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Home My WebLink About1998-010511 - re-roof PERMIT ^'�Y OF ORONO � �Iley Parkway- P.O. Box 66 PERMIT TYPE: �;t,I 3 I �:�t�:r "� Permit Number: _�i c_��.� ,I Bay, Minnesota 55323 Date Issued: �_z:�.'�,:';°=�,�� e�� 473-7357 SITE ADDRESS: �.:,,°j�=� �=;�°=�i` �=`i �i�,� .,4(.7 , �=' . t . ta. . :i7—� 1 7—�_�;—:;:�;—i 3{ai 7=, DESCRIPTION: �;�_.��;€!ir ��s.,i 1 1��1 i?�a t`'�1'f�l 1 C• �,1�F'F= �_'��'�'��'-��-��-��- __'i i ��.�Fu �;;�:r4:; �"y�� F—F°:�:!_i� �:=��.a�� i�:��E�:� �:�. F?LT . �'E'=�I+�lEt�T I i=�L REMARKS: FEE SUMMARY: tir;#_E_:;�;;i i_if,� �._�t_ii l � .�s:.� -- ��.�:,r �� . _ s '��i}'C�`I�)•t?;° __,_`�.,,_i�i,,? ------- �}��i�'�.�a� �-t�� •�:``�% . ��'� CONTRACTOR: OWNER: — �'F`�'� '-'=�'��=� � �t��=:� �'�i 1=;`�,_} �`�_�;�" �';� ��'i ►��;°�:��;�_E �•it� �:��'x�� . ''.7s.°—f=,�:`- '#�`� �t��i�3�R`=�I��iW�C� ��.�'.F_�=Y s;#w t:�=.s'�`�;�°�� f'�:=�'.;°�i'.� ��I��'�'.; ��# �'i;3:::~ ;s-E�:. 1�°�:i-}i_ �i 1''�''?.1—' . —!rfF-f��7' �(' r�., L.«.._{��,�� i 6.3_. /.��.�, .ea..�^ ' i.j'�� f � i.%3 7 LL �i ��':�I�" ��7 _ S ��C'��i! ?L..6� F�I�{ii £"fl�,j�i.F_�_� ��_� �,it�� F-�L._ .. .'•. ?�: i ! . f ��.�.�j"''. M?... ': '' .. � ... _ . . ... _ _ _{_. �_f_,E�� ! yi..t- � ¢':___. .I� ��!`�:>_}IVE_� �_��?1�1'1��#=?!��_t�'� :-�(�}1 =�I H!� 't_'s�- j'i Tl�I��=�'w�=��f f-j t�=i i t k_..ir s i;(:j {_:i_ii1+N s 1 wi�;,°t_1 s.'=i'�i•1`�`�i!:w , � � PPLIC NT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR :� Total Fee: $ Date Received: rf j By: Permit#: �� CITY OF ORONO - BUILDING PERMIT A7PPLICATION A.11 information must be snbmitted in full before plan reYiew will be started. (please print all information) . THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � � . ;- JOB SITE ADDRESS: �.�� 7`` � �, ZIP: ��-�=��j/ f � , � NEiME OF OWiVER: �iq-'� `�//��--�� PHONE: (home) 'r7`7� —��.�' ,� (work)� —;� 3 Z-- MAILING ADDRESS: l�� l�""�� CI'TY: ,�/��ZIP:_�� /�lc� " CONTRA.CTOR: '�� . PHO�TE: COi�1'I'ACT PERSON: MOBILE/PAGER: � MAII..T�i tG ADDRESS: CITY: ZIP: STATE LICENSE: # A,RCHITECT/E�'GINEER: PHO�TE: 11�IAII�Y�i tG ADDRESS: CITY: ZIP: I�,TAME: REGISTRA.TION# TYPE OF tiVORb': New Addition Accessory Structure Move � Remodel/Alteration Land Alteration PROPOSED tiVORK(describe in detai�: j��' � �/-�/,i1..��;�-�_. �c`E'�.S�_ STORIES: SQ.FEET OF EACH F'LO�R: � - NO. OF BEDROOiVIS: GARAGE STALLS: ATT. DET. � `�_ ESTI�YIATED CONSTRUCTION VALUATION (exclud.ing land): $ �� I hereby apply for a buildi.ng pemut and I aclrnowledge that the infonnation above is complete and accurate; ihat the work will be in conformance with the ordinances and codes of the Ciry 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 acc ance with the approved plan. , APPLICANT'S SIGNATURE: i� �� DATE: �� NOTE! �Parade o Homes events require separate permit approval by Police Department arad � City Counci160 days prior to the event. Non permitted events will not be allowed. � ! � Sec.13.Q'RIGHTS OF StJBJECTS OF D�.TA Subd. i. Type of daea. Tha righcs oF individual on whom[he data is sroced or to be scor`d shalI be as se�foc�in[his secaon. - J Subd.2. Informaaon reqirired to be�vea individual. An individual asked to supply privam or confidencal data coacerning himself shall bz'mformed of: (a)th�purpose aad inc:aded use of the requesr�data within the eollecang Stac�ageacy, poliacal ss�divisioo,or scicewide rystem; (b)wha�her he may rfuse or is legally requir_d to supply the rquested dac3;(c)any Irnown eonsequence arising from his supplying or refusing to supply p;ivar_or eonndendal dara;ar.d(d)che idendry of other parsoas or enod:s authorized by scate or federal law to receive t..e data. This tequiremeac shall r.oc apply when an individual is asked to supply invesdgarive data,pursuan�to secdon 13.52,subdivision 5, to a law enforcement ofricer. - "[he comrnissioner of revenue mav olace ch� noace reauir.d und=r this subdivision in the individual ir.cone cax or orooem t3x refur.d ins:rucaons inscead of on chose forms. Subd.3. Access to data by iadiridual. lipon requesc co a responsible au�horiry,an individual shall be iru`o-aed whether he is the subjecc of s:ord dact on individuzls,and whecher it is classifi:d�s pubtic, privace or confidential. Upon his further requesc, aa individual who is the subjecc of s:ored privace or public data on individuals shall be shown the dan wichout any charge to tiim and;if he desues, s�11 ba informed of the con�ent ar.d meaning of chat dara. Aher an individuai has been shown cha privare dara and informed of iu meaaing, che dara need not be disclosed to him for siz months ti:zreafter unless a dispute or acdon pursuan�to chis Secaon is pznding or addidoaal data on the individual has been collecc:d or creaced. The responsibla auchoriry shall provide copies of che priva[e or public data upon request by che individuat subjec[of�ha data. The zesponsib(e aucfioriry may requirc the requesdng pe�son to pay the actual coscs of rr�aking,cerrifying,and compiling the copies. The responsible auchoriry shall conpty immediately,if possible,with any t�quest made pursuant to this sutdivision,or wi[hin five days of the dace of tha requesc,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he canno�comply with the requesc wichin[hat dme,he shatl so inform[he individual,and may have an addirional five days witfiin which to comply wich t`�e r:quesc,exciLding Sacurdays, Sur.days and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest[he accuracy or eompleceness of public ac private da�concerning hitnself. To exercise this ri¢hc,an individuat shall noa"ry in wriang the responsible auchoriry describing che nanire of the disagrecmenc The responsible authoriry shall within 30 days ei[her: (a)correct the data found to bt inaccarate or incomple[e and a»mpt to nodfy pasc recipiencs of inzccun.e or incomplec:data, inciuding re:ipien�s named by the individual; or(b)nodfy the individual that he betieves the daca to be correc� Data in d'upute shall be disclosed only if the individual's sc3tem�nt of disagreerr.ent is included with the disclosed data. The decerminadon oF the responsible authoriry may be appealed pursuant to the provisions of[hc adminis�arive proceduce act reladn� to concesced cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would li.ke to inform you tha[your request fo: a perm;t or license from the Ciry of Orono or any of its departments may require you to fumish certain private or confidential information. You are no[ified that: � 1. The informa[ion you furnish will be used to determine your qualification for the permi[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 wich other local, state or federal a�encies to the eztent necessary to process � the permit or license. 4. If your reques[ed pernut or license requires Council action to approve, some information may become public. 5. You have certain ri�hts 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. Z��/� ) ��C��l�� Firs biiddlt � Lasc �� Addre � �j � / ��.c �J�1/�� / ✓ �.�'�'l C� ��_ /� �� 1.. " 1.C. � Ciry Smte Zip Phone I unde '� cs as stated abo �2� - . � �/ Signan:ce