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Home My WebLink About2002-P04946 -reroof PERMIT �'i T�'i`= O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04946 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 3i�izoo2 SITE ADDRESS: 3585 Fredrick St Wayzata,MN 55391 PID: 2o-i i�-23-i2-oo2s DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit 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: FEE SUMMARY: PermitFee: $ 265.25 Vatuation: $ 15,300.00 State Surcharge Fee: $ 7.65 TOTAL FEE: $ 272.90 APPLICANT: �'estern Cedar Supply OWNER: J Pugh&7 Johnson 9700 13th Ave 3585 Fredrick St Plymouth,MN 55441 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. ,� '"�'�- . /� � �,'YYl Cx_�'( i�� A ICANT PERMI'I�LE SIGNATURE ISSU� E3Y SIGNATURE Copies: 1-File(SiQnitures Requir�ed), 1-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 ` - rotal Fee: $ Date Received: - Entered By: Pernut#: CITY OF ORONO - BUILDING PERMIT APPLICATIOl� All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE �PPLICANT IS: (circle one) OWNER OR ONT CTOR JOB SITE ADDRESS: 5� �`J f`�'�i'�c<< S% ZIP: 55 -3 I� NAME OF OWNER: /L 7i f��L, PHONE: (home) �l 7/- c��`/�� ' (work) � MAILING ADDRESS: `�/`}/�'`�`� CITY: � ZIP: 55 3`r/ ��,�.ti,�� CONTRACTOR: C'S 1/' ��`�"� �y�� PHONE: —7�3- �'� �-�%a ,�S CONTACTPERSON: /�� rC_ MOB E/PAGER: ��l � � ��?� -y�SS MAILING ADDRESS: 7-7Cv � �3�`/� �v CITY: �Jt ZIP: S�j STATE LICENSE: # ��S �F�% ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA�-IE: REGISTRATION# / TYPE OF WORK: New � Addition Accessory Structure Move Remodel/Alteration Land Alteration �_ PROPOSED WORK (describe in detai�: �/��u��j�-�-��, � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ %5� -3�� I hereby apply for a building pernut 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 accordance with the approved plan. APPLICANT'S SIGNATURE: �� DATE: � 7 �� NOTE! Parade Qf Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permiited events will not be allowed. 1 Sec.13.04 RIGHTS OF S[JBJECTS OF D?�TA Subd. I. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or co�dential data coocerning himself shall be informed of: (a)the purpose and intended use of the requested data within 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 lmown consequence arising from his supplying or refusing to supply priva[e or confidential data;and(d)the identiry of other persons or enaaes authorized by state or fedecal law to receive the data. This requirement shall no[apply when an individual is asked to supply invesaeaave dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the norice reauired under this subdivision in the individual income tax or propertv tax refund instcuctions instzad of on those forms. Subd.3. Access to data by individuai. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of scored data on individuals,and wherher 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 data wichout any charge to him and, if he desires, shall be informed of the content and meaning of chat data. Afrer an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acaon pursuant to [his secaon is pending or addiaonal data on the individual has been coilected or created. The responsible authoriry 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 makine, certifying,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 Sa[urdays,Sundays and legal holidays,if immediate compliance is not possibie. If he cannot 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,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 pri��ate data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible au[hori[y describing�he nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy 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 statemenc of disagreement is included with the disclosed data. Ttie decerminacion of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 inform you that your request for a pernut 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 deternune 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 permit or license. 4. If your requested pemut or license requires Council action to approve, some information may become public. j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. First Middle Last Address C�ry State Zip Phone I understand my rights as stated above. �5- -��;� � . Signature � \��NAHA C9�� '��; .�i � "��' '�'�� WATERSHED BOUNDARY N � i � ,J�/,�1��7�� S i �3��:�' / A�9i` • • F9 MINNF A 9' �l Q 15500 Wayzata Boulevard � ,,,� �� yy4�9FF �9sHEo o`�� Suite 611 Twelve Oaks Center � �- '� '� ` Wayzata, Minnesota 55391 �11�� LAKEMINNETONKA office: (612)476-7970 fax: (612)476-7973 M�NNE50TA RIVER BOARD OF MANAGERS: Thomas Maple,Jr.,Pres.•C.Woodrow Love•John E.Thomas Clarkson Lindley•Thomas W.LaBounty•Martha S.Hartfiel•Pamela G.Blixt PERIVIIT � 3 S�r� ��,,�.� S 7` Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, conespondence, plans, maps, and all other supporting data submitted by the agplicant, �1 of «�hich are made a part hereof by rPference, PERMISSION IS HEREBY GRANTED to the applicant named below for use and development of land in the Minnehaha Creek Watershed District. Issued to: Jill Johnson Permit No. 95-104 Location: City of Orono, T117, R23, Section 20, NW 1/4 Purpose: Placement of a beach sandblanket. Date of Issuance: May 25, 1995 Date of Expiration: May 25, 1996 By Order of the Board of Managers WENCK ASSOCIATES, INC. Engineers for the Di � � • Andrew E. Syverson, P.E. This permit is not transferable, and is valid to the date of expiration. No activity is authorized beyond the expiration date. If the permittee requires more time to complete the project, an application for renewal of the permit is required. The applicant is responsible for compliance with all District rules and for the actions of their representatives, contractors, and employees. (Statement concerning fees for inspections, violations, etc. on back of permit). Inspection/Analysis/Monitoring Fees A site inspection and monitoring by District staff will be performed where the activity involves: • a commercial/industrial/multi-family residential development. • a single family residential development greater than 5 acres or of any size if within the Minnehaha Creek subwatershed. • any alteration of a floodplain or wetland. � dredging within the beds, banks or shores of any protected water or wetland. • a violation. • any project which in the judgement of District staff should be inspected due to project location, scope, or construction techniques. In these cases, the applicant shall pay to the District a fee equal to the actual costs of field inspection of the work, including investigation of the area affected by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shall be at least $35. Standard Fee Schedule (hourlY rate) * District Counsel: 125 District Engineer: 129 District Asst. Engineer: 67 District Administrator: 40 *Hourly rates as of January 1, 1994. Subject to change. N:�A I85101-154\95-104.PRM•AFS-Ijv