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Home My WebLink About2002-P05306 - reside ' ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05306 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6�20�2002 SITE ADDRESS: 700 North Arm Dr Mound,MN 55364 PI D: 06-117-23-43-0003 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Pernut Class: g Permit Type: Minar Alterations Pernut Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 223.25 Valuation: $ 12,542.00 State Surcharge Fee: $ 6.80 TOTAL FEE: $ 230.05 APPLICANT: Minnesota Exteriors Inc. OWNER: Gregory Harty 8600 Jefferson Highway 700 North Arm Dr Osseo,MN 55369 Mound MN 55364 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 MINNESOT UILDING CODE REQUIREMENTS. ) � , l- 7 , _t-r.,:;.Q--s`:_�- "i (..��r �� ( '��- � APPLIC PERMITEESIGNATURE ISSUEDBYSIGNATURE Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 �tr> -��%-�/G�/C � � ,%�2� . . �� 4 Total Fee: $ DateReceived: Date Approved: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT A,PPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BESTARTED -------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � � �� lit�i'�/� "�l ZIP: , � ' ..� �� , NAME OF OWNER: a � � C ��` ' PHONE: (home) �� 7� —�61a� + ^ . work} ,�/ MAILINGADDRESS: CITY: �' > > ZIP: ��i `� ��if�' �(��K � PHONE: �E�� `j% =�I� �/ CONTRACTOR: `*�._. c_� MOBILE PHONE/PAGER: MAILINGADDRESS'�u��`f'��T��l/,��;6i��L CITY: �'�SS'�.{, ZIP: s'j�� > STATE LICENSE: # /'3�;��7 7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # � �C�/-,��v �.�_ TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSEDWORK(describeindetail): ,C!:l1t ` ' "� � t G�� ' 4�/ / STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. \ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �a. �� . �'�� , 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 b •in accordance with the approved la .� �'/ APPLICANT'S SIGNATURE: �� ' �-' �'�.�� DATE: ;� ;,.� NOTE! Parade of Homes events require separate perncit approval by Police Deparlment and Ciry Council 60 days prior to the event. Non permitted ev�s will not be allq�. �`�,� �� ;�� i�>> �� ,� ��- ! . W ��f n � • Sec.13.04 RIGHTS OF SIJB.TEC'i'S 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 fo�th in this section. Subd.2. Information required to be given individual. An individual asked to supply private or contidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,political subdivision,or statewide system; (b)whether he may refuse or is legatly required to supply the roquested data;(c)any known consequence arising from his supplying or refusing w supply private or confidenrial data;and(d)the identity of other persons or enrities authorized by state or federnl law to receive the data. This requirement shatl not apply when an individual is asked to suppiy investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may place the notice required under chis subdivision in the individuat income tax or oropem tax refund instnictions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subjec[ of s[ored data on individuals,and whether it is classified as public, private or confidential. Upon his 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 that 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 theroafter unless a dispute or action pursuant to this secdon is pending or additional dara on the individual has been collected or created. The responsibte authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cos[s of making,certifying, and compiling che copies. The responsible authority shal(compiy immediately,if possible,with any request made pursuan[to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legat holidays,if immediate compliance is not possible. If he cannot comp(y with the request within that time,he shall so inform the individuai,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 authoriry describing the nature 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 recipiena of inaccurate or incomplete data, including rocipiena 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. T'he detertnination of the responsible authoriry may be appealed pursuant to the provisions of the administradve pmcedure acc reladng 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 wilt 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 Last , Address City State Zip Phone I understand my rights as stated above. Signature 06/13/02 08:36 FAX 7634933689 MN EXTERIORS INC. �� [�001 . q�� /I� TotaI Fee: $ v�J� d ` �� DateReceived: ` � Entered By: � De teApproved: � rn�t�: CITY OF.ORONO - BUILDING PERMIT A,PPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REV�Ey�wII,L BESTARTED -------------------------------_-- ------------------------ -------------------- APPLICANT IS: (circle one) OWNER OR CONTRACTOR - JOB SITE A,DDRESS: �j . ZIl,: � � NAME OF OWNER: '� PHONE: (home)�_ 7�C—l�6�/ MAILING ADDRESS• work) CITY: ZIp; CONTRACTOR: � � PHONE: �6�'�/�J/ 5� MOBILE PHONE/PAGER: MAILINGADDRESS�' 6 CITY: ��i ZII': �' '6 5 STATE LICENSE: #_�'3 - 7 � . - ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME' REGISTRATION # f � TYPE OF WO]�I��New Addition Accessory St�ucture Move Remodel/Alteration Land Alteration PROPOSEDWORK(describeindetail): � �� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excludingland): $ �o � � �v . 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 und tand this is not a permit and work is not Co start without a permit; and that the work will b 'n accordance with the approved Ia . APPLICANT'S SIGNATURE: � DATE: � 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 all we . �� .