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Home My WebLink About2006-P09584 - re-roof PERMIT CI�"'��OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09584 Crystal Bay, Minnesota 55323 Permit Type: Ivlinor Alterations (952) 249-4600 Date Issued: 2/6/2006 SITE ADDRESS: 1360 French Creek Dr Unit# Wayzata, MN 55391 PID: 10-117-23-32-0016 DESCRIPTION: Proposcd Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 421.55 valuation: $ 28,000.00 State Surcharge Fee: $ 14.00 TOTAL FEE: $ 435.55 APPLICANT: Allstar Construcrion OWNER: Stephen&Rosalie Miller 8401 73rd Ave N-Suite 80 1360 French Creek Dr Minneapolis,MN 55428 Wayzata, MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK fN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / \ i-i' �"',-•. / � 1CANT PE ITEF,SIGNATURE ISSUED BY SIGNATURP �;� Copies: 1-File(Sig�iatures Required), l-Applicant, 1-Monthly Reports, I-Assessing,([f Septic, I-Septic) Page 1 , � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infor�nation) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR? i JOB SITE ADDRESS: ��G'� ,:��%�'/�� "'%�E'��'/; ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YCS ❑ NO If yes, a,rpecial event pennit is reqarired rvith Police Depnrtment and City Cozmcil approval 60 days pr•ior to the event. Shz�ttle ba�s service will be reqa�ired arnless applicant demoizstrates suf,ficient on-site parkir�g is available. Non pe�•rnitted events will��ot be allowed. � ��- NAME OF OWNER: C�i'��' ' j �-� >�. PHONE: (home) (wark) >> �� -i'�,� l�. ��' CITY: ;,.;��-� �� ZIP: MAILING ADDRESS: ,��z� < ��7�Li � CONTRACTOR: �:�/��9y �%�� PHONE:�� y3 -.�� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: �f��% ��3 ��f;� CITY:;' �,��/ % r� IP: ��>.5��` STATE LICENSE: # ,s� `f 7 EXPIRATION DAT : ARCHITECT/ENGINEER: PHONE: 1VIAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �=-- "--- PROPOSED WORK(describe in detai�:��„ry��'L /l ��(�C'i�.� l7GJ�i�j�; ��//�j�'�' STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 6��; I�C�C/ i I hereby apply for a building pennit 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 pennit and work is not to start without a permit;and that the work wi11 be in accordance with the approved plan. i � / � APPLICANT'S SIGNATURE f��`��,� .�� DATE: �/ l,l� ��— �, f . % � 31 � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set foith in this section. Subd.2. Infortnation requircd to be given individual. An individual asked to supply private or confidential data concerning himself shall be infonned of: (a)the purpose and intended use of ihe requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refttse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of otlter 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 ma�place the notice required under this subdivision in the individual income tax or�rovertv tax refund instructions instead of on those fonns. 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 whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply widi the request within that time,he shall so inform the individual,xnd 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 private data concerning himsel£ To exercise this right,an individual shall notify in writing the responsible attthority describing the nature of the disagreement.The responsible uuthority shall within 30 days either: (a)con�ect the data found to be inaccurate or incomplete and a[tempt 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 correcL Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinution of the responsible authority may be appealed pursuant to Ihe 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 infornl 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 fumish will be used to determine your qualification for the permit 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 perniit or license. 4. If your requested perniit 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 yoursel£ 6. Your full name is required to process this application or permit. ,�.r— ^ �' �)�ji v� ��;i9 � � First �/ Middle Last 9 �G�', ��/ ' �� ./��:` �� l Address �� C�h, State Zip Phone I understand my rights as stated above. �'`' ' s /� ��.. y ? T gnature 3?