The URL can be used to link to this page

Home My WebLink About2003-P06153 - doors CITY C�F ORONO PERMIT 2750�:elley Parkway - PO Box 66 Permit Number: Po6is3 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 4i��2oo3 SITE ADDRESS: 2660 Lydiard Ave Excelsior,MN 55 331 P I D: 21-117-23-2 3-0031 DESCRI PTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Doors DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 38.75 Valuation: $ 960.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 39.75 APPLICANT: Owner/Self OWNER: Mr. &Mrs. Bauer � 2660 Lydiard Ave Excelsior MN 55331 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. �;. _� �, � (�� '� � �"'L�� r�,�t _� APPLICA�i IT PERMITEE SIGNATURE ISSUED BY S[GNATURE Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 Total Fee: $ Date Received: , Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. � - (please print all information) �:��`U`(.(: �� \7�(�. ---------------------------------------------------------- ---------------------------- ..�-----_-.�--------------------- THE APPLICANT IS: (circle one) OWNER bR CONTRACTOR JOB SIT'E ADDRESS: � l��,b �`�� r�l�� ~ ��' E- z�: �.S � � I � NAME OF OWNER: ��C_ L�PI��_ PHONE: (home��-`f��- �-1��" (work) ( - � - �l� - �'c MAILINGADDRESS:2��(j L`��tF`�f�f� �� CITY: ��;��-�` 1-��; ZIP: `_-- � �_. CONTRACTOR: �� a��'�L- PHONE• CONTACT PERSON: MOBILE/PAGER: MAII.ING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: �. PHOti'E: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New _Addition Accessory Structure Move Remodel/Alteration Land Alteration � PROPOSED WORK(de.�cribe in detai�: k.�'��4-\C�� `t� S�l!�f�� tJ C%C� �`�-- ' � ��. �.,�-{ �>L�;' �;;�._ ,� �.��—��-�� l-�c: �c.k., STORIES: SQ.FEET OF�AE'�i FLOOR: Z l C E� NO. OF BEDROOMS: L� GARAGE STALLS: ATT. �_ DET. `- .: `:��C:. t"� ��lC�:�t S ESTIMATED CONSTRUCTION VALUATION (exCluding land): $ ��::'(1� t � `�S�'�� `{�'�`E 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 �uilding Code; that I understand this is not a pemut and work is not to start without a permit; and that the work will be in accordance with the approved plan. ;-� -� APPLICANT'S SIGNATURE:��-�..�C �C�.��`� � � DATE: � !(� C�� NOTE! Parade o�'Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. . Sec.13.04 RIGHTS OF SUB.TECTS OF DATA Subd. i. Type of data. The righrs of individual on whom che data is stored or ro be stoned shall be as set forth in ihis section. Subd.2. Information reqirired to be given iadividual. An individual asked W supply private or confidenaa(data concerning himself shall be informed of: (a)the purpose and inunded use of the tequesud data wi[hin the collecring state agency.poliacal subdivision.or statewide rystem; (b)whether he may refuse oY is legally required to supply the�equesud data;(c)any Imown consequeace arising from his supplying or refusing to supp(y private or coafidendal data;and(d)the idenary of other persoas or end6es authorized by state or fedecal law to receive the dara. This requirement shall not apply when an individual is asked to supply invesdgaave dara,pursuanc to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of rovenue mav alace the noace reauircd under this subdivision in the individual income tax or aropertv taz refund instcuctions instead of on those forms. Subd.3. Access to data by individual. Upon mquesc to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and wherher it is class�ed as public,private or confidential. Upon his further reques�an individual who is the subject of stored private or public data on individuals shall be shown che data wichout any charge to him and;if he desires,shall be informed of the conteat and meaning of that data. After an individual has been shown[he private dara and informed of its meaniag,the dara need not be disclosed to him for six months thereafter unless a dispuu or acaon punuant to chis secaon is pending or addidonal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon nquest by the individual subject of the data. The responsible authoriry may require the requesdng person to pay the actuai coscc of making,certifying,and compiling the copies. The responsible auchority shall comply immediately,if possible,wi[h any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate comptiance is not possible. If he cannot comply with die nquest within that_time,he shatl so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procednre when data is not accurate or complete. An mdividual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall aodfy in wricing the responsible suthoriry describing che nature of the disagreement. The responsible authoriry shail within 30 days either: (a)correct che data found ro be inaccurate or incomplete and aaempt to noafy past recipienu of inaccurate or incomplete data,including recipients named by the iadividuai;or(b)notify the individual that he believes the data to be correct Data in dispute shail be disclosed only if the individual's stacemenc of disagreement is included with the disclosed data. The decermination of the responsible auehoriry may be appealed punuant w the provisions of the administrative procedure act relaang to conusted 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 fumish 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 Ciry deny the permit or license. 3. The information may be shazed 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. Q,(1 Q �- 0 J C!�.r,� �;t� r a First � Middle Last . � � � U �V� (�(.Lit� �U�-l' Address �' � c�►� � ��l ��33 j 4 s � Y� r � v � y �i�y Sace Zip Phone I understand my rights as stated above. Sig re