The URL can be used to link to this page

Home My WebLink About2001-P04646 - re-roof PERMIT CITY OF ORONO Permit Number: 2750.Kelley Parkway - PO Box 66 P04646 �Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Alterations (952) 249-4600 Date Issued: t�it9i2ooi SITE ADDRESS: 2765 Fox St WAYZATA,MN 55391 PID: 04-117-23-43-0002 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 63.15 Valuation: $ 1,703.00 State Surcharge Fee: $ 0.90 TOTAL FEE: $ 64.05 APPLICANT: Schmidt Roofing Inc. OWNER: I'D ROUX&L E ROUX 140 W. 98th. Street Suite 102 2765 FOX ST Bloomington, MN 55420 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�? ��fZ�� %�' � �� APPL ANTPERM[TEESIGNATURE ISSUEDBYSIGNATURE v'� Copies: 1-File(SiQnitures Reauired), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ ��y- �'� Date Received: l�-� I- �'� Entered By: �;�� Pernut#: ,�} v ��c� CITY OF ORONO - BUILDING PERMIT APPLICATIOl� All information must be submitted in full before plan review will be started. (please print all information) ��r�+��Y�� THE APPLICANT IS: (circle one) OWNER O�QNTRACTOR � JOB SITE ADDRESS: ��S -��x 5� ZIp; NAl�IE OF OVVNER �J � S � o.,�� PHONE: (home) �S�-Y76 -��,/0 (work) N1AII.ING ADDRESS: � �� -4-�� S� CITY: ��o ZIP: CONTRACTOR: S�C� ��"�� PHONE: `��.� � S�-`�k£�g COi�1'I'ACT PERSON: ��r.. S,_,�,,,o,; MOBILE/PAGER: MAILING ADDRESS: f�(o w �t 5'= st CITY: I�l�:�.- •.a� ZIP: S S`(Z v STATE LICENSE: # i��- z-��b s`3 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 detain: � ��_r- �(�--/ ; �,z��f ��-�..(„ � wcs� S, �4 �nj �o��`� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTI�I�A1'ED CONSTRUCTION VALUATION (excluding land): $ �� J 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 without a permit; and that the work will be in c rdance�yith the approved plan. ' ' APPLICANT'S SIGNATURE: � � DATE: �l (`� �a l 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. Sec.13.04 RIGHTS OF S[IBJECTS OF DAT�1 � Subd. 1. Type of data. The rights of individual on whom[he data is stored oc to be stored shall be as set fonh in this secdon. Subd.2. Iaformation reqirired to be given individual. An individual asked to supply privatE or confidenaal data concerniag himself shall be informed of: (a)the purpose and inrended use of che requesud data wichin the collecting"stace agency, polidcal subdivision,or statewide system; (b)whecher he may refuse oY is legatly required to supply the requesced data;(c)any Irnown consequence arising from his supplying or refusing to supply privace or confidendal data;and(d)the idenriry of ocher persoas or enrides auchorized by state or federal iaw to receive the data. This requiremenc shall not apply when an individual is asked to supply invesrigadve dara, pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or propem tax refund instructions inscezd of on chose forms. Subd. 3. Access to data by individuai. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject of s[ored data on individuals, and wherher it is c(assified as public, private or confidenaal. Upon his fur�her request, an individual who is the subject of stored private or public data on individuais shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content and meaning of�hat data. Afczr an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months chereaher unless a dispu[e or acdon pursuant to �his secaon is oending or addidooal 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�he data. The responsible authoriry may require[he requesring person to pay the actual costs of making, certifying, and compiling the copies. The responsible authoriry shall comply immediacely, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and tegal holidays,if immediate compliance is not possible. If he cannot comply with the request within[hat time,he shall so inform the individual,and may have an addidonal five days within which to comply wich the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may concest the accuracy or completeness of public or pri�•ate data concerning himself. To exercise this right,an individuai shall nodfy in wridng che responsible authoriry describing che na[ure of the disagreement. The responsible au[horiry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attemp�to nodfy past recipienu of inaccurace or incomplete data, including recipiencs named by rhe individual; or(b)nodfy the individual that he believes che data to be correcc. Data in dispuce shall be disclosed only if the individual's statemen[of disagreement is included with the disclosed data. The determina[ion of the responsible auchoriry may be appealed pursuant to the provisions of the adminisaaave procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Riahts of subjects of data", we would like to inform you tha[your request for a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the perm.i[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 a�encies to the extent necessary to process the permit or license. 4. If your requested permi[ or license requires Council action to approve, some information may become public. j. You have certain rights under Nf.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. +,<<�—� ��s �o 1�:� ��,.�S. pin� �tiddle Last ,�2 S��,� l/t%�v��G/l �.�,�L(-t Ad `ss �� .�.�..� wkf �3 S� -�7� -�,�. � l Ciry State Zip Phone I understand my ��hts �ted above. �� , � � Signamre