The URL can be used to link to this page

Home My WebLink About2005-P08818 - re-roof � PERMIT CIT�Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08818 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/16/2005 SITE ADDRESS: 965 Edgewood Hills Rd Unit# Wayzata,MN 55391 P�� 02-117-23-14-0001 � DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: Replacing underlayment&Install new shingle tin flashings FEE SUMMARY: Pernut Fee: $ 209.25 valuation: $ 11,470.00 State Surcharge Fee: $ 5.75 TOTAL FEE: $ 215.00 APPLICANT: Garlock-French Roofing Corporation OWNER: Mr. &Mrs. Thomas Cusick 2301 East 25th Street 965 Edgewood Hills Rd Minneapolis,MN 55406 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC[FIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ��`��, � _�-�, e e ��'�'r c�n �Z.� APPLICANT PERMITEE SIGNAT RE ISSUED BY S[GNATURE Copies: I-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � Total Fee: $ S� �171'�2 C.�� Date Received: Entered By: Permit#: , (�,�' C 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 OR CONTRACTOR JOB SITE ADDRESS:�_� ��(�CI �� ('� , ZIP: ��"- Will this be a Par de of Homes,Remodelers Showcase Home or other Display Home? � Yes .�No If yes, a special event permit is reguired with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER:�OYY�S l�S 1�.I� PHONE: (home)��S-�S� (work) MAILING ADDRESS: � �d �_CITY: (7r��i(�O ZIP: 53 I CONTRACTOR: �p,.rloc.k- Frer,c.l„ '�,Zc��,r,G PHONE: l��a-�aa-��a� CONTACT PERSON: r .- OBILE/PAGER: MAILING ADDRESS:a�7� � . ��!�S , CITY: 11'��_ZIP: ��u�`�p STATE LICENSE: # '�,C- 1�-1a-"� EXPIRATIUN DATE: 3-,3�-0(p ARCHITECT/ENGINEER: �,I C� PHONE: MAILING ADDRESS: —�- C1TY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure _ _ Addition Move Home Remodel/Alteration � PROPOSED WORK (describe in detai�: QW �r -�� `�1 ? STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� ,y7C� .(�(� I l�ereby apply for a building permit and I acknowlcdge that the iilformation above is complete and accurate;that the work will be in confonnance 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� � �� ,�.{�� DATE: L�' l� '� � Sec.13.04 RIGHTS OF SUBJECTS OP'DATA Subd.1. T}�pc of data. Thc rights o!individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infm�mation required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intendcd use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is Icgally required to suppl}•thc requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioncr of revenue mav olace the notice reauired under this subdivision in the individual income tax or oropertv tax refund instructions instead of on those forms. Subd.3. Access to data b,y indi��idu�l. Upon requcst to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is cl�ssified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without an��charge to him and,if he desires,shall be informed of the content and meaning of that data. Aftcr an individual has been shown thc private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless�dispute or action pursuant to this section is pending or additional 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 authnrity may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediatcly,if possible,with am�request made pursuantto this subdivision,or within five days of the date of the request,excluding S�turdays,Sundays and legal holida}�s,if immediate compliance is not possible. If he cannot eomply with the request within that time,he shall so int'orm the individual,and ma��have an additional five days within which to comply with thc request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or co�nplete.An individual may contest the accuracy or completeness of'public or private data conccrning himselT. To exercise this right,an individual shall notifv in writing the responsible authority describing the 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 notify past recipients of inaccur.�te or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only°if the individuaPs statement of disagreement is included with the disclosed data. The detennination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance�vith 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 f'rom 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 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 name is required to process this application or permit. � �tR ciVl � �irst il1iddle Last Address City State Zip Phone I understand mv rights as stated above. '�u...�� C�� Sign atu rc Reset Form