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Home My WebLink About1998-010397 - repair storm damage PERMIT �CIT�Y OF ORONO PERMIT TYPE: �;;_i i�,.�.,�t�� 2750 Kelley Parkway- P.O. Box 66 Permit Number: �-'�{-'��='� Crystal Bay, Minnesota 55323 ��,��:M;r��;_; (612_)473-7357 Date Issued: SITE ADDRESS: .;�`�.::��_ `_�r'1;=�}�Y€N�_��_MiJ ttts' .�i i,� �'"' . � ,i`�, . 1 i—i j r—,i,`.��—�,_—�ll)�_; DESCRIPTION: ��'r;�.� =.Ti��it� Cyi�;i�� E�+�►i �}�in=� �='�rr,�i?• iyc:� °��F--;�u�i�iEt1}ri.��(_ �;_�Z i ril?-t=3 !:Ea�:y'Er ��•�:,s:� i-;�—•�i�lt_;F =.NI�S��I� L,:i 31�3� r^!�•_l� 1"�L f . �.�•_�.�.LIG�xI f I H� REMARKS: FEE SUMMARY: �,��;i t_i�T i�t�� i , L��;i� ��.�t��-? �=:�r �i.£�.'s_ . �i� '._�►_�t�r l`t�t'�=�'�' _______ �'..,.�� it.�;z� E—�c_ ��:::.'�3_ .�`�'� CONTRACTOR: OVI� - ."�'�°f 3r:�pt. — �,�;�;�� .�F t=i E_it`�� _'f := _ `.=;i#�='�i;�#�1!;l�ti i j;'�;i i#f-s'i 1�� $'�I� =��'y i .�`i,-�-�:�'r._=t �i>c i i';#i;;� i` ! �''�� ;` i''�i�=;��i�:=� =°i=s�' ;i°T!,1 `i.f; .�}_.w_ .4 y:� j �!, -��.�-��.--�<�;�.. �._ _i �+`.`_�� .3�v�i1 ,�t?�� •a.�_ _ _ `'�� . . _ _ . . _ ;'ji-;.'..`:� �` . ._�_ _ T` 1��..f"i;_.Y'. . _ r. _._ _.` i.��1 �'�T�I 7 r:��,��`:�� t i)�i >-:i.L �ii_��'•.?,. _`�.; = I �=:`�%. f ��.i�ii'.i'��_ } I-•I}lI�_.� :c: : ; ;�� rz�_�_ t_.i t `y !,€�- i�it+';_6;••}i_i' 1 f�t.'�f�ii-��fR_��_� f-tl�ij _�i;=< <'� s_!".= i''s f�l�t-_"_�'} i-� =_!��.'1 s°.l=.7 {_ _�;�:._ t':t�t.s;�'�. :{`.. !.._!3',-'=_ . � J � � APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE ti '- �' . otal �ee: $ Date Received: ntered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION . A11 information must be submitted in full before plan review will be started. �_�'�..�EieD��w � �I�s i�� tion) _ ----- �. — THE APPLICANr IS: (circle one) OWNER OR CONTRACTOR� � � JOB SITE ADDRESS: 2/ �� f1�11C.?Jc� • Z�: �� r C�/� y�i'�7��t /1�N � ' NAME OF OWNER: q� `� �1 PHOYE: (home) — oQj (work) MA.ILING ADD�tESS: �,"��-�„��,� CTTY: ZIP: � C0�ITRACTOR: � �=� PHOivE: CONT'ACTPERSO�1: � MOBILE/PAGER: � MAII.,ING ADDRESS: ,��C, CIT'Y: ZIP: STATE LICEl�'SE: # � AF.CHITECT/ENGINEER: lIOl1/� PH0�1E: MA.II.,TivG ADDRESS: CIT'Y: ZIP: T,��; REGISTRA.TION# TYPE OF tii�ORK: New Addition Accessory Structure, Move ' � Remodel/Alteration Land Alteration PROPOSED W describe in detat�: = — � b0 F� STORIES: SQ.�EET OF EACH FLOOR: ' NO. OF BEDROO�S: GARAGE STALLS: ATT. DET. EST iMATED CONSTRUCTION VALUATION(excluding land): $ I hereby apply for a building permit and I acknowledoe 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 Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work will �.n cord ith pproved plan. APPLICANT'S SIGNA DATE: � � � d' NOTE! rade Q Flomes events require separate permit approval by Police Department and � City Council 60 days prior to the event. Non permitted ev ts will not be allowed. , . . c�� _ � . Sec.13.04 RIGHTS OF S'ClB,TECTS OF DATa Subd. 1. Type of data. The righcs of individual on whom the data is stoced or to be stored shaII be as sa forch ia this secaon. ' Subd.2. Information reqirired to be givea individual. An iadividuai asked to supply privare or confidendal dara concecning himself shall ba iafocmed of: (a)the pucpose and inmaded use of the requesr�dam within the colleccing Sta�agency,polidcal subdivision,or satewide system; (b)whecher he may refusa or is legally required to suppty the�quested dsta;(c)any lrnown caasequcnce arising fromhis supptying or refusing to supply privat:or conFdendaI data;ar.d(d)the idendry of o�her penons oc enades au�horized by state or federal law to trceive the dam. This tequirement shall noc apply when an individual is asked to suppiy invesrigarive daa,pursuant w secdon 13.82,subdivision S,to a law enfoccemenc o�cec. — The_commissioner of revenue mav olace che nodce reauired under this subdivision in the individu�] income tax or proaem ax refund insrrucdons inscead of on[hos�forms. , Subd.3. Access to data by indi�idual. Upon request to a responsible auchoriry,an individual shall be informed whether he is the subject of scoced dac�on individuals,and whecher ic is classified az pablic,private or conFtdenaal. Upon his tur�her request,an individuai who is the subjecc of scored privace or public dara on individuals shal!be shown the data wichout any charge to him and;if he desires,shall be info�xned of che contenc and meaning of chat data. Aher an individual has been shown tfie privace data and informed of ies meaning,the data need not be disclosed to him for six mon�hs thereafcer unless a dispute or acdon pursuanc to chis secrion is pending or addidonai daca on the individual has been collecced or ereared. Zhe responsibte auchoriry shall pmvide copies of the privace or public data upon request by che individual subje:c of ehe daca. The responsible auchority may require the requesang person to pay the accual coscs of malcing,cerdfying,and compiling the copies. The responsible authoriry shall comply immedia�ely,if possible,with any cequest made pursuant to this subdivision,or wichin five days of the dace of the request,exciuding Saardays,Sundays and legal hoiidays,if immediate compliance is not possible. If he caanot comply with the request wirhin that dcne,he shall so inform[he individual,and may have an addiaonal five days within which to comply wi[h the request,ezctuding Saturdays, Sundays and legal holidays. � Subd.4. Procedure when data is not accurate or complete. An individual may contest ehe accuracy or compleceness of public ocprivate dara conceming tiimself. To ezercise this right,an individual shall noafy in wriang[he respoasble auchociry describing the nanire of the disagreemenG The responsib[e aachoriry shall within 30 days eicher: (a)correcc�he daca faund m be inaccumte or incomplece and aaempt co nodfy pasc recipiencs of inaccurdte or incomplete data,including rocipiencc named by the individual;or(b)nodfy the individuai thac he beiieves the data to be coaec� Data in d'upuce shali be disclosed only if the individual's scatement of disagreemenc is includzd wi[h the disclosed data. The decerminadon of the responsible au[horiry may be appealed pursuant to the provisions of the adminisaarive procedure act reladag W contes�ed 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 fumish certain�rivate or confidential information. You are notified that:• � 1. The information you fumish 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 shared with ocher 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 certai.n 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 permic. � ,� �� L_ First rfiddie Lasc � y po � Addreu�� / � /r �� l Ciry State Zip Phone I uaderstand nQ as staced abov Signacure .