HomeMy WebLinkAbout2003-P06387 - windows � PERMIT
G'�TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P06387
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 6isi2oo3
SITE ADDRESS: 3548 Ivy Place
Wayzata,MN 55391
PID: 20-117-23-42-0017
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Pernut Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
. � �«���' �
FEE SUMMARY: Permit Fee: $ 83.25
Valuation: $ 2,400.00
State Surcharge Fee: $ 1.70
TOTAL FEE: $ 84.95
APPLICANT: Charles Pyle OWNER: Mr. &Mrs. Charles Pyle
3548 Ivy Place 3548 Ivy Place
Wayzata MN 55391 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 PE ITEE IGNA RE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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Total Fee: $ Date Received: � � � ��
Entered By: ���� ::� Permit#: ^�"�;'�-3.� �
CITY OF ORONO - BUILDING PERMIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ��Y � ZIP: ��5���' /
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NAME OF OWNER: � �- S PHONE: (home) ���1�z � �"—
(work)
MAILING ADDRESS: '�.�y t� CITY: c�axa ZIP: � s 3`�' �
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAIL�'G ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: � � .,� �f1�u�,P.��,•�Z
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
c:iv
ESTll1�1ATED CONSTRUCTION VALUATION (excluding land): $ .�yD�
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 ac or ance with the approved plan.
APPLICANT'S SIGNATURE: DATE: � "� S—d �
NOTE! Parade o�Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom t6e dara is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and inunded use of the requested data within the collecting'state agency,political subdivision,or stacewide system;
(b)whether he may refuse o'r is legaliy required to supply the requested data;(c)any(mown coasequence azising from his supplying or refusing to supply
private or confidenrial data;and(d)the identiry of o[her persoas or enddes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigadve dara,punuant to section 13.82,subdivision 5,to a law enforcement o�cer.
The commissioner of revenuo mav vlace the noace required under this subdivision in the individual income tax or propertv taz refund
insttuctions instead of on those forms.
Subd.3. Access to data by individual. Upcin request to a responsible authoriry,an individual shall be informed whethyr he is the subject
of stored data on individuals,and whether ic is classified as public,private or confidenaal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data wi[hout any charge to him and;if he desires,shall be informed of the content
and meaning of chat data. After an individuai has been shown the priva[e dara and informed of its meaning,the dara need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuant w this section is pending or addidpaal data�n the individual has been collected or created.
The responsible authoriry shall provide copies of the private or pubFic data upon request by the individual subjeet of the data. The responsible authoriry
may tequire the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to ihis subdivision,or.within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compiiance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addiuonal five days"within which to comply with the cequest,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
dara concerning himself. To exercise rhis right,an individual shall nodfy in writing the responsible authority describing rhe naturo of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu 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 decerminadon of the responsible authority may be appealed pursuant to the provisions of the administrarive 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 inform 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 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 perm.it 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.
Fi�� Middle Last
Address .
��ry State Zip Phone
I underst rights as stated a e. �
SignaNre