HomeMy WebLinkAbout2000-P02316 - re-roof �
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po23�6
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 4i12ioo
SITE ADDRESS: 137o French Creek Dr
WAYZATA,MN 55391
P I D: 10-1 17-2 3-3 2-0010
DESCRIPTION:
Proposed Use:
Census Code 434
Permit Class: Building
Permit Sub-type(s): Building Re-Roof
Permit Type: Minar Alterations
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 532.65 Valuation: $ 38,860.00
State Surcharge Fee: $ 19.45
TOTAL F'EE: $ 552.10
APPLICANT: WESTURN CEDAR OWNER: PETER L HASSELQUIST ET AL
9700 13TH AVE NORTH 1370 FRENCH CREEK DR
PLYMOUTH,MN 55441 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISS►ON TO MAKE THE REAL IMPROV EMENTS SPEC[FIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BU[LDING CODE REQUlREMENTS.
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APPLICAN"I'P MIT6E SIG TURE [SSUED BY SIGNA"I'URE
Copies: City,Applicant,Assessor, Finance Page 1
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Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BITII.DING PERMIT APPLICATION
All information must be submitted in full before plaa review will be started.
(please print all information)
'THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
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JOB SITE ADDRESS: ;� � �� ����c h �!�� ZIP:
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NANIE OF OWNER: >��(��xCti��C� �/�t �. � � � PHO�IE: (home) �� `� _ ��� �
(work)
NIAILING ADDRESS• ���� ���n ��' fi 1i`�CTTY: ����y��,� ZIP: 53 3 G ��
C0�ITRACTOR: (�t/�����-�'yl �-�,4��,— PHONE: ��z 5 '�� <'S'C`�
CONI'ACT PERSON: J��-��1 f MOBILE/PAGER: .
MAII.ING ADDRESS: ��'Z�/C� /3't�{ �!%'_ ��� CITY: � i�,;,� ' v� ZIP: `�5 �/�/ � "
STATE LICENSE: # <;?C l S �s��
ARCHITECT/ENGTiVEER: PA���
�IA.II�ING ADDRESS: CITY: ZIP:
N�y�: REGISTRATION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: ��� �� / ���� � ��ti'— `� ✓`C��`��
C�1 /��� %' � ��-� �Y��ti'��"���ct �- � C�"(-���v"s� —
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET.
c� �s:�
ESTI�i IATED CONS'IRUCTION VALUATION (excluding lan�: $ .� U ��C�
I hereby apply for a buildin' permit and I acknowled�e that the information above is complete and
accurate; �hat 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 pernait and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATURE: �'� � c����. �'��DATE: `�— / —���
NOTE! Parade 4f Homes events require separate permit approval by Police Department and
Ciry Counci160 days prior to the event. Non permiited events will not be allowed.
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Sec.13.0�i RIGI�iTS OF SUBJECTS OF DaT?,
Subd. l. Tvpe of da[a. The righcs oi icdividual on whom[be dara is stored or m be s:�rcd shaII be as set focth in chis secrion.
Subd.'_. Information reqirired to be�vea individual. a+n individual azked to suppiy private or confidendal dara concerning him.self�`-.,
be informed of: (a)[he purpose and in[eaded use of the requesud dam wishia che collecdn3 3ta�agency, polidcal subdivision,or sracewide ryst^:
(b)whe:her he may refuse or is loga[ly requiied ro supply che requested data:(c)any known coasr.,"�'.e�c-aris:ng from his supplyiag or refusing ro sup�:,+
privare or conndenriai dara;and(d)the idenriry of oeher persoas or endries auchorized by ssare or fw��l law co re�eive che daca. "Ihis requiremea�s`,;`:
noc appfy when an individual is as4:ed to sspply in��esri¢arive data,pursuanc to secdon 13.82, su�ivision 5, to a(aw enforceneac o�cer.
The commissioner of re�enu riav pla� the nodr r�uired under this subdivision L� ttte individual income tax or prooem taz c=:t:-�?
instrucaons insczxd of on those forms.
Subd.3. ?,ccess to data br•individual. lipon request[o a responsible auchoriry,an i��ividual shall be informed whe�her he is che sub;c._
of s[nred dara on individuals,and whe:her it is cl�cs�ed as public, privace or confidendal. tipoa¢is furcher request,an individual who is the sub;_-:
of stord privace or pubtic daa on individuals shall be shown[he dara wichout any charge ta hi*a a:.d,-if he desires,shall be iniormed of the cont��
az:d meaning of chat da[a. Aher an individual has been shown the privace dan and informed of i�Weaning, che dara need no�be disclosed to him.`�:
six monrhs theraTur unless a dispu�e or acrion pursuanc to chis secdon is pending or addidoa�!da3 on che individual has beea coilecud or cra,-�.
'Ihe responsible au[horiry shall provida copies of dta priva�e or public data upon requesc by che in�:vidual subjcct of�he daci. T'ne responsible aucho.—:e+
may require [he requesring person to pay the acnial coscs of making.cerrifying,and compiling c_copies.
The responsibla au[horiry shall comply immediate(y, if possible,wieh aay requesc maCe punuanc m this subdivision,or wi[hin five days o:
the dacr.of the tequesc,ezcluding Samniays.Sundays and legsl holidays,iF immedia�c compliance is noc possible. ff he canno�comply wich[he reqLK.
wichin�hac dsne,he shall so inform the individual,ind may have an addidonal five days wichin w�ch co compiy wi�k che request,exctuding Saturdays.
5undays and legat holidays.
Subd.4. Procedure when data is not accurste or complete. An individual may cor.�s.the accuracy or compleaness of public or pm-z:e '
data conceming himsdf. To exercise�is righ[,an individual shall nodfy in wricing che responsic:=auchoriry describing che nacu:e of the disagree�e�� .
The responsibla aurhoriry shall within 30 days ei�`.er: (a)corrccc[he dara found[o be inaccura�o:ir.comp:ew and aaemp�to noafy past recipicr.5 oi
inaccurdce or incomplete data, including recipienc�named by �he individual; or(b)aodfy [he iL�:vidual thac he believes che dara to be correec D=�
in dispuce shall be disc!osed only if the individual's sn[emenc of disagreemenc is ir.cluded wich�e disclosed dara.
The decerminadon of tha responsible au�horiry may be appeaicd puauanc to [he provis:ons of e�:e admuus�arive procedure act rdaer.� �
concesced cases.
DAT�, PRIVACY ADVISORY
In accordance wich�1.5. 13.04, Subd.2, "Ri�[s of subjecu of data", w�e w'ould like to inform you tha[your reeLes�
for a permit or license from the Ciry of Orono or any of i[s departments ma.r require you to fumish certain privat� or
confidencial information.
You are notified that:
1. The information you furnish will be used to decermine your qu�ir:cation for the permit or license requesc��.
?. You may refuse to supply data, buc refusal may require that the City deny the permit or license.
;. The informacion may be shared with ocher local, sta[e or federal agencies to the ex�enc necessary to procas
the permit or license.
.�. If your requested permit or license requires Council action to aoprove, some informacion may becor:�-e
public.
�, You have certain riQhts under �1.5. 13.04 (available upon rec_:st) to review private data on yourse?=_
6, Your full name is required to process this applica�ion or per�;:.
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