The URL can be used to link to this page

Home My WebLink About2002-P04951 - re-roof � PERMIT ,�ITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po49si Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 3i11�2o02 SITE ADDRESS: 1985 Fagerness Pt Rd Wayzata,1�MI 55391 P��: 18-117-23-14-0004 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut 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: n —� ---..,- �--- �--., ,--- :.�r.:.. ......................»..a�c _... ....... ..... .....: FEE SUMMARY: Permit Fee: $ 167.25 Valuation: $ 8,300.00 State Surcharge Fee: $ 4.15 TOTAL FEE: $ 171.40 APPLICANT: Aldo Inc OWNER: Alan Opheim 17422 Minnetonka Blvd 1985 Fagerness Pt Rd Minnetonka, MN 55345 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 MINNESOT UILDING CODE REQUIREMENTS. 1 _ �� ; � �� Z�_ ��i�'�-��°_<'' ____�i' � i AP CANT PERMITEE SIGNATURE IS 'ED BY SIGNATURE � Copies: 1-File(Sienitur•es Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 . Total Fee: $ Date Received: ' Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT 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: �l�� j5 �L//�(.fi �i7 ZIP: �S�� I NAME OF OWNER: �� .�� PHONE: (home) �\Z" �-I�I G��' (work) �j� Z"��Z�O� MAILING ADDRESS: G�'C�� CITY: ZIP: CONTRACTOR: �L�l� I N L- PHONE: I �Z��73 �� CONTACT PERSON: �',�Zl��. �K.k=7 MOBILE/PAGER: MAILING ADDRESS: �;�]�}2.z �y;� CITY: �� ZIP: '�_�,�� STATE LICENSE: # ��, -�'�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PR POSED WORK(describe in det i�: �L I l_ y�� '�-i�u�ll: ��'�`�''1 " D��— Oly � a STORIES: f SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �'�� V`F� 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 t 's is not a permit and work is not to start without a permit; and that the work will be i cc r with the approved plan. � 3 II U � APPLICANT'S SIGNATURE: '��v' � DATE: r NOTE! Parade of Homes even s re uire� eparate permit approval by Police Department and City Council 60 days prior to the � nt. Non permitted events will not be allowed. . . Sec.13.04 RIGHT'S OF SiTB.TECTS OF D�TA Subd. 1. Tvpe of data. The righrs of individual on whom[he data is stored or to be stored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. Art individual asked to supply private or confidenaal data concerning himself shall be informed of: (a) [he purpose and iarEnded use of the requesred 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 lmown consequence arising fmm his supplying or refusing to supply private or confidential data;and(d)the idenriry of ocher persons or enrities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppty invesneadve data, pursuan[to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav piace the nodce reauired under this subdivision in the individual income tax or propertv tax refund instructions inscead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whether it is classified as public, priva[e or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dara without any charge to hun and, if he desires, shall be informed of the content and meaning of chat dara. After an individual has been shown the private data and informed of its meaning,che data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to this section is pending or additional data on the individual has been collected or created. The responsible au[horiry shall provide copies of the privace or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the acrual costs of making, cerdfying, and compiling the copies. The responsible authority 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 leeal 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 addidonal five days within which to comply with the request,excluding Saturdays, Suncays 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 right,an individual shali nodfy in writing the responsible authoriry describing�he nature of the disagreemen[. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipiencs 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 individual's statement of disa�reement is included with the disclosed data. The de[ermination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we wouid like to inform you that your request for a permit 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 agencies to the extent necessary to process the pernut 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature