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Home My WebLink About2002-P05440 - re-roof * _ PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pos44o Crystal Bay, Minnesota 55323 Permit Type: Minor Aicerarions (952) 249-4600 Date Issued: �i23�2o02 SITE ADDRESS: 1800 Concordia St Wayzata,MN 55391 P I D: 17-117-23-22-0025 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut 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: $ 6,000.00 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 128.75 APPLICANT: Sun Contractors and Home Improvement OWNER: Paul&Karen Hansen 2365 Commerce Blvd 1800 Concordia St Mound,MN 55364 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 MINNESOTA BUILDING CODE REQUIREMENTS. l� . , �� .�__-�. j �° (yil�t�rc.� /Y! APPLICANT P6KMITEE SIGNATURG SS D BY SIGNATURE Conies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERIVIIT APPLICATIOl`+T All information must be submitted in full before plan review will be started. (please print all information) -------------------------------------------------------------------------��___________ --�----------------------- THE APPLICANT IS: (circle one) OWNER OR CONTR.ACTO�� JOB SITE ADDRESS: �cY U�� G�?C'C rc l/� �� - ZIP: � :1 3 `1�/ NAME C3F OWNER: �� l-7��5�� PHO�tE: (home) �/o? -��D -- 115�� , (work) MAILING ADDRESS: 1�D0 �i1L'D r�;li.lj ��.CITY:j� zG � . ZIP: .5�� i/ CONTRACTOR: �6/r� (�i/I�irc�Cr's �/��r�e �/n��r�i��r•��s PHONE: /�'��{702 `� a'�3 a CON'TACT PERSON: �-/u,� /�/�s��r�(Gn�� MOBILE/PAGER: ys� -��a -.3�3� MAII�ING ADDRESS: _2 3�s` Lorn.y,err�° 8/��i CITY: /l1Gu„�� ZIP: o�5��: s� STATE LICENSE: # ,?�� 9�3 3� 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�: e�,- �� j��- - vC�07� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �-:�; ESTni IATED CONSTRUCTION VALUATION (excluding land): $ �tj��, I hereby apply for a building pemut 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, � ��r,c�-�'�� DATE: �� 3 -G 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. Sec.13.04 RIGIiTS OF SUB.TECTS OF D�TA Subd. 1. Type of data. The righcs of individual on whom the 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 azked to supply private or confidenrial data conceming himself shall be informed of: (a)the purpose and intended use of the requested data wi[hin the collecdng'state agency,poliucal subdivision,or sratewide rystem; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidencial data;and(d)the idenriry of other persoas or enddes authorized by state or federal law to receive the data. This requirement shall not appfy when an individual is asked to supply invesrigadve dara,pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the nodce rewired under[his subdivision in the individual income tax o�propem taz refund instructions inscead 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 whecher it is classified as public, private or confidenrial. Upon his further request, an individual who is the subject of stored pri�ate or public data on individuals shall be shown the data wirhout any charge to him and, if he desires, shall be informed of the content and meaning of chat data. Ahzr an individual 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 acdon pursuanc[o this secrion is pending or addidoaal 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 daca. The responsible authoriry may require the requesring 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 requesc,excluding Saturdays,Sundays and legal holidays,if immediate comptiance is not possible. If he cannoc comply with the requesc within that time,he shall so inform the individuai,and may have an addicional five days within which to comply wirh the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. An individuaf may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall nodfy in wricing[he responsible authoriry describing�he nature of the disagreemeoc. The responsible authoriry shall wichin 30 days either: (a)correct the data found to be inaccurate or incomp(ete and attempc to noafy past recipienu of inaccurate or incomplete data, including recipiencs named by the individual:or(b)notify the individual tha[he believes the data to be correct. Data in dispuce shall be disclosed oniy if the individual's statemenc of disagreement is included with the disclosed data. The determinarion of the responsible au�horiry 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 pemut 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 supply data, but refusal may require tha[ the Ciry deny the pemut or license. 3. The information may be shared with other local, state or federal a�encies 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 ri?hts 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. Fint MiddIe Last Address . City State Zip Phone I underst d my rights as stated above. �� /�--�-4..�7 /. Signa e