherher it is classified as public, private or confidenaal. Upon his further request, an individual who is the subject of stored private or public data on individuals shali be shown the data wichout any charge to him and, if he desires, shall be informed of the content and meaning of[hat data. Afrer an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to hicn for six months thereafter unless a dispute or action pursuant to this secrion is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual cosu of makine, cervfying, and compiling the copies. The responsible authoriry shall comply immediarely, 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 immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, 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 rieht,an individ�al shall noriCy in wri[ing the responsible authority dzscribing rhe nature of the disagreement. The tesponsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipien[s named by the individual; or(b)notify the individual tha[he believes the data ro be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. Ttie determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relacing 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 determine your qualification for the pemut or license requested. 2. You may refuse to supply data, but 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 pernut 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 Middle Last Address C�� . State Zip Phone I understand my rights as stated above. � � Signature