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Home My WebLink About1996-008016 - replace 8 windows PERMIT � + �ITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �;��;��,�� Crystal Bay, Minnesota 55323 Permit Number: t?t a;<i��1 i= (612)473-7357 Date Issued: f_l�,%'?;=�f'�!F. SITE ADDRESS: 1 F,7i; '=�'ti�-1�77Y�iJ�i��ri� �-iD �j� �°. I . �1. � 1%—i I I—�:..;—�=1—i�c:�i fi DESCRIPTION: REr'L_�`t:E :r: 4�]:NCii�i�:-; �=��ilF�in�a F'�:�ri�i�. Ty�� '_=�—A�Dr'REh1�=�GE!_ E�uilt�i�� W+��f�4�: T;��=� F�E��[+=i�ATEif;Et�t_iC�Ef_ �:��s�� t:��a� �.:;� �LT . �E'=�i DEi�T I r�i_ REMARKS: FEE SUMMARY: �H��€�TIf:E�# �t.,c�f�lty ��n�N F�� 1 I'?.'�.� :�:i dt'C�'"Ic`ci^°�F' _�,�----_�'m..Lf.�''�_'' "�{_�t.a I ��, �1 �5. �� CONTRACTOR: _ ��,�� i��.�, _ __;-� . L I�_ OWNER: }::E� �;��iEL��t�'�� C:i��f:�� I��i: �.471;::=:_=�iy �.c_i��r� }:::I�'LL�Y t`�. ��tdF�L� ��i� '�F-ir�L?Y��«��i'3 Fit� 1 r.;c.y :_:F-i�G Y W+�M��v F'!� W��TF� 1�'fl�� :�:°i� i��F�►=ft��:i �ii� _�:;�=��, c.�,1��j �.?1—,_:;�:�i� � ("ii. �J�v[,)��`._.�ti�''�t�[} �—j�Fi��:'� �-i�f��-��,-� ��'�''`1�,`.,-�.'-��,;_;�`;� i!_1 k*7�i":•.i". i ��'. .��'.�?�E�.�. .�#�ir 1�;`:_l�tt��1�.�ti�� =;i='��:I�I�C� �t�ll� �liah'EE'�; r�_� �� HLL 41'=�?�'��:: I t4� �;i�;�{�T ��EW�i'i!='�I�t��f�� tr I��-i ��i_ �;I?"�. ,,��= E::}�s��`��::i �w�i�C3I#��`:�i,i�:��_; �h,i�i ��E�sTE J:fiF �4�h�h��:'�;�_�i�t �:,=1�L_.:i i.t��t� C.,�.�,i� ��:c�i:T Fe�°�€��••�;=` � . . � � � APPLICANT%PERMITEE S NATU ISSUED BY:SIGNATURE � j Total Fee: � DateReceived: Date Approved: Entered By: Permitn: CITY OF ORONO - BUILDING PERNIIT APPLICATION ALL I�YF'OR�tiIATION I�IUST BE SLBI�IITTED P1 FULL BEFORE PL��t REVIEtiV tiVII.L BESTARTED ---------------- ____---__ ------------- _ _.__ _ _, THE APPLICr1��'T IS: (circle one) O`VNER Q��NTRACTO� _ -_ --_ .�,��z .1� %"ii - JOB SITE �iDDRESS: ��`%�' �i^,� %%��%�� —. ZIP: ��y'� � � � , NAI�IE OF OtiVNER ,� � �`-� i�1�✓G � �-�-1� PHONE: (home) � (w�ork) / / � �` �� -� %� / I�IAILINGADDRESS:�.��: ,��'��/ �,i��C%� CITY: ,'/ z,�- i.�. ZIP: �'>`:�.� ' � CON'TRACTOR: ��% �� ",� �; �� ,�;' �_ /� PHONE: ��'� ' -� ��- I�IORILE P�OiVE/PAGER , . �� MAILING ADDRESS :��=�:., �.��>f-��`',>� c ��' CITY: � - , > _ ZIP: ;-� � ' STATE LICENSE: # � �� `�.� �r� I�f�� ARCfiI'TECT/ENGTivEER: PHOivE: �IAII�ING ADDRESS: CITY: ZIP: NAiti1E: REGTSTRATION # TYPE OF WORK: New Addition Acc�ssory S�ucture Move RemodeUAlteration •� ��on . PROPOSEDWORK�,(describe indetail): ��,rr:%✓2�� T�,�%�y=' �J !,'�'- ��- _ � �-, �� .�. -� , r� STORIES: __ SQ• �ET OF EA�H FLOOR: NO. OF BEDR001�iS: G�iRAGE STALLS: ATT. DET. i v,,� � �.C�� ESTIIi�IATED CONSTRUCTION VALUATION(escludingland): $ _ I hereby apply for a buildin� permit and I acknowled�e that the information above is complete and accurate; that 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 accordance with the approved plan. � " . � � i ;� APPLICANT'S SIGNAT'LTRE:�'T ,/� �_ �__ -`� � -�/.��—� DATE• -v!�� 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 allowed. r � Sec.13.04 RIGHTS OF SUBJECTS OF D�.T?, Subd. 1. Type of data. 'Ihe rights of individual on wtiom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be�ven individual. An individual asked to supply private or confidenoal data concerning himself shall be informed of: (a) the purpose and incended use of che requested daca wichin[he collecting'srare ageacy, polirical subdivision,or stacewide system; (b)whether he may refuse or is le�ally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidenoal data;and(d)che idendry of o�her p�rsons or enddes authorized by state or federal law to receive che data. This requirement shall noc appty when an individual is asked to supply invesdgaave daca, pursuan�to secnon 13.82, subdivision 5, to a law enforcemen[o�cer. The commissioner of revenue mav place the norice required under this subdivision in [he individual income tax or prooem taz tefund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a r�sponsible auchoriry,an individual shall be informed whether he is the subject of stored data on individuals, and wherher it is classified as pub(ic, priva�e or confidenoal. Upon his fur�her request, an individual who is the subjecc of stored private or pub(ic dara on individuals shall be shown the data wi[hout any charge to hun and, if he desires, shall be informed of the content and meaning of that data. Afrer an individuai has been shown�he privace data and informed of irs meaning, che da�a need noc be disclosed to him for six months thereafter unless a dispure or acrion pursuant[o this secdon is pending or addidonal data oa the individual 6as been collected or creaced. The responsible authoriry shaIl provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesring penon to pay rhe actual coscs of making, cerrifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to[his subdivision, or wi[hin five days of the date of the request,exctuding Satu�ays,Sundays and legal holidays,if immediate compliance is not possible. If he cannoc comply with the requesc wirhin that time,he shall so inform the individual,and may have an addidonal five days within which to comp[y with the request,excluding Saturdays, Sundays and legat holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contesc the accuracy or completeness of public or private data conceming himself. To exercise chis right,an individual shall norify in wriring the responsible authoriry describing the na[ure of the disagreemenc. The responsible authoriry shall wirhin 30 days either: (a)correcc the data found to be inaccurace or incomplete and attempt to nodfy past recipienes of inaccurace or incomplere data, including recipients named by the individual; or(b)noafy che individual chat he believes the data to be correct. Data in dispute shali be disclosed only if[he individual's statement of disagreement is inctuded with the disclosed daca. The detertninacion of the responsible auchoriry may be appealed pursuan�to the provisions of the adrtunistradve procedure act relaang 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 will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require [hat the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the exten[necessary to process the permit or license. 4. If your requested perm.it 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 perm.it. f , �, � 1`�.?�2�`"`%i ._ � l� ��,. First , -� , Middle � � Last /�� %�� .� � ' �_ �� 7 ,� Address �/ �--- ��' , ��/7� ,'/`�� n, �� , �, -�� ii i �, (1 �/�i �.� ,�� `/ ✓� -- -- � � C�h, � State Zip L Phone I understand my righu as stated above. -�� " ; / ,___/ � y /�ii i T' 9�y" � �' � '`;�--- - Signacure '