HomeMy WebLinkAbout2001-P03928 - re-roof ` f PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po392g
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 6�t2i2oot
SITE ADDRESS: 3508 Livingston Ave
WAYZATA,MN 55391
P I D: 17-117-23-43-0042
DESCRIPTION: UBC Occupancy R3
Proposed Use: ttesidentiai �
Census Code �434 C �`� �������
Permit Class: 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: $ 44.85 Valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
TOTAL FEE: $ 45.45
APPLICANT: TIM SPALDING OWNER: MARK A SPALDING ETAL
3508 LNINGSTON AVE 3508 LIVINGSTON AVE
WAYZATA MN 55391 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI T P� TEE NATURE ISSUED BY�SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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Total Fee: $ Date Received:
Entered By: Permit#:
CITY 4F ORONO - BLTII.�DING PERNIIT A,PPLICATION
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: ���� U.UIr�C��� �-V�E; z�: �Ss�'1 l
NAME OF OWNER: �/Yl�,s���E�I�G PHOi�TE: (home) - -
(work)
��,�a.livG annxEss: �S � Uc YtG,,�i _-_crrY: z�: -�G !
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CONTRACTOR: � � �� � PH��: c� Z� ��-
CON'TACT PERSON: �( 1�IOBILE/PAGER:
MASLING ADDRESS: � � � CTTY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGI`i'EER: PHO�IE:
1VIAIL�G ADDRESS: CITY: ZIP:
N�y�: REGIST'RATION# '
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: '�7�7��v�v �
STORIES: ______ SQ.FEET OF EACH FLOOR:
NO. OF B]EDROOMS:� . GARAGE STALLS: ATT�. � DET. ._ :-x � •,-�.., ; .�-.-
_
o c�
EST .M.ATED CONSTRUCTION VALUATIO\ (excluding land): S �a�'
I hereby apply for a building permit and I acknowled;e that the information above is complete and
accurate; that the work will be in conformance wich the ordinances and codes of the City and with
the State Building Code; that I understand this is not a perm.it and work is not to start without a
permit; and that the work will be in da � ' approved plan.
APPLICANT'S SIGNA DATE: 61
1�'OTE! �Parade of Flomes events require separate permit approval by �olice Deparlment and
City Counci160 days prior to the event. Non permitted events will not be altowed.
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Sec.13.04 RIGHTS OF S[1BJECTS OF DaTA
Subd. 1. Type of data. The righec of individual on whom[he data is stn:�or co be scored shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. An ir.dividual asY�w sapply private or confidendal dara conceming himself shall
be informed of: (a)the purpose and in�tnded use of the requesied data v.i�in the collecring State agency,polidcal subdivision,or statewide rystem;
(b)whecher he may refuse oY is legatiy required to supply[he requested daa:(c)any]mown coasequence arising from his supplying or refusing to supply
priva�e or conndenaal data;and(d)the idenary of ocherpersoas orenrides xethoriz:d by state or federal taw to receive the data..This tequiremenc shall
no[apply when an individual is asked to supply invesdgadve daa,puntiac to secdoa 13.82,subdivision S,to a.law enforcemenc o�cer.
'Iht commissioner of revenue mav place the noace tewimd erd-r this subdivision in the individual income_tax or arooem tax refund
inst�uc�ions ins�ead of on chose forms.
Subd.3. ?iccess to data b�indirzdual. Upon requesc to a r_s;onsible aec*:oriry,an iadividual shall be informed whether he is the subject
of stored data on individuals,and wherher it is class'if'ied as public,privac:or confid�r.rial. Upon his fur[her reques�an individual who is the subjecc
of score�i private or public dara on individuais shall be shown the data wiu ouc any c':3rge to him and;if he desires,shall be informed of the content
and meaning of chac data. After an indiiiduai has been shown the priva��an and i�:oaned of ics meaning,the dara need not be disclosed m him fo�
six months cherea[cer unless a dispute or acdon pursuant to chis secdon is�:nding or addiaoaal data on the individual has been collecced or creaced.
'Ihe responsibla auchoriry shali provide copies of the privace or public dac�L:on req��es:by che individual subjecc of the data. The responsible authoriry
may requir_rhe requadng person to pay the accuai coscs of makin¢,cer;•ing,ar.d compiling the copies.
'Ihe responsible auehoriry shall comply immediacely,if possib!_,wich any requesc made pursuant to this subdivision,or wi�hin five days of
the dace of che request,ezcluding Saturdays,Sundays and legal holidays,if ir,.mediac:compliance is not Qossible. If he cannot comply with the request
wichin that ame,he shall so inform the individual,and may have an addi�er.al five da;s wiet►in wtuch to comply wich che request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. ?.n individuzl may contest the accuracy or completeness of public or private
daca concerning himself. To exercise[his right,an individual shall norify ia wriang ce respoasible authoricy describing ehe nature of the disagreemenc.
The responsible au[horiry shall within 30 days either: (a)correct rhe dan tcund to be inaccurate or incomplete and attempt to nodfy past recipiencs of
inaccurate or incomplete dara, including recipients named by che individi�al;or(b)�odfy the individual tha�he believes the dara to be correcG Dara
in dispuce shsll be disclosed only if the individual's statemenc of disagree�enc is i:c:_3ed wieh[he disclosed data.
'Ihe decerminarion of the responsible auehoriry may be appea�e�punuaz:to the provisions of the adminisaarive procedure act reladng to
contesced cases. . �
DATA PRN�CY AD�ZSORY
In accordance with M.S. 13.04,Subd.2, "Rights of subjects o;c�ata",we would like to inform you that your reauest
for a permit or license from the City of Orono or any of ia deparments may require you to furnish certain privace or
confidencial information.
You are notified that:
1, The informacion you fumish will be used to de:ermine�'our qualification for the permit or license requested.
2. You may refuse to supply data, buc refusal nay require that the City deny the perm.it or license.
3, The information may be shazed wich ocher loczl, stace or federal a�encies to the extent necessary to proeess
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
. , public. .
�, You have certain rights under M.S. 13.04 (a�ailable upon request) to review private data on yourself.
6, Your full name is required to process this aoplicacion or perm.ic. �
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I unders '�hts as abov .
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