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Home My WebLink About2003-P06772 - re-roof . : � t � 4 PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po6��2 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9il�i2oo3 SITE ADDRESS: 1855 Concordia St Wayzata,MN 55391 PID: 17-117-23-22-0038 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: � FEE SUMMARY: Permit Fee: $ 209.25 Valuation: $ 12,000.00 State Surcharge Fee: $ 6.50 _ _ TOTAL FEE: . $ 215.75 APPLICANT: Sun Contractors and Home Improvement OWNER: Vincent&Virginia Anderson 2365 Commerce Blvd - 1855 Concordia S. 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. � �� _ _ _ � � /�1 .!�'�:� � �i�--� ,G� � , APPLICANT PERMITEE SIGNAT RE � ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � f ti Total Fee: $ �-C�� Date Received: Q'� �� Entered By: Pernut#: ��(v 7�Z CITY OF ORONO - BUILDING PERMIT APPLICATI01�+1 All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- __ ____ _... THE APPLICANT IS: (circle one) OWNER OR C6��'13A�TOR _ - ____. � JOB SITE ADDRESS: � �S_5 ��(V�`'�r(� ZIP: SS 3 � � NAME OF OWNER V �NL'��' �-�I.c��l'1 PHONE: (home) �7�Z 'y�/—GJ��-js (work) MAILING ADDRESS: �s� (' � - ,� CITY: ��-�� ZIP:_��l CONTRACTOR: ��n�C�6Pv'�"I�Gi�c/� PHONE: �S� ` ��Z--�S� � �- CONTACT PERSON:�'�}'1��-� ��;�/ MOBILE/PAGER: �S��- 2�Z--� �S MAILING ADDRESS: l3(�S C�,�.�yy�,«�/�,�CITY: ��ZIP: 5'S 3' y STATE LICENSE: # �� - z O u�j 3 3 S 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�: - � � �� , �i�� -,/ �:;�� STORIES: -;� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � Z. <�0�� ` 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 wittrout a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: (G2� " �� v DATE: � � I � 1 G � 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. I , � r T Sec.13.04 RIGH"TS OF SiJBJECTS OF DAT�1 Subd. 1. Type of data. 'Ihe rights of individual on whom[he data is stored or to be scored shall be as set forth in this secaon. Subd.2. Information reqirired to be�ven individual. An individual asked to supply private or confidenrial dara concerning himself shall be informed of: (a) the purpose and in�ended use of the cequested data within the collecang'stats agency,polidcal subdivision,or sratewide system; (b)whether he may refuse or is legally required to sspply the requested data;(c)any 1�own consequence arising fmm his supplying or refusing to supply private or confidenda!data;and(d)the ideatiry of ccher persons or enades au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply i:�estiganve data,pursuan[ro section 13.82, subdivision 5, to a law enforcement officer. The commissioner of re`enue mav F' -� the odce rewired under this subdivision in the individual income tax or propertv taz refund instructions instead of on those forms. Subd. 3. Access to data b�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 clssifiefl as pubiic, private or confidendal. Upon his further request, an individual who is the subject of srored private or public data on individuals shail be shown che dara wichout any charge to him and, if he desires, shall be informed of the content and meaning of chat data. Afrer an individual hu oeen shown the private data and informed of it�meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or additiooal data on the individual has been collected or created. The responsible authoriry shall provide copies of�+�:a privace or public data upon reques[by the individual subject of the data. The responsible authority may require the requesting person to pay the acn:al costs of making, cernfying,and compiling the copies. The responsible authority shall compl��imme�iately, 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 immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addirional 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 individual may contest the accuracy or completeness of public or private data concerning himself. To exercise[his righ[,an individual shall notify in wriang the responsible auchority describing[he nature of the disagreemeot. The responsible authoriry shall within 30 days ei•y_r. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipiena narned by the individual; or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disc(osed only if the individua;'s sratemen[of disagreement is included with the disclosed data. The determinadon of the responsible zl[horiry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. D�TA PRIVACY ADVISORY In accordance wich 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 from the Ciry oi 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 suppl}� 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 aQencies to the extent necessary to process the pemut or license. 4. If your requested permit or lirxnse requires Council action to approve, some information may become public. 5. You have certain rights under �I.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First ��d�e �[ Address City State Zip Phone I understand my rights as stated above. ��%L l�c—�/��k e%ls� ✓ /�J Signature i � � , I n I i . J_., �►tiE�' ��...,_::...7"' _�� :''�� State of Minnesota Department of Commerce Licensing Division � .,, ,,, . ��,0 3=, Department of Commerce Telephone: (651)296-6319 I �' 85-7th Place East,Suite 600 E-mail address: licensing.commerce@state�n.us I `'.��'~ St. Paul, MN 55101-3165 Website address: commerce.state.mn.us ' 'S,ci;:��:� i - i � Residential Buildin �Contractor License � i � �e9a�tvarne: SUN CONTRACTORS AND HOME IMPROVE eusiness st��ct�re: ' I �BA: CORPORATION � � � p,ddress: 2365 CQMMERCE $LVD I ;' MOUND, MN 55364 � - i i i License Identification Number: BC- 20299335 C�ualifying Person: CARLA S MARTIN- � �icense Expiration Date: 3/31/ZOO4 Continuing Education: 7 H�s CE due by 3/31�'2004 � , I � .; .