HomeMy WebLinkAbout2000-P02588 - re-roof `� PERMIT
C I TY O F O RO N O Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Po2ssa
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 6�2i�oo
SITE ADDRESS: 1981 Fagerness Point Rd
WAYZATA,MN 55391
P I D: 18-117-23-14-0005
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ ig�•25 Valuation: $ 9,670.00
State Surcharge Fee: $ 4.85
TOTAL FEE: $ 186.10
APPLICANT: BEI EXTERIOR MAINTENANCE CORP OWNER: JULIE GROENKE
405 WEST 60 ST 1981 FAGERNESS POINT RD
MPLS,MN 55419 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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� APPLICANT PERMITEE SIGNATURE ISSUED BY GNA"I'URE ��
Copies: City,Applicant, Assessor, l�inance Page 1
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BLTII�DING PERIVIIT APPLICATION
All information must be submitted in full before plan re�iew will be started.
(please print all information)
_____.�—---- __
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THE APPLICANT IS: (circle one) OWNER OR�QNTRACTOR
_ _____--_,
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JOB SITE ADDRESS: �I�l i-��G�-r<•-'� �
:�S C���;-' ��i-�i�ZIP: 5 S=�� `/
NAi1�IE OF OWNER: �vU�E �Q�=�� PHO�tE: (home)
iS�- �.� � ���y
(work) 7� � .��.�-3� �3
1�IAILING ADDRESS: l��l �A�,2,���; -IJr ��.� CITY: �%�=�-,�� ZIP: �s->3�,y
C0�ITRACTOR: l�� �'"T�z+� /��l�-i,���ti�rl�k:���c,"-'PHOI�TE: G�a-,���-_��f3
CONTACT PERSON: �'<w� ���� NiOBILE/PAGER — �
M.�II.ING ADDRESS: �{e�S �e�� �� c s;, CITY: yv�rf��5 ZIP: s=s-�i� .
STATE LICENSE: # ����-�-� 3 38
ARCHITECT/ENGINEER: PHO�tE:
I�L�II.LtiG ADDRESS: CITY: ZIP:
N�v�: REGISTR.ATION#
TYPE OF `VORK: New Addition / Accessory Structure
Move Remodel/Alteration ,� Land Alteration
PROPOSED ti�ORK(describe in detain: `����z cFF !�'V5 c '`����_ ` '�-�''�Z`.
iJ t,r�
STORIES: � SQ.FEET OF EACH FLOOR: ✓ DET.
NO. OF BEDROO�IS: GARAGE STALLS: ATT.
/'_-���� �;,�L��yz�
( ' � �,�,
EST11�i IATED CONSTRUCTION VALUATION (excluding lan�: $ %� �U� -
I hereby aoply for a buildin� permit and I acknowled�e that the information above is complete and
accurate; chat 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 without a
pemut; and that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATURE: (`��� �- ���� DATE:
NOTE! ParadeQf Homes events require separate permit approval by Poliee Departmenr and
Cily Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.0-L RIGHTS OF SL'BJECTS OF DaT?.
Subd. 1. Tvpe of daca. "Ihe righcs oi i�dividual on whom tbe dara is s;o;:d or co t�e smrtd shall be as sec forth ia�his secrion.
Subd._. Inforiaaaon reqirired to be�vea individual. ?.n individual uked co suppIy private or confidendal daa coccec�aing himself shall
be informed of: (a)�he purose and inceaded use of che requestid daa within�e cotlecang'sa`ageacy,polidcal subdivision,or sacewide rysta:
�b)whe:her he may rfuse or is Ie3alIy cequired co si:ppty�he reGuested daci:(c)any l�own coas��queace arising from tiis supplyi:g or refusing ro supply
privace or conf:dendal daca;ar.d(d)the id�ndty oi oc�er persoas or endries au[horiz�Sy sra[_or fed�r�l law co receive[he dac. This requiremen�shali
no�app(y when an individual is�sked,o slpQly incesri¢arive daci, pursuan[ro sec_on 13.82, subdivision 5, to a law enforceWeac o�cer.
The comr,ussior.er of rvenue mav oizc: che nodce r:auirtd under�his subdivison in the ir,dividual income c�z or orooem taz refur.d
insrrucaons ins.ead of on ct;ose forms.
Subd. 3. �lccess to datz bv individual. lipon request co a responsible a��horiry,an individual shall be informed wherhec he is the subject
�f stor_d daea on ir.diviCu:ls,and whe�er ic is clsssif::d as public, privace or cor=�eadal. i:pon 6.is funher request,aa individuai who is the subjecc
of stoe-d privace or public daa on ir.dir•iduals shall be shown che daca wi�hout any caar3e � hi�and:if he desires, shall be iatocmed of the concenc
ar.d meaning oi d:ac daca. After an individual has�een shown che privare dara ar.d iciormed o�ics meaniag, che dact need noc be disclosed ro him for
siz mon�`u chereaicer un!ess a dispute or acrion gursuanc co rhis secdon is pendsg or addiaoa�l daa on[he individual has beea collected or creared.
Tze responsibla auehoriry shall provide copies ot�ha privace or public da�a upon r.:,u:sc by�e i�dividual subjeu of chz dact. Tne responsible au�horiry
may requir �he requesring per�on ro pay the acaul cos�of making,cerrifying,u:d:ompili.ng [he copies.
The r.sponsible auchoriry shall comp[y ima:ediatefy, if possibte, wirh a:;+r.quesc m�dc pursuanc to this su6division,or wichin five days oP
ehe dar�oi che uGues�,ezcluding Sanirdays,Suadays and legal holidays,if is.med��:e compliatce is noc possible. If he canno�comp(y wich the requesc
wichin�ac dme,he shall so inform the individual,ar:d may have an addidoaal five days wi�hin which co comp[y wi�z the request,ezc!uding Saturdays,
Sundays and legsi holidays.
Subd.4. Procedure when data is not accurate or complete. An ir.divi�nal may contest the accuracy or completeness of public or pri�•ate '
daci cor.ceming himself. To exerise chis ri¢hr.an inCividual shall nodfy in wridrg fi=resporsiofe authoriry dtscribing the nan:re oi thz disagreemea�. .
The tesponsibla au�horiry shall within�0 days eia`:er: (a)corrncc�he data four.d ro��inaccu�r_or incompte�e and aaemp�co nad�j past recipien[s of
inaccurace or incomple:e dan, inc[udin3 recipieca named by [he individual; or(b)codfy eF.: individual chac he bclieves[he daa to be correcc Dars
in dispuce shall be disc!osed only if�:e individual's sncemenc of disagr::m:nc is�:luded wi��[he disclos�d dara.
'Ihe C:ce:miradon of�k;e rsponsiole auc.horiry may be appealed purn:�-�ro the provisions of the adminis�arive procedure act reladng to
contes:ed c�ses.
D?,T:� PRIVACY �D�'ISORY
In accordance wich�i.S. 13.04, Subd.2, "Ri�hts of subjecu oi data", ��e would like to inform you that your reauest
for a permit or lice:lse from che Ciry of Orono or any of its depz.men[s nay require you to fumisa certain private or
confidencial information.
You are notified that:
1. 1he information you fi:raish will be used to detecmiy�your qualification for che perm.it or license requested.
'�. You may refuse to supply daca, buc refusal may re�uire that the Ciry deny the permit or license.
;. The informacion may be sbared wi�h o�er local, s�ac�or federal agencies to the extent necessary to process
the permit or license.
.�. If your requested perait or license requires Council action to approve, some information may become
public.
5. You have cena.in riQhcs under �1.5. 13.04 (availabl� upon request) to review private daca on yourself.
6. Your full name is required to process this applica:ion or pe:mit.
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I understand ny ri�hcs as staced above.
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���'�',�3rrm,�,,, STATE OF MINNESOTA BU���T��$���,��. OF COMMERCE
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BURRI3 ENTPR INC
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