The URL can be used to link to this page

Home My WebLink About2007-P10692 - re-roof PERMIT CIT�JF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p1o692 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 1/16/2007 SITE ADDRESS: 960 Ferndale Rd W Unit# Wayzata,MN 55391 P�� 02-117-23-44-0017 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Pcrmit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 167.25 valuation: $ 8,150.00 State Surcharge Fee: $ 4.10 TOTAL FEE: $ 171.35 APPLICANT: Westurn Cedar Supply, Inc. OWNER: C&J Floyd DBA: Westurn Roofing Siding 960 Ferndale Rd W 9700 13th Avenue N. Wayzata MN 55391 Plymouth,MN 55441 � . 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 O NCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � � APPLICA`T PER,VIITEE SIGtiAI'URL ISSUED BY SIGNATURE Copies: 1-File(SignaturesRegatired), 1-Applicant, I-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page l � ' PERMIT C�T�'-OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P1o692 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 1/16/2007 SITE ADDRESS: 960 Ferndale Rd W Unit# Wayzata,MN 55391 PID: 02-117-23-44-0017 DESCRIPTION: Proposcd Use: Residenhal Census Code O/S -General Permit Class: Building Pern�it Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 167.25 valuation: $ 8,150.00 State Surcharge Fee: $ 4.10 TOTAL FEE: $ 171.35 APPLICANT: Westurn Cedar Supply, Inc. OWNER: C&J Floyd DBA: Westurn Roofing Siding 960 Ferndale Rd W 9700 13th Avenue N. Wayzata MN 55391 Plymouth,MN 55441 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. � ' , �/. � . ,� �/ � � . - � �� = /'� , , ; _ �� ,'�%C— _,� �L�,:�- c r�t�� PPLIC NT PERMIT GNATURE ISSUEU BY SIGNATURE Copies: ]-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, I-Assessing,(IfScptic, 1-Septic) Page 1 _- ► , � � � - Total Fee: $ Date Received: Entered By: Permit#: � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in fu❑ before plan review will be started. (please pr�int all infarmatio�i) ------------------------------------------------------------------------------------------------------------------------ -- �r----,. THE APPLICANT IS: (ci�•cle one) OWNER O CONTRACTOR / �� JOB SITE ADDRESS: � 4' D �;n.J ��JF f�,�/��r � ZIP: � `� J �I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event pern�it is required with Police Department and City Cozmcil appraval 60 dnvs pria•to the eve��t. Sl�uttle bus service tivill be reguii•ed unless app(icanl demonstrates scrfficref�t on-site par•king is available. f��on-per�mitted events�vill not be allotived. NAME OF OWNER: �I.�'' �/� PHONE: (home)�f 5,;�. `�j;-�i�T (work) MAILING ADDRESS: 5�� f CITY: �� /��'� ZIP: ;� �� CONTRACTOR: ,�.,./�:�;T,c r1 PHONE: ��>-S�/-636�j CONTACT PERSON: MOBILE/PAGER: MAILINGADDRESS: �7 ��' -�;�;'/., p,�% r� CITY: i ,., , �i; ZIP: -�� STATE LICENSE: # �`c ��'i s S S l-.l. EXPIRATION D TE: 3��7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home RemodeVAlteration � PROPOSED WORK(describe in detai��c>�=T�� '� /" i�� ST'ORI�S: SQ.FEE�'OF EACH FI,OOI2: NO. OF BEDROOMS: GARAGE STALLS: AT'�ACHEI) DE'TACHED EST'IMATEI)CONST12i1CTION VALUA�'ION(excluding lanc�): � � l %' C� �-"�' I hereby apply for a building pennit and I acknowled�e 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;tllat I undec•stand 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: �`�, I)ATE: � /� l 7 � 31 ." � . ` . ar Sec.13.04 RIGHTS OF SUBJECTS OF DATr� Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. —_ _ -—_Subd_2._Infocmationzequired-to be.given-individual. An individuaLaskedtosupply_pcivate or_confidential_dataconcecning.himselfshall be — ___.____ ._—__ informed of: (a)the purpose and intended use of the requested data�vithin the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to suppiy the requested data;(c)any kno�an consequence arisine from his supplying or refusing to supply private or confidential da[a;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 commissioner of revenue mayplace the notice required under this subdivision in the individual income ta�or�ropertv tas refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and�ahether it is classified as public,private or contidential. Upon his flirther request,an individual who is the subjec[of stored private or public data on individuals shal I be shown the data without any charge to him and,if he desires,shall be infonned of the content and meaning of that data. After an individual Ilas been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been col lected or created. 7'he responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall coinply immediately,if possible,with any request made pursuan[to this subdivision,or�vithin five days of the date of the request,excludine Saturdays,Sundays and leeal hol idays,if immediate compliance is not possible. If he canno[comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,etcluding 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 himselE To exercise this righ[,an individual shall notify in writine the responsible authority describing the nature ofthe disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found[o be inaccurate or incomplete and attempt to notify past recipients oF inaccurate 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 individual's sta[ement of disagreetnent is included with the disclosed da[a. The detemiination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforn�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: l. The inforn�ation you furnish will be used to determine your qualification for the permit or license requested. ?. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The inforn�ation may be shared with other (ocal, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or (icense 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. I'our full name is required to process this application or permit. First ltiddle Last Address Citv State "Lio Phone I understand my rights as s��ted abo� � :' ;' _ � Signaturc 32