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Home My WebLink About2002-P04772 - re-side �` PERMIT CIT�' OF ORONO Permit Number: 2750 Kelley Park�vay - PO Box 66 Po4��2 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: iisi2oo2 SITE ADDRESS: 50 Hackberry Hill Long Lake,MN 55356 PID: 33-118-23-44-0025 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin= Census Code O/S-Building Permit Class: b Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 167.25 Valuation: $ 8,300.00 � State Surcharge Fee: $ 4.15 TOTAL FEE: $ 171.40 APPLICANT: Craftsmen Exteriors(See Comments) OWNER: Mary Autry 7455 France Avenue S. 50 Hackberry Hill Edina,MN 55435 Long Lake MN 55356 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. _� , : � ,� �/ �; � <•'�� % �k��— ��- Z_ � �� " �� 2 �L�<--6't—��,,�� APPUCANT PE� TEE SIGNATURE ISSUED Y SIGNATURF, Copies: 1-File(Signitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 w �'Total Fee: $ � � ��' � � --� _�"7 � Date Received: �� L> Entered By: Pernut#: -7 c-��--- CITY OF ORONO - BUILDING PERMIT APPLICATIOi`�T All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ;��_�/�C,��,��2 y /�i`L L ZIP: NAME OF OVVNER: / �l q�y f-��l y PHONE: (home) �7 5- G G��Co (work) MAILING ADDRESS: �/�'�� CITY: ZIP: CONTRACTOR C ,42�-i= n.,r��=n! � �c r�i�«-iZS PHONE: ��5 a - `>a,> -�i � a- CONTACT PERSON: �/�� y Dc o;.� MOBILE/PAGER: G i a - 9L/- �foty�-- MAII.ING ADDRESS: 7�s>- F:Ua�c� q�ve 5. CITY: �p.�,v,q ZIP: 5 s S�3;� STATE LICENSE: # ;�v�`�e�.Y�y ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF VVORK: New Addition Accessory Structure Move Remodel/Alteration C Land Alteration PROPOSED`VORK(describe in detain: � , � �; � Co STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �, ESTIMAT'ED CONSTRUCTION VALUATION (excluding land): $ �, 3v�� 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 accordance with the approved plan. APPLICANT'S SIGNATLTRE: U' �- DATE: / - 7` G' �-- NOTE! Parade of Aomes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. .t Sec.13.04 RIGHTS OF SLJBJECTS OF DaTA Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information reqtrired to be given individual. An individual asked to supply private or confidenaal dara concerning himself shall be informed of: (a)the purpose and intended use of the requesud data within the collecting'state agency, poliocal subdivision,or statewide rystem; (b)whether he may refuse oY is legally required to suppiy the requested data;(c)any lrnown consequence arising fmm his supplying or refusing to supply privace or confidendal data;and(d)the idenaty of other persons or enrides authorized by state or fedeial!aw to receive the data. Ttus requiremenc shall not apply when an individual is asked to supply invesrigaave dara,pursuan[to secaon 13.52, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the nodce rewired under this subdivision in the individual income tax or propem taz refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible auchoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whether it is class�ed as public, privace or confidendal. Upon his further request, an individual who is the subjecc of stored private or public data on individuals shall be shown[he data wi�hout any charge to him and,-if he desires, shall be informed of the content and meaning of chat data. After an individual has been shown che privace da[a and informed of its meaning,the data need not be disclosed to hirn for six months chereafter unless a dispute or acdon pursuanc to this secaon is oending or addidonal data on the individual has been cotlected or creaced. The responsible authoriry shali provide copies of the private or public data upon request by the individual subject of�he data. The responsible authoriry may require the requesring person to pay the accual coscs of makine,cerrifying, and compiling the copies. The responsible authoriry shall compiy immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request,excluding Sacurdays,Sundays and legal holidays, if immediace compliance is not possible. If he cannot comply with the request wi[hin that time,he shall so inform[he individual,and may have an addidonal five days within which to compiy with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may conrest the accuracy or completeness of public or pm•ate data concerning himself. To exercise this right,an individual shalf nodfy in wriring the responsible authoriry describing rhe nature of the disagreemeot. The responsible authoriry shall within 30 days ei[her. (a)correct rhe data found to be inaccurate or incomplete and attemp�to norify past recipients of inaccurate or incomplete data, inciuding recipienrs named by che individual; or(b)notify the individual tha[he believes the data to be correct. Data in dispute shall be disciosed only if the individual's statement of disagreement is included with the disclosed data. The determinarion of the responsibie au�horiry may be appealed pursuant[o the provisions of[he adminisaaive procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "RiQhts of subjects of data", we would like to inform you that your request for a permit or license from the City 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 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 wi[h other local, state or federal agencies 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 cenain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First �tiddle Las[ Address Ciry State Zip Phone I understand my ri�hts as stated above. . � ✓/ Signamce