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Home My WebLink About2001-P04600 - re-roof � � PERMIT C I TY O F O RO N O permit Number: 2750 Kelley Parkway - PO Box 66 P04600 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: ll��i2ooi SITE ADDRESS: 3692 Lyric Ave WAYZATA,MN 55391 P I D: 17-117-23-3 4-003 3 DESCRIPTION: UBC Occupancy R3 Proposed Use: Kesiaentiai Permit 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: $ 2,911.04 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 84.75 APPLICANT: Lake Wood Roofing& Siding OWNER: JANE P GROSS 610 13th Ave. 3692 LYRIC AVE Hopkins, MN 55343 WAYZATA MN 55391 THE UNDERSIGNED I-�REBY REQUESTS PERMISSION TO MAKE THE REAL IMPROV EMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , �, � � .� � �' �%�>,�a ,� �� -� ;i ;; � A P 1 P R ITEE U ' ISSUED BY SIGNATURE � Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 . , Total Fee: S �� Datc Rcccivel: %�—'—�/ Entered By: �� Permit#: ��.y��C'�C� � CITY OF ORONO - BUILDING PERMIT APPLICATIOleT 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 ADDRES • � � �� ZIP: �`-�� NAME OF OWNER: � * PHONE: (home �+ �1,� (work) �� MAILING ADDRESS: �,�(� .� ��pqa ��ITY: ZIP:�_�� / ` l � �/'''"_L� , CONTRACTOR. PHOr��j—�� CONTACT PERS BILE/PAGER: � MAILING ADDRESS: � CITY. ZIP: �� STATE LICENSE: c� � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: ,----��`"� CITY: NAME: STRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: � STORIES: � SQ. FEET OF EACH FLOOR: / � � NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � � `� lia� ° 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 an. APPLICANT'S SIGNATURE: ' � NOTE! Parade of Homes events require sepa te permit a roval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. , . Sec.13.04 RIGH'TS OF SCTBJECTS OF DATA Subd. I. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Iaformation req�rired to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested dare wi[hin the collecting Etate agency,polidcal subdivision,or statewide sysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply priva[e or confidendal data;and(d)the idendry of a[her persons or enrides authorized by state or federel law to receive the data. This requirement s6a11 not apply when an individual is asked to supply invesdgadve dara,punuanc to section 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of ro�enue mav place the noace rewired under this subdivision in the individual income tax or prooertv taz refund instnicdons instead of on those forms. � ' Subd.3. Access to data by individuai. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject of scored data on individuals,and whe[her it is ctass�ed as public,private or confidendal. Upon ttis further 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 chat 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 acdon pursuant to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the privau or pubiic data upon requesc by the individual subject of[he data. The responsible authority may require the requesdng person to pay the actual costs of making,certifying,and compiling the copies. The responsible au[hority shall comply immediately,if possible,with any reques[made pursuant to this subdivision,or within five days of the date of the request,exctuding Sarurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the request wi[hin rhat time,he shall so inform the individual,and may have an addirional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. M individual may contest the accuracy or completeness of public or private data concerning himself. To exercise[his right,an individual shall nodfy in writing the responsible authority describing[he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correcc[he data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplece data, including recipients named by the individual; or(b)notify the individual that he believes the data to be cocrect. Data in dispute shall be disclosed only if the individual's statement of disagreemenc is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the adminisuarive 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. 1fie 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 Lasc Addnss • City State Zip Phoae I understand my rights as stated above. ' Signature