HomeMy WebLinkAbout2002-P04859 - windows PERMIT
C I�*�Y �F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P04859
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: 2�ii2oo2
SITE ADDRESS: 4080 Dahi Rd
Mound,MN 55364
PID: o�-i 1�-23-i i-oois
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Census Code O/S-Building
Pernut Class: Building
Permit Type: Minor Alterarions Permit Sub-type(s): windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTiCES/REMARKS:
FEE �UMMARY: Pernut Fee: $ 54.00 Valuation• $ 1,500.00
State Surcharge Fee: $ 0.75
TOTAL FEE: � $ 54.75
APRLICANT: Owner/Self OWNER: Mandeep&Leisa Sodhi
MN 4080 Dahl Rd
Mound,MN 55364
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.
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� APPLI ,: MITEE SIGNATURF, ISSUED BY SIGNATURE ---
Copies: 1-File(SiQnitures Required), 1-Avolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
, '�:�tal Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII,DING PERNIIT APPLICATIOl`�
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANI' IS: (circle one) OWNER OR CONTRACTOR
JOB si� a��xEss: �'���v ����� �v �41� z�: o�%ti��.� �r��s s� ��
NAME OF OWNER /L�i4 N/JL-�--� S' S��,vfy�� PHONE: (home) %S1� `/%5� /s�
(work)
NiAILING ADDRESS: %`��o �A/�� �� CI'TY: ���'��,vv ZIP: S-S �� .
CON'I'R.ACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAII..ING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
NLAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED""ORK(describe in detain: ��`1/��c G'E� ��NU<�WS �.�� T�/P7 �L�,�,
�%4.t�'c;� C�e'sE�7 �- �e�� f�F'<�/�J 1�c4��s .
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTTi�1ATED CONSTRUCTION VALUATION (excluding land): $ � 5 t', C% `�
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 pernut and work is not to start without a
permit; and that the work will be in acc dance with the approved plan.
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APPLICANT'S SIGNATURE:�������' DATE: `� l �� Z
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.
,
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Sec.13.04 RIGHTS OF SUBJECTS OF DaT,�
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. Informadon reqtrired to be given individual. ,0.n individual asked to supply privace or confidenaal dara concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecdng'state agency,poliacal subdivision,or sratewide system;
(b)wherher he may refuse oY is legally required to supply the rtquested data;(c)any lmown coasequence arising from his supplying or refusing to supply
priva[e or conndential data;and(d)the idenrity of other persons or enndes authorized by state or federal law to receive the data. This requiremen[shall
not apply when an individual is asked to supply invesogaave dard, pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re��enue mav place the noace rewired under this subdivision in the individual income tax or propem tax refund
instructions insczzd of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsibfe authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whecher it is efass�ed u public, private or confidendal. Upon his further requesc, an individual who is the subjecc
of stored private or public data on individuals shall be shown�he data wichout any charge to hun and, if he desires, shall be informed of the contenc
and meaning of that data. Ahzr an individual has been shown the private data and informed of irs meaning, che data need not be disclosed to him for
six months thereafter unless a dispute o�acdon pursuant to �his secrion is oending or addidonal data on the individual has been collected or created.
The responsible auehoriry shali provide copies of[he privace or public data upon request by the individua!subjecc of the data. The responsible au[horiry
may require the requesring person to pay the actual costs of making,cerrifying,and compiling the copies.
The responsible au[horiry shall comply immedia�ety, if possible, wi�h 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 the request
within that time,he shall so inform[he individual,and may have an addidonal five days wirhin which to comply wich 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 prn•ate
data eoncerning himself. To exereise chis righ[,an individual shall norify in wri[ing the responsible au[horiry dzscribing[he nacure of the disagreemeot.
The responsible authoriry shall within 30 days ei�her: (a)correct che data found to be inaccurate or incomplete and attempt to nodfy past recipienrs of
inaccunte or incomplete data, including recipients named by rhe individual; or(b)noufy the individual that he believes the data ro be correct. Data
in dispute shall be disclosed only if[he individual'S statemenc of disagreement is included wi[h the disclosed data.
The de�erminanon of the responsibie authoriry may be appealed pursuant ro the provisions of the administrxdve procedure act relaring 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 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, buc refusal may require that the City deny the permit or license.
3, The information may be shared with other local, state or federal a�encies to the extent necessary to process
the pernut or license.
4. If your requested permi[ or license requires Council action to approve, some information may become
public.
$. You have certain ri�h[s under Ni.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
S,�/�� -l- /-�S /-�f'v��'%
First vliddlt Last
Address
Ciry State Zip Phone
I understand my ri�hts as stated above.
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Signacure