HomeMy WebLinkAbout2001-P03636 - re-side PERMIT
CIT�'" t�`� ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: po3636
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: 3i23i2ooi
SITE ADDRESS: 2195 French Lake Rd
WAYZATA,MN 55391
PID: to-�i�-23-2i-000�
DESCRIPTION:
Proposed Use: xesidentiai
Census Code 434
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Side
DETAILS:
Approved per resolution#:
Separate permits required: �
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 19,000.00
State Surcharge Fee: $ 9.50
TOTAL FEE: $ 316.75
APPLICANT: Suburban Exteriors Inc. �WNER: W SINKLER III&M G HARRIS
7466 Washington Ave S 2195 FRENCH LAKE RD
Eden Prairie, MN 55344 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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T�a1 r�e: $ Date Received: —
Entered By: ���;� Permit#: ' � � ���;�,�
CITY OF ORONO - BUII.,DING PERZVIIT APPLICATION
All information must be submitted in full before plan review will be started.
� (please print all information)
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THE A.PPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: � � `��� ��t��ll L ti k� !��: z�: ,S�^.S ,7 z 3
NAME OF OWNER: �a � 1 � q�L � � PHO�IE: (home) %!z� y76- Z Z F 7
(work)
�IAILPIG ADDRESS: Z 1 �� r��"�� �-s I<< R��� . CITY: C�r sk y l�,r ZIP: S- Z�
CONTRACTOR: �K 6k����� � v�u,,��.s� ��� - PHO�IE: `!'s z - PP 1- �Z.�z--
CONTACT PERSON: v����t ��,KI�c ��- MOBILE/PAGER:
MAILING ADDRESS: `7 `��` �/��y'7;�5 td� f��� 5�• CITY:�dc� l����,��c:' ZIP: S-S.� �/�f
STATE LICENSE: # y Z$��
ARCHITECT/ENGINEER: PHO\TE:
MAILING ADDRESS: CITY: Z�:
N��; REGISTRATION# �
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
� � �� h i�� hs �+�� ��'�k����rt� ZI` l'c ,
PROPOSED tiVORK(describe in detai�: T a- ��{ �t�y` � � S �
� � ;��i i � ?i��
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET.
ESTIvi IATED CONSTRUCTION VALUATION (exclud.ing land): � f q 4 C'�. C��
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 Ciry and with
the State Buildin� 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: ��Zv DATE: �-Z3��
NOTE! Parade of Homes events require separate permit approval by Police Department�rad
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0�i RIGHTS OF SUBJECTS OF DaT?,
Subd. 1. Ty�pe of data. The rieha of individual on whom[ha data is sto:`3 or to be stored s::all be as set forch in this secdoo.
Subd.?. Informadon reqirired to be given individual. �1n iadi�•idual ukc3 to supply priva�or confidenrial data concerning himself shall
be informed of: (a)che purpose and iacended use of the requesud dara a:�ia the coll�cring'state ageecy,poliacal subdivision,or sratewide system;
(b)whe�her he may refuse o1-is legally required to supply�e requested daa;(c)any l�own coasequeace a::sing from tus supplying or refusing to supply
privace or conndenrial data;and(d)the idendry of oeher persons or enrides ze�horiz_d 5y sute or fzderal 1a•::to rceive the data. This requiremeoc stiall
not apply when an individual is asked to supply invesaeadve dara,purs�.:to seccoa 13.82,subdivisioa�, co a law enforcemenc o��er.
'Ihe commissioner of r�venu� r�av place the nodce RQllIRd L'('��r chis subdivision in the �div:dual ir.come tax or propem_rax refund
instructions instead of on�hose forms.
Subd. 3. ?,ccess to data bp indi�idual. Upon request to a r_s�easible ae�^.oriry,an individual shall be informed whether he is the subject
oF scored data on individuals, and whecher it is classified as public, priva4 or confid�naal. Upon his fur-�.e:requesc, an individual who is the subjecc
of srored private or public dara on individuais shall be s�own the dara wi�out any ci�rge to him and,-ii�desires, shall be informed of the concen�
and meaning of�hac data. Aftzr an individual has been shown che priva��a3 and i:.iormed of ics meani=g,che dara need not be disclosed to him for
six monchs chereaiter unless a dispute or acrion pursuanc co [his secaon is�:ading or addiaonal data oa ce individual has been collected or crea�ed.
The responsible authoriry shall provide copies of[he privace or public daca L�on reqaes:by[he ir.dividu:l s�b;rc of the daca. The responsible authoriry
may requir� rhe requescing per5on to pay the actual cos�s of making, cer�:ing,and compiling the copiu.
The responsible authoriry shall comply immediacaly, if possiola.���irh any r`quesc madz purs��.�._::o chis subdivision, or wi�hin five days of
the dat�of[he reques[,excluding Saturdays,Sundays and leeal holidays,ii is.mediate compliance is not Fossible. If he canno[comply with the request
wichin chac cime,he shall so inform che individual,and may have an addicer.a!Fivc days within which to compiy wich the request,ezcluding Saturdays,
Sundays and legal hotidays.
Subd.4. Procedure whea data is not accurate or complete. an individual may contest the zccnracy or completeness of public or pri�•ate
data concerning himself. To exercise�his rieht,an individual shall norify ia�r�•riang d:�rsponsible author.cy describing che nacure of the disagreement.
The responsible authoriry shall wichin 30 days either: (a)correct the dae icund to be inaccurate or incoaDleu and attempt to nodfy past recipiencs of
inaccura�e or incomplete data, inciuding recipients named by the individ���i;or(b) �oafy the individual -�.:t he believes the data to be coaec[. Data
in dispu�e shall be disclosed only if the individual's statemeat of disagre:�_nc is L.c:nded wi[h the disc'.��d data.
Tt�e de�erminarion of the rzsponsibte authoriry may be appea�=�punuan:to the provisions oi c�e adminiscrarive procedure act relaang to
contested cases.
DATA PRIV:�CY AD�ZSORY
In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjeccs oi data", we would li.ke to inform you that your reauest
for a permit or license from the Ciry of Orono or any oI i*s depar�.�.ents may requ�:� you to furnish cenain priva�e or
confidential information.
You are notified that:
1. The information you fumish will be used to de�rmine��our qualificatien for the permit or license requested.
2, You may refuse to supply data, but refusal nay require that che Ciry deny the permit or license.
3. The information may be shared with o[her locZ, stace or federal a�encies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council ac[ion to appro�-e, some information may become
. public.
�. You have certain rights under N1.S. 13.04 (a•:ailable epon request) to review private data on yourself.
6. Your full name is required to process this applica�ion or perm.i�.
First �tiddle Last
Address
Ciry Stace Zip Phone
I understand my rights as stated above.
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Signacure