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Home My WebLink About2001-P04405 - re-roof � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04405 Crystal Bay, Minnesota 55323 Permit Type: �vtinor Alterations (952) 249-4600 Date Issued: 9i2si2ooi SITE ADDRESS: 2425 Dunwoody Ave WAYZATA,MN 55391 PID: 20->>�-2�-22-0009 DESCRIPTION: UBC Occupancy R3 Proposed Use: nesidentiai 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: $ 153.25 Valuation: $ 7,200.00 State Surcharge Fee: $ 3.60 TOTAL FEE: $ 156.85 APPLICANT: Haley John One Roofer OWNER: W P WITHERS& L A SANNA 7600 W. 27th St. Ste. 203 2425 DUNWOODY AVE St. Louis Park, MN 55426 WAYZATA MN 55391 THE UNDERSI�NED I�REBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGRE O DO ALL W RK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF [NNESOTA B DING CODE REQUIREMENTS. � � �(„ I\.��• � P ►CAN7'PER EE SI NATURE SUED BY SIGNATURE Copi' : 1-File (Signitures Reguired), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 � � Total Fee: $ Date Received: �� I Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER C TRACTO ' _� JOB SITE ADDRESS: �`�� (/��'(,L!�� C�IP: ��-�% ( NAME OF OWNER: �/�t�{�� PHONE: (home) (work) MAILING ADDRESS: 2-�7� S / �/,�tJ �y��ITY: �KG�'v ZIP: s�;� CONTRACTOR: �� 'L� ��f�t� PHONE: 7S� �z� 'G� �--�� CONTACTPERSON: �D -� � MOBILE/PAGER: (oj�-��.jr-� J� MAILING ADDRESS:7�� Gv� �-7 -�3 CITY: �: �� %A��e ZIP: �_� STATE LICENSE: # �c%l� C(�f�G' ARCHITECT/ENGINEER: PHONE: NIAILING ADDRESS: CITY: ZIP: NA1�TE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: YC"�`� �r �� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��C (,� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conform e wi the ordinances and codes of the City and with the State Building Code; that I understa d t�is i t a p it and work is not to start without a permit; and that the work will be in ord nc rth approved plan. APPLICANT'S SIGNATURE: I DATE: �� 1 NOTE! Parade of Homes events e uire 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 RIGHTS OF SLJBJECTS OF D2�TA Subd. 1. Type of data. "Ihe righ[s of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.'_. Information reqirired to be given individual. An individual asked to suppiy private or co�dendal data concerning himself shall be informed of: (a) the purpose and intended 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 known consequence arising from his supplying or refusing to supp(y private or conndencial data;and(d)[he iden[iry of o[her persons or enrities authorized by state or federal law ro receive the data. This requirement shall not apply when an individual is asked to supply invesrieadve da[a, punuant ro secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv_tax refund instructions ins[e2d of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject of scored dara on individuals,and whe[her it is classified as public, private or confidendal. Upon his further request, an individual who is the subjec[ of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content and meaning of[hat data. Afrer an individual has been shown the privace data and informed of its meaning, che data need not be disclosed to him for six months thereaiter unless a dispute or acaon pursuant to this secaon is oending or addidonal 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 �he requesting person to pay the acnial costs of making, certifying, and compiling the copies. The responsible au[horiry 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 lega]holidays,if immediate compliance is not possible. If he cannot comply wi[h the request within[ha[time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,exctuding Saturdays, Sundays and le2al holidays. Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accuracy or completeness of public or pri�•ate data concerning himself. To exercise this rieht,an individual shall nodfy in wricing the responsible authority describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccutate or incomplete and aaempt to nodfy pas[recipiencs of inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he believes rhe data to be correct. Data in dispuce shall be disclosed only if the individual's statement of disa;reement is included with the disclosed data. The de[erminadon of the rasponsible authoriry may be appealed pursuant ro the provisions of the administrarive procedure act relacing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Ri;hts 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 pemut 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 a�encies to the extent necessary to process the pemut 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 M.S. 13.04 (available upon request) to review private data on yourself. 6. Your fuli name is required to process this application or permit. Firsc �Iiddle Last Address Citv State Zip Phone I understand my rights as stated above. Signature f