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Home My WebLink About2002-P05780 - re-roof � PERMIT CI-�Y OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pos�so Crystal Bay, Minnesota 55323 Per-mit Type: MinorAlterations (952) 249-4600 Date Issued: ioi3oi2ooz SITE ADDRESS: 117 Chevy Chase Dr Wayzata,MN 55391 PID: 36-118-23-41-0014 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,592.23 State Surcharge Fee: $ 3.30 TOTAL FEE: $ 128.55 APPLICANTi: Western Cedar Supply OWNER: Alan&Carol Arthur 9700 13th Ave 117 Chevy Chase Dr Plymouth,MN 55441 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ! `� / �G�� `/ �� APPLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE Cooies: 1-File(Si�nitures Required), 1-Annlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 1 { T Total Fee: $ Date Received: Entered By: Pemut#: 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 OR�ONT CTRA OR� JOB SITE ADDRESS: � �� C��i� C�-�5� ��. ZIp; ��5��l NAME OF OWNER: /��`�G/-o� �i"�u�' PHONE: (home) y.5a'y7�--j�� (work) MAILING ADDRESS: Sv'�]?�'__ CITY:�z�y��c� ZIP: SS,3�� CONTRACTOR: L�.�S PHONE: �3 - S`��y CONTACT PERSON: /Lj� BILF�PAGER: � -�� " d,,5� MAILING ADDRESS: �� /;�'/� � CITY: � � ZIP: �%� STATE LICENSE: # '�O/,SSS�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: �0 ' �� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. s scl-� �� 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 permit 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: NOTE! Parade�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. � � Sec.13.04 RIGH'TS OF S[IB.TECTS OF D�TA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. M individual asked to supply private or confidential dara concerning himself shall be informed of: (a)the purpose and inte�ded 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 suppty the requested data:(c)any Imown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identiry of other persons or entides authorized by state or federal law to receive the data. This requiremeot shall not apply when an individual is asked to supply invesoeadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the notice required under this subdivision in the individual income tax or proper[y_tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and wherher it is classified as public, priva�e or confidenaal. Upon his fur[her request, an individual who is the subject of stored private or public data on individuals shatl be shown[he data wichout any charge to hun and, if he desires, shall be informed of the content and meaning of rhat data. Afrer an individual has been shown the private data and informed of its meaning, the data need not be disclosed to hirn for six months thereafter unless a dispute or acrion 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 costs of making, cerafying,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,exciuding Sanirdays,Sundays and legal ho(idays,if immediate compliance is not possibie. If he cannot comply with the request within that tune,he shall so inform the individual,and may have an addidonal five days within wtuch 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 private data concerning himself. To exercise this ri¢ht,an individual shall nodfy in wridng the responsible authoriry describing�he nature of the disagreement. The responsible authoriry shall within 3�days either. (a)correct the data found ro be inaccurate or incomplete and attempt[o nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Dara in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinacion of the responsible auchoriry may be appealed pursuant to the provisions of the adminisaative procedure act relaang 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 pernut or license from the City of Orono or any of its departments may require you to fumish 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 pemut or license. 3, The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut 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 perm.it. First Middle Last Address City State Zip Phone I understand my rights as stated above. . __. Signa[ure