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Home My WebLink About2001-P04644 - re-roof r� � CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po4644 Crystal Bay, Minnesota 55323 Permit Type: ivlinor Alterations (952) 249-4600 Date Issued: �lilai2ooi SITE ADDRESS: 4680 Creekwood Tr MAPLE PLAIN,IvW 553 59 P I D: 30-118-23-33-0005 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential 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: $ 573.05 Valuation: $ 43,000.00 State Surcharge Fee: $ 21.50 TOTAL FEE: $ 594.55 APPLICANT: WESTURN CEDAR OWNER: J F& V M O'NEILL 9700 13TH AVE NORTH 4680 CREEKWOOD TR PLYMOUTH, MN 55441 MAPLE PLAIN MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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. ;_, � \ � � �� > i . �� ;�7C�,t� ��— � � APPL[CANT PERMITEE SIGNATURE [S SUED B Y S[GNATURE Copies: 1-File(SiQnitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 . � . � �. Total Fee: $ 5 C�`7 ' > > Date Received: J I—%� - 3-�c�I Entered By: �� Pemut#: �'U�(� L( H CITY OF ORONO - BUII�DING PERMIT APPLICATIOl`� All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------- --------------- __— }-----,-�------.-___� THE APPLICANT IS: (circle one) OWNE� CONTRACTOR _____ ' JOB SITE ADDRESS: 7�`^�� '��iL�C.�`'j C� %r.:�� ZIP: S ,5 Sr NA1�IE OF OWNER: ��L��'� � PHONE: (home)� � (work) (��;�— �`�:'� —5 S�,% MAII..ING ADDRESS: -S�I�' CITY: �:n G� ZIP: 5 :�i S CONTRACTOR C-�(,�' ' "}�,.�rn � �? r'� PHONE: CONTACT PERSON: �1•��✓� MOB E/PAGER: � /.� ��?—�/�� MAII.ING ADDRESS: �j ��:c, � `5�" �'�f �-� CITY: I ZIP: �S/! STAT'E LICENSE: # , ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK (describe in detai�: ��' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROO�iS: GARAGE STALLS: ATT. DET. ESTLI�IATED 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 pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �1 5 � DATE: /(- / i`� �' / NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. .• . Sec.13.04 RIGH'TS OF SLJB.TECTS OF D:1T?� Subd. 1. Type ot'data. The righcs of individual on whom the data is stored or co be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. .�.n individual asked to supply private or confidendal dara concerning himself shall be informed of: (a) [he purpose and inrended use of the requesred data within the collecting"stat�agency,polidcal subdivision,or sratewide sysum; (b)whether he may refuse oY is legally required to supply[he requested data;(c)any lmown coasequence arising fmm his supplying or refusing to supply privace or confidenria!data;and(d)the ideanry of ocher persons or enddes authorized by state or federal iaw to receive the data. 'Ihis requiremenc shall not apply when an individual is asked to supply invesrigadve daca,punuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav piace the nodce rewired under this subdivision in the individual income tax or propem tax refund instructions inscead of on those forms. Subd. 3. Access to data b�individual. Upon request to a responsible authoriry,an individual shall be informed whecher he is the subject of stored data on individuals,and wherher it is class�ed as public, priva[e or confidenaal. Upon ivs further request, an individual who is the subjec� of stored private or public data on individuals shall be shown[he data wichout any charge to him and, if he desires, shall be informed of[he conter.t and meaning of rhat data. Aher an individual has been shown che private data and informed of irs meaning,the dara need not be disclosed to him for six months thereafter unless a dispute or acdon pursuan�to chis secrion is oending or addidonal data on the individual has been collected or crea�ed. The responsible authoriry shall provide copies of the privace or public data upon request by the individual subject of che dara. The responsible authoriry may require the requesring person to pay the acrual cosu of makin¢, cemfying, and compiling the copies. The responsible authoriry shall comply immediacely, 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 immediace compliance is not possible. If he cannoc comply with the requesc within�hat time,he shall so inform the individual,and may have an addidonal 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 individua!may contest the accuracy or completeness of public or pri�•ate data concerning himself. To exetcise chis right,an individual shall noufy in wriang the responsible authoricy describing�he nacure of the disagreement. The responsible authoriry shall within 30 days eicher: (a)correc�che data found to be inaccurate or incomplete and attempc to nodfy pasc recipients of inaccurate or incomplete data, including recipients named by ehe individual; or(b)nodfy the individual tha[he believes �he data to be correcc. Data in dispuce shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. The decerminaaon of ehe responsibte authoriry may be appealed pursuanc to the provisions of the adminis�dve procedure act reladng to contested cases. DAT� PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects of data", we would like to inform you that your reauest for a permit or license from the Ciry 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 permi[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 wi[h o�her local, state or federal a�encies 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. j. You have certain rights under h1.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this appiication or permit. p�n� �fiddle Last Address Ciry State Zip Phone I understand my ri;hts as stated above. Signature