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Home My WebLink About2004-P08114 - re-roof ` � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 po8114 Crystal Bay, Niinnesota 55323 Permit Type: M�oraicerac�ons (952) 249-4600 Date Issued: loi2sizooa SITE ADDRESS: 521 Hanlon Ave WAYZATA,MN 55391 P I D: 02-117-23-31-0014 DESCRI PTION: Proposed Use: Residential Pernut 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: Permit Fee: $ 83.25 Valuation: $ 2,700.00 State Surcharge Fee: $ 1.85 TOTAL FEE: $ 85.10 APPLICANT: Huepenbecker Construction OWNER: C P GURLER&B GURLER 62 E. 13th St. 521 HANLON AVE Waconia,MN 55387 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. .��G� � �� i� �� APPLICA T IT SI NATURE ISSUEDBYSIGNATURE Copies: 1-File(SiQnitures Repuired). 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 d '� Total Fee: $ �6�J°� � Date Received: /�"�S '�'� Entered By: �� Permit#: (ik 1 y CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all i�iforniatio�z) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle o�ae) OWNER OR CONTRACTOR JOB SITE ADDRESS: �a� '��,d�.� �%� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, cz special event permit is required wit11 Police Depar•tment atZcl City Council approval 60 days prior to the evertt. Non perfnitted events will not be allowed. NAME OF OWNER: PHONE: (home) (wqrk) MAILING ADDRESS: `'�� CITY: /1,�r�"D _ZIP: ; � CONTRACTOR: l�' �lC�P Gt G0� PHONE:�✓��5��-��1� CONTACT PERSON: / k' :' �' �C 7�' MOBILE/PAGER: �'�i�� 33�95�.so MAILING ADDRESS: � � /" 'S�• CITY: �Q«��,� ZIP: STATE LICENSE: # �� ARCHITECT/ENGINEER: PHONE; MAILING ADDRESS: , ..-- CIT"Y: ZIP: RE�IST`RPc'�'I4A�-.�� NAME: ..._ ._..._ � - TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in rletai�: /�� Q�l� �t'�'Dc� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 02700-�` I hereby apply for a building pemut 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. � _ i l�' APPLICANT'S SIGNATU � DATE: � c , �� 1 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights ot individual on whom the data is stored or to be stored shall be as se[torth in thls section. Subd.2. Intormation required to be given individual. An individual asked to supply private or contidential data concerning 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 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 other 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 mav nlace the notice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Gpon 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 conGdential. Upon his fuiKher 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 copics of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pa,y the actual wsts of mal:ing,certifying,and compiling the copies. The responsible authority shall comply immediately,if possiblc,rvith any request madc pursuant to this subdivision,or within Gve days of the date of the request,escluding Saturdays,Sundays and�egal holidays,if immediate compliance is not possible.If he cannot comply with the request within that time,hc shall so inform the individual,and may havc an additional(ive days within which to complJ�with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedurc when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccuratc or incomplete and attempt 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 correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appcaled pursuant to the provisions ot 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 i�form 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 con�dential inf'ormation. You are notifed tliat: 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 with other local,state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit 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 yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand y ri�hfs as ated above. S' ature