HomeMy WebLinkAbout2003-P06338 - siding � - - PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06338
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterarions
(952) 249-4600 Date Issued: si2oi2oo3
SITE ADDRESS: 366 North Arm La
Mound,NIN 55364
PID: 06-117-23-24-0011
DESCRIPTION:
Proposed Use:
Pernrit Class: Building Census Code O/S-Building
Pemut Type: Minor Alterations Permit Sub-type(s): Siding
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 223.25 Valuation• $ 12,260.00
State Surcharge Fee: $ 6.65
TOTAL FEE: $ 229.90
APPLICANT: Minnesota Exteriors Inc. OWNER: Mr.&Mrs.Mark Larson
8600 Jefferson Highway 366 North Arm La
Osseo,MN 55369 Mound MN 55364
THE UI�TDERSIGNED 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.
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AP CA PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si�nitures Required), 1-At�nlicant 1-Monthlv Reuorts, 1-AssessinQ, 1-Finance Page 1
05/19/03 14:35 FAg 7634933689 MN E�TERIORS INC. f�001
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Tot�l Fee: $ �d�. �p DateReceived: -��� ��^ � -' -
Date Approved:
Entered By: �S Permit�: � � ' � . --
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL 1NFORMATION MUST BE SUBNIITI'ED IN FULL BEFORE PLAN REVI�W WII..L
BE STARTED
THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
. JO$ SITE ADDRESS: � . Zg': ��6
NA�VIE OF OWNER:. PIiONE: (home) ,�����d�-��
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MA,I��INGADDRESS: /l'1 CTTY• ZIP:
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CO RACTOR: PIi�NE: '
��/.S�14i86 OBILE PHONE/PAGER:
MAfILINGADDRESS: CITY: �'_2� ZIP:
ST�iTE LICENSE: # i6G-
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A,R�HTTECT/ENGIlVEER: PHONE:
M�II.INGADDRESS: CITY: ZII':
N : REGISTRATION #
T E OF WORK: New Addition Accessory S�ucaue
. Move Remodel/Alteration Iand Aloerati�on
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PRQPOSED WORK(describe indetail):
I
STQRIF.S: �_ SQ. FEET OF EACH FLOOR:
NO�. OF BEDROOMS: GARA.GE STALLS: ATT. DET.
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ES IMATED CONSTRUCTION VALUATION(excluding Land): $ � �a.
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I he�reby apply for a buiiding permit and I acknowledge that the information above is complete
anc� accurate; th�at the work will be in conforma�e with thc ordinances and codes of the City
acu� with the State Building Code; that I understand this is not a permit and work,is not to start
wi out a permit; and that the work wi in accordance with the approved pla .
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AP LICANT'S SIGNATURE: DATE: g U
. � .
NG�TE! P events require separate permit approval by Police Deparbnent and
C' Counci160 days prior to the event. Non permi�Yed events wiYl not be allowed.
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Total Fee: $ DateReceived:
Date Approved:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERNIIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FLJLL BEFORE PLAN REVIEW WILL
BESTARTED
THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
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JOB SITE ADDRESS: , ZIP: .f�� C -
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NAME OF OWNER: � PHONE: (home) �,��—���--�d�
/f ,. (work)
MAILING ADDRESS:� ��CC�1/f'J�,G�Q CITY• , � ^ ZIP:
CONTRACTOR: `�I�CJ ��L�'C�_ PHONE: 1�,� '�,��%��f� �
/'��%�o��O� OBILE PHONE/PAGER:
MAILING ADDRESS: ,��Gti � CITY: ��"�'��-� ZIP::��
STATE LICENSE: # �8C-
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alterarion
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PROPOSEDWORK(describeindetail)/����,(�. �C"� �
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $��, �G, C�
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 wi e in accordance with the approved pla .
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APPLICANT'S SIGNATURE: ` ��� DATE: /g L� �—
NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.L3.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individuat on whom the data is storod or to be stored shall be as set forth in this section.
Subd.2. Information required to be given indIvidual. M individual asked w supply private or confidential data concerning himulf shall
be infortned of: (a)the purpose and intended use of the requested data within the collecting Stace age�y,political subdivision,or statewide system;
(b)whecher he may refuse or is legally required W wpply the requested data;{c)any known consequence arising from his supplying or refusing to supply
private or confidenrial data;and(d)the idenriry of other persons or enddes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to suppiy investigative data,pursuant to secdon 13.82,subdivision 5, to a law enforcement officer.
'It�e commissioner of revenue mav �lace the notice reouired under this subdivision in the individual income tax or�rooatv tax refund
inst�uctions instead of on those fornu.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as pubtic, private or confidential. Upon his Curther 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 infotmed of its meaning,the data need not be discloxd to him for
six months thereafur unless a disQute or acaon pursuant to this secdon is pending or addidonal data on the individual has been collected or created.
The responsible suthoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the roquesting person to pay the acmal costs of making,certifying,and compiling the copies.
The responsible au[horiry shall comply immediately,if possible,wich any request made pursuant to this subdivision,or within five days of
the date of the request,ezcluding Samrdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so infonn the individual,and may have an additional five days within which to compty with the request,ezcluding Saardays,
Sundays and legal holidays.
Subd.4. Procedure w6m data ic not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,aa individual shall nodfy in wridng the responsible authority describing the nature of the disagreement.
'I1�e responsible authority shall within 30 days either: (a)comxt the data found to be inaccurate or incomplete and aaempt W nodCy past recipients of
inaccu�ate or incomplete data, including rocipients named by the individual;or(b)no6fy the individual that he believes the data to be co�rect. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The detertnination of the responsible authority may be appealed pursuant to the provisions of the adminisuative procedure act celating 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 Ciry 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 qualifica[ion for the permit or license requested.
2. You may refuse to supply data, but refusa( 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 roquired to process this application or permit.
First Middle L.ast ,
Address
Ciry State Zip Phone
I u erstand y ri h stated above.
Sig ro