HomeMy WebLinkAbout2002-P05807 - re-roof �
^ ' PERMIT
CITY` O� ORONO Permit Number:
2750 Ke�ley Parkway- PO Box 66 Posao�
C�, Ystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(�v2) 249-4600 Date Issued: ii�s�2oo2
SITE ADDRESS: 3220 Bohns Pt La
Way7ata,MIV 55391
PID: 08-117-23-44-0006
DESCRIPTION: trBc occup��y �
Proposed Use: Residential Consiruction Type VN
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: PermitFee: $ 293.25 Valuation: $ 17,415.00
State Surcharge Fee: $ 9.25
TOTAL FEE: $ 302.50
APPLICANT: �bertTrapenese OWNER:
3220 Bohns Pt La
Wayzata,MN 55391
TI�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 SI'ATE OF
MINNESOTA BUII..DING CODE REQUIREIVIINTS.
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APPLICANT PERMTTEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnituf-es Recruired), 1-Aunlicant 1-Monthlv Reports,1-Assessin�, 1-Finance Page 1
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� 'Total �ee: $ Date Received:
� �ntered By: Permit#:
� CITY OF ORONO - BUII�DING PERMIT APPLICATIOleT
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All information must be submitted in full before plan review will be started.
(please print all infornzastion)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ���� �pV�V1 S �� ZIP:
NAME OF OWNER: �Ii�c /���'`J�/�S' PHONE: (home) �
(work)
MAILING ADDRESS: -sd�vh� CITY: Gi'�✓10 ZIP: �
CONTRACTOR: �P5 pHpNE; '�3 -S//��3oy
CONTACT PERSON:�/(�� MOBILE/PAGER �/���2-yo�SS—
MAILING ADDRESS: �`"�DO �3�/9ce y CITY: �_��Tz, ZIP: SS%/�
STATE LICENSE: #�Q1�
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 detai�: �^ d ° �j�QQ�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIlVIATED CONSTRUCTION VALUATION (excluding lancn: $ � �� y��
I hereby apply for a building permit and I acknowledge tha.t 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 of.Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGATS OF SUBJECTS OF DATA ,�
Subd. 1. Type of data. The right�of individnal on whom the data is stored or m be stored shall be as set forth ia�is secdon. �
Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and iatended 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 imown consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the identity of other persoas or endties auchorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigauve dara,pursnanc to secdon 13.82,subdivision 5,w a law enforcement officer.
The commissioner of re�enue mav vlace the nodce rewired under this subdivision in the individual income tax or prooertv taz refund
instcucdons instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is class�ed as public,private or confidential. Ugon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data wirhout any charge to him and;if he desires,shall be informed of die coatent
and meaning of[hat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six mondis thereafter unless a dispute or acrion pursuant to this section is pending or addiaonal 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 authoriry
may require the requesting person to pay the actual cosu 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,if immediate compliance is not possible. If he cannot comply with ihe request
within that dme,he shall so inform the individual,and may have an addidonal five days within wluch to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure whea data is not accurate or complete. An mdividual may contest the accucacy or completeness of public or private
data concerning himsetf. To exercise this right,an individual s6all noafy in writing che responsible authoriry describing che 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 nodfy past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)noafy die individual that he believes the 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 determinadon of the responsible authoriry may be appealed pursuant w the provisions of die adminisuaave 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 fumish 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 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 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 nazne is required to process this application or permit.
First Middle �t
Address .
C� Srate Zip Phone
I understand my rights as stated above.
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Signatuce