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Home My WebLink About1995-007456 - repair shop roof PERMIT CITY OF ORONO PERMIT TYPE: + � ' 2750 Kelley Parkway- P.O. Box 66 Permit Number: - � ` '` ` '�'�`= Crystal Bay, Minnesota 55323 ' `'4`r�'` (612) 473-7357 Date Issued: :�;-:;� SITE ADDRESS: S�s�� ,��'�i•"t�..�i�irt�i F�j� . .:�f � .._f ._t':i1: DESCRIPTION: .. ..._ . _._ _. - - ;..;..��.:, : ._: :_ , ! _...-. ._.. . _:. ._. ._. .:;:: i t� . ^1^ �l4�'i.�� I.� i?i`��e ,-�t�i ,i11i"� , _ fi?1 _ 1,*''�'_.� ��i".V'f�� . . �:.,_�9�_��_...__ t;%:s: _�:ij�`_ C�'._��•�:; ; y'L"`;?' Fi'—E-.','.:s 't� :.s t r _�iS;�it� REMARKS: ''.�j`.i`. .. `:`- " �;,� ___�:�` ..---- ` :� ii_'c.G�� .. _:`v n ' _ i_(�:t .-�tE'A' FEE SUMMARY: '��=`---- .-. --` � f.LL_Ld.! �!1 'UL. ty�-?L�'�7f�� T{�iS''{ . ._....... Ti�^! L•':. ....... a!L'.. . ._ :..1! �.... 1': 4 '_ _'._� .�:_ . .r 1 . ..li � �.1 j j�'I_�i�(r�{�;'+�.i�- _��._.._.�.�._��_'L..;o: . t i�'�..=��s �.:f«� - •�� ;�t CONTRACTOR: OWNER: - _ _ . �_ - . - � i i€-i��_�"'`;� _ _. ... .��4'!}2L��i�';;�_:1_i�� {i _� .•��n,3��.� . , . _ - - .�:� � ��l:.. z:. _� .__ _.. . . _. �� _ � `w �u_. . . . ,� N . , . .- r - - �I�y..r.Y;3_� �., a'..�._.� 3 st;..4"+s.....��s 3 .k.i�,�.��_ s �� . ...: .: s`L _. 1.__ : : �._ . .; . �`.;,.:._._ _..`.? . . .. r'�"!��Fv s�– v i i ` ��S,.R 1�';��.l}-�� i��'��'+ ��..� �__# ��„� ;..3e �.�;. ��'� '•"��3.-.'�.� . '- :`s . . . . .. .._ . .. . � >:. .__ �� ,�.�'',;: � �..�:� ��;��r��_:�_ �r�� jw�-��r� .� , _u . _. _ _ _ � _ � _ __ � � , �"� � �� ., �� =;��`�'�;w = __ �}�- f ;:�� /�'�t�ii� APPLICANT/PERMITEE SI ATURE tSSUED BY:SIGNATURE . ' ' Total Fee: S DateReceived: Date Approved: Entered Bv: Perm.it n: CITY OF ORONO - BUILDI�TG PERMI'I' APPLICATION AI,L Iri�'ORi�IATION 1�1L�ST BE SL�BI�ITT'I ED P�1 F�ZL BEFORE PL��t REVIEW`Va,L BE ST.�RTED THE �,PPLIC:��t'T IS:N � (circle one) O«ER OR CONTR.ACTOR - � '?� JOE SITE ADDRESS: %� `�`� �-��-�. �"ZIP: 5 S�� / �% .� ..� �,j, _ .. `.. '.'7 '" PHO1�iE: (home) 7`7l �Z�"� 1 Z NAME OF O�V�tER: t;.� �,�- �, (work) NIAIL�IG�DDRESS: � � CITY: ��C�c � ZIP: �s' �r ,�` � ; CONTR�iCTOR: ' — �--- PHONE: VIOBILE PHO�IE/PAGER: MAILI�i 1GADDRESS: CITY: ZIP: STATE LICENSE: n AgCHITECT/ENGL��EER: PHON�E: �iAILL�IG�DDRESS: CITY: ZIP:_ NAiv�: REGISTR�T'ION # TYPE OF WORK: New Addition Accessory S�ucture Move RemodeL�rLlce.ation Land Alterarion PROPOSED`VORK(describe indetail): � STORIES: SQ. �T OF EACH FLOOR: NO. OF BEDROOl�1S: G�R�iGE ST�I.LS: ATT. DET. ESTLviATED CONSTRUCTION V_�I.UATION(escludin�land): 5��: ¢� I hereby apply for a buildin� permit and I acknowledae that the information above is complete and accurate; that the work will be i.n conformance with the ordinances and codes of the Ciry and with the State Buildina Code; that I understand this is not a permit and work is not to start wirhout a permit; and that the work will be in accordance with the approved plan�. / APPLICANT'S SIGNAT'LTRE: c DATE: � r' - NOTE! Parade of Homes events require separ permit a�proval by Police Depariment and City Council 60 days prior to the event. Non permitted events will not be allowed. � Sec.13.04 RIGHTS OF SIJB.TECTS OF Da,T.�, Subd. 1. Type of data. 'Ihe rights of individuai on whom the data is stored or to be stored shall be as set for[h in this secaon. Subd.2. Information reqirired to be�ven indi�idual. ?.n individual asked to supply privace or confidendal dara concerning himself shall be informed of: (a)the purpose and in[ended use of che requested data wi�hin the collecUng'state agency,political subdivision,or sntewide system; (b)whe[her he may refuse or is legally required to supply the requesud data;(c)any lmown consequence arising from his supplying or refusing to supply private or co�denaal data;and(d)the idendry of other persons or enades authorized by state or federal law to receive the data. This requirement shall noc appiy when an individual is asked to supply invesu2arive data, pursuanc to section 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place �he noace required under this subdivision in the individual income cu or oronem taz refund insttucrions instead of on chose forms. Subd. 3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whecher he is the subject of stored data on individuals,and whecher it is ctass�i�ed as public, priva[e or contidendal. Upon his fur[her request,an individual who is the subject of stored private or public data on individuals shall be shown�he data wichout any charge to him and, if he desires, shall be informed of the content and meaning of rhat data. afrer an individual has been shown che private data and informed of its meaning, the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuanc to chis secuon is pending or addidooal data on the individual has been collected or cma�ed. The responsible authority shall provide copies of the privare or public data upon request by the individual subject of the data. The responsible aurhoriry may require the requesring person to pay the acma!cosu of making,certifying,and compiling[he copies. The responsible authority shail comply immediacely, if possible, with any request made pursuant to this subdivision, or wichin five days of [he date of the request,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot compiy with the request within that time,he shall so inform[he individual,and may have an addidonal five days wi[hin 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 complereness of public or private data concerning hirnself. To exercise this right,an individual shall norify in wridng the responsible authority describing the namre of the disagreement. The responsible auchoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipienu of inaccurate or incomplete data, includine recipiencs named by the individual; or(b)nodfy the individua!that he believes the data to be correct. Data in dispute shall be disclosed oniy if the individual's stacemenc of disagreement is included with the disclosed data. The decerminadon of the responsible authoriry may be appealed pursuant to the provisions of the admicusaadve procedure act relacing 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 no�ified that: 1. The information you furnish w•ill be used to determine your qualification for the permit or license requested. 2. You may refuse to supply dara, but refusal may require that the City deny�the permit or license. 3. T'he 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 �1.5. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. �,� J�- N� /.�� v�;� First �d�e Last �� s ��'� = ��_ Address � ..�- ` �' J`—� � C�'� — � � � C�ty � State Zip Phone I understand my rights as stated above. Signaare