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Home My WebLink About2000-P03317 � PERMIT .. CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po331� Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (612) 249-4600 Date Issued: 11�2��20 SITE ADDRESS: 2040 North Shore Dr WAYZATA,MN 55391 P I D: 10-117-23-31-0002 DESCRIPTION: Proposed Use: Census Code 434 Permit Class: Building Permit Sub-type(s): Building Re-Roof Permit Type: Minor Alterations DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 195.25 Valuation: $ 10,300.00 State Surcharge Fee: $ 5.15 TOTAL FEE: $ 200.40 APPLICANT: MAJESTIC EXTERIORS OWNER: K& L ERICKSON 1832 LOUISIANA AVENUE S 2040 NORTH SHORE DR ST. LOUIS PARK,MN 55426 WAYZATA MN 55391 THE UNDERSIGNED F-IEREBY REQUESTS PERMISSION TO MAKE TNE 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. , . � , �C � G�''1L.i.`''� `'1/� ��;.�------ � LICANT ERMITEE SIGNATURE �iSSUE Y SIGNATURE Copies: City,Applicant,Assessor, Finance Page l . � Total Fee: $ Date Received: (� �� Entered By: Pernut#: /�'C 7 �i") CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER O CO TRACT �__.__....._.__._.__..-- JOB SITE ADDRESS: ��( � /(1c�r�� [.��>;� ��r.Z�� SJ�� I NAME OF OWNER: ��; � � �q/L/IGO ��C�i Sc,��1 PHONE: (home) �/ 7yj�- 7D.S) (work) MAILING ADDRESS: �o �j Q ��-, S�o►e v,r: CITY: a�v n r� ZIP: 5s 3 CONTRACTOR: ��'e 5-��CC �=�C��r`o �.j PHONE: �`P'Sa� S�{�-`,��77 CONTACT PERSON:J r,d�j �C_c�cob,t��l MOBILE/PAGER: 1VLAILING ADDRESS: f$3;,Z L-��,•s��r�� e sC� CITY: .�. ��;5 ✓!� ZIP: 5S .2 STATE LICENSE: #��d,� f 7 7 g�' ARCHITECT/ENGINEER: PHONE: M:�ILING ADDRESS: CITY: ZIP: ��y�; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detain: T � � � �� '�Gc�1- �-��US c'_ �� 7�da�cu !/ _ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ !L�� 3�(_� 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 plan. APPLICANT'S SIGNATURE: � - i-----�-� DATE: /�' °?�1�-C5�' � 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. �,. , �, Sec.13.04 RIGHTS OF S[JBJECTS OF DaT�► Subd. 1. Type of data. The righrs af individual on whom the data is stored or to be stored shall be as set forth in ttus section. Subd.2. Information reqirired to be givea individual. An individual azked ro suppiy private or confidendal data conceming himseif shall be informed of: (a)the purpose and intended use of rhe requested data within the collecting§tate agency,polidcal subdivision,or statewide system; (b)whether he may refuse oY is legally required co supply che requested data;(c)any imown consequence arising from lus supplying or refusing to supply privace or confidendal data;and(d)the idenriry of other persons or enriries au[horized by state or federal law to receive the data. This requirement shall not appiy when an individual is asked to supply invesrigadve data, punuant to Secdon 13.82,subdivision 5,to a law enforcement officer. The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income rax or proaertv tax refund instructions instead of on those forms. Subd. 3. Access to data by iadividuai. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether ic is classified as pubiic,priva[e or confidendal. Upon his further request,an individual who is the subject of stored private or pubiic dara on individuats shall be shown che data wirhout any charge to him and,�if he desires, shall be informed of the content and meaning of[hat data. After an individual has been shown rhe private da[a and informed of irs meaning,the data need not be disclosed ro him for six months thereafter unless a dispute or acdon pursuanc to this secdon is pending or addiaonal data on the individual has been collected or created. The responsible auchoriry shal!provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay che actual costs of making,cerafying,and compiling the copies. The responsible authoriry shall comply immediately,if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Samrdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiUonal 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 exemise this right,an individual shall notify in wridng the responsible authority describing[he narure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurau or incomplece and attempt to norify past recipienu of inaccurate or incomplete data, including recipien[s named by the individual;or(b)notify the individual thac he believes rhe data to be correct. Data in dispuce shall be disclosed only if the individual's stacemenc of disagreement is included with the disclosed data. The decermination of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 fumish 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 shazed with other local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested pemut 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. ___— I o � -e ac.obSa� First Vliddle Last (�, �� ,; q�v-e� Sc� Address S� �u�S �arl� Iy1� �'�yvZCP (QS�I SUS�SCoa�[ Ciry State Z►p Phone I understand my rights as stated above. . Signa ` ' ST/lTE O�MINNESaTA � .:.... p� ; •'" .•• •... � DEPAR�ENT OF CaiIAMERCE B��G•�a'��RQ�COMAA�C� . � 1 3Eaet3ev�nth.SC �62�t�7&�;_ �p1e ` " � 3t Paui,MN SSIU2 .. Bui�;D�t �- . (651)296�6?l9 � MDIYT�ETALPROPgt1�'FOR . i :o' BT,jjj,�22�TG�,'O�1T�,'fi►GTQR JACOR90N'l�ODD.A'�.I.EN : .. . ., 39�,p,�.a"7IO;E7CTERIORS� �+� : �,.. Tl�l�2f�177$3 .:' _� � l�.��l�ciul�EA�AAVE BLIII.DEl2 .;,..�LdU�3PA1�K MN SS+4�6-0040 INDIVIDUAL P1tOPRIETOR ` . ; Q�:ran��;��aco�soN .1ACOB3UN TODD AI.1.E1d . � F.�pira: 3/31/2001 �.�C.'L;dt�try=3l3�IINJD] ' ' sr�v�a��o�ar;o�ca��a�i�: ,, DBA�MA.�.S1Tr_E:i!TERIUR9` , , 1�&�s..,��: .> :. . . , s�.�k�33ii�� , �evz j.ornsr�►xa avE ;.: � . :� � .,,. . , .. . .. �l'LOUI9 PAI�IC MN 55426-0000 ' `' �sl)��319 . . • DHA:MAIFSr[C FaC'PERIORS ,. ,. ., ..,. QP:TODD ALIJ�TJACOB30.�1` . _';�1�� slsrl,�oo� •: -: .>::. , ' ... ... :.;7 i�ra�due5y�731I1Aa1.' . �eae,u