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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. ��� ��� �� APPLICANT PERMTTEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(SiQnituf-es Recruired), 1-Aunlicant 1-Monthlv Reports,1-Assessin�, 1-Finance Page 1 _ . � 'Total �ee: $ Date Received: � �ntered By: Permit#: � CITY OF ORONO - BUII�DING PERMIT APPLICATIOleT . 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. � 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. . _ , ^ . � � 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. ��� Signatuce