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Home My WebLink About2003-P06920 - re-roof CITY OF ORONO PERMIT 2750 K�Iley Parkway - PO Box 66 Permit Number: Po692o C�ystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: io�2ii2oo3 SITE ADDRESS: 322o Navarre La Wayzata,MN 55391 P I D: 17-117-23-44-005 8 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Perrnit Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate perniits required: NOTICES/REMARKS: m'--- -rr--'- �---�--�--"-"------ _-' -"'---='--- -`--- -r""-'-�-i .... ..�a:,::::::c :;" :c:::::c:::�::a: ... ..._..... _._.._.. ...... .... � � ...t........:.::,......b......G....:..G. FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,400.00 State Surcharge Fee: $ 3.70 TOTAL FEE: $ 142.95 APPLICANT: Thurnco Inc. OWNER: Robert Ritchie 520 Yosomite Avenue 3220 Navarre La Golden Valley,MN 55422 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. rj '�� i` � % ' /'�1-?C��'/7 /�� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------------- --�—_ —. THE APPLICANT IS: (circle one) OWNER OR�ONTRACTO�` JOB SITE ADDRESS: �Z Z� (�}..�,<< ,,�� (�;,,�_ ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: �� bu��- �;��`c_ PHONE: (home) (work) l�r z� L-��_5'--��3�,( MAILING ADDRESS: 3LZc ��T� f�,�� CITY: i'�• ��:�_ ZIP: CONTRACTOR: �� -'�" -� c c� �ti L PHONE: ��.^I Z � Z�o a `7G � Z CONTACT PERSON: t�.�?� '��,�,�b lo,---, MOBILE/PAGER: MAILING ADDRESS: ,S,z o Ybc,c,�►�� -�,-�-- CITY: �-z:l c�r,t (,t:.((� ZIP: SS y Z,� STATE LICENSE: # �0 3� -7 �3 � ,---_ ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration '�_ Land Alteration PROPOSED WORI�(describe in�d/ etai�: �s� l� � �5 1x-,� �c,,c �--�F' � v w-��- .cSe-�'�fY!'� ✓t'i� �-r� �''L..�K(„`LrC.CY� o��/C��c.t� �S�u"��'"��'� GG-4c6-�.��.�Y V '`J l�fl X��^(l �+` f�ti' "��L'� cn,S,I,c` •^ � �s'P.' ( � �•G' y�. �, �1��{c � Gc��[�'� L �'j=�r� i�� S�1 •�^ `�S �F` ��r�a,. �� lll�C� ' �., s SJ�c��';z��x:�:�s � STORIES: � SQ. FEET OF EACH FLOOR: (� �'e�� 5�� ;�-�, NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �'� �c�`'^ I hereby apply for a building permit and I aclrnowledge 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 pernut and work is not to start wit t a pernut; and that the work will be in accordance with the approved plan. I APPLICANT'S SIGNATURE:��'" v— DATE: ��('�� (03 Sea13.04 RIGHTS OF SUBJECTS OF DATA + Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this sectioo. + Subd.2. Information required to be given individual. An individual asked to supply private or confidential data rnncerning 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 supplcing 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 ro section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or oropertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an iodividual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an indi�idual 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 coutent and meaning of that data. After an individual has been shown the private data and informed o[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 rnllec[ed or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual wsts of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivisiou,or withiu 5ve days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comph with the request within that time,he shall so inform the individual,and may have an additional 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. 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 inaccurate 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 rnrrect. 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 appealed pursuant to the provisions of the administratice 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}-ou that�-our 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 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�ourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone J I understan my right s stated above. - �i� '� �� Signature