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Home My WebLink About1997-009196 - tearoff/reroof � « PERMIT - � CITY OF ORONO PERMIT TYPE: � � � -:-: 2750 Kelley Parkway- P.O. Box 66 ':°: ' `.'�_'�'�' Permit Number: F'�-":-��.`='�-� Crystal Bay, Minnesota 55323 ,-j �-:-,;s_,-� (612)473-7357 Date Issued: - /�-a:.. SITE ADDRESS: _y _ . �,��:=,�z`� .� _?�s�:,� . .�,:� Sl,�-�! , . 3 . . . , . _ . � _ ... . ........ ..__ � ,. . _ ,. DESCRIPTION: -;L 7'!�,�'ii,�1�'i� 7 C1�F9��i i,,,��" s,� '�'��'� L_�L"l�L��1'l�l�j��i.:{ i_�»�i i i�.:51 il_ -_'i'Ci11 L• f ._ ' E �"s -- ��i I �.��1 1"i� �%+�a i'1:; E ;r�,}a �i��—�s i�#!��l= ��.�i15��= �:��s�;�� ..+::t� �1 T . ``.L=��'��'�i_ REMARKS: FEE SUMMARY: .,;F��(: ��{'��}-�•�� ;v': {�'� E.t'• ' . L.�i�1 f _'1�". . — F •— ��n.��+ L}y}-s .'�a,ra'1i� . �l.l ��'s.i t"��'ie'!}''��;` ....._.�.�_........_ y �'� - —-^��°-.,�4 T:�:t.�a I F�F�: �,�'�;._ . .�.•� CONTRACTOR � � = - - OWN�I�. __. , _.-,__ _. . , ,r_'}� - ,F ;�. �\f. S .L_.�r _ • .G ...�'. _ _.' _... . . . .... . .... . %}6�i�'-�11..!S�S 1 ,L '.... ...._. .. .... . . ..._. ' ' '_ _ ... �-.p,-..•.�..f C� � - �'� j S;F�� ..::�=i . _ �.�s I�:l.:i o �.��i'�i `4;,�' .,__ _ w=ti:-i�'�'�'v_ 19., h'.0 �..'. _`.�_,-� {I_!`rt' 3'a;'.i ��s^`_-`` i_; ,i_iT`J:,,} t�� C C:M.�� !�;-' ;3Sii t-�'µ . ` � � ..,t � c.: ._. .. ._ _ . _ f . �t.i � �— .. _� _ �" __�w e ^ > `.-e�',....t a.�`' .4..;_ -� w_V��_., ....`. ' +, ! ' ' L sY t.. '€� _ . . _ _ ». .. #_'-�t ._iW.y s 1. e f'=. r' ` _ _ . . ._ i � ��-" ` "" ... � , : �dt � � ; . .. _ � � � r � } � . . —:• : , �... �� f��., r .� _ _;_ .. .w.�a... . ,_. *f . `;+ . �..�t ... .�_� .. i ._7�.t . _. . . �. � . ,�.......� _ .. ��s. � . _ . . . . . . W . . . . _ . . _. , . . _ _ T� kt� �.. ,.._� -_ _ _.. . . � ,: .. ' . ... , . � � �. �. . � � � � �. . , . � � LICANT/ RMITEE IG URE ISSUED BY:SIGNATURE - 7 � Y , Total Fee: $ Date Received: Entered By: Permit#: �'�,/�'i�, CITY OF ORONO - BUII..DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all inforncation) THE APPLICANT IS: (circle one) OWNER OR JOB SITE ADDRESS: Z I C�l�'�Ce� �U /�t• ZIP: � l�U 1/�-U NAME OF OWNER: f�v� G' A- PHONE: (home) `� ��'�`�z� (work) MAILING ADDRESS: ��'u-G CITY: GL z� ZIP: SS3 9/ corrrRacTox: �l r�- ��►- r�s�s PHONE: `��l-RG�S— CONTACT PERSON: o N- BILE/PAGER: 1 - 2 ��D MAII.ING ADDRESS: Z ( r' c� -CITY: Ci�' S/G1' ZIP:__� STATE LICENSE: # ZUC��Z�"Z- ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(des ribe �T"1 tai�: ��- �k+S�' �� ^-6��'i�� "' �C�- � yJ.JC-�� 'CIL� L •el�- w �� e STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. aU ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ �4�� 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 unde d this is not a pe ' d work is not to start without a permit; and that the work will be a ord e wi the pro ed plan. APPLICANT'S SIGNATURE: DATE: � 2 Z NOTE! Parade of Homes event re uire separate pe it approval by Police DeparMtent and City Council 60 days prior to the ent. Non permitted events will not be allowed. « � Sec.13.04 RIGHTS OF S[JBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information reqirired to be given individual. An individual asked to suppty private or confidenrial data concerning himself shall bc informed of: (a)the purpose and intended use of the requesud data widun the collecting§tatc agency,polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identiry of other persoas or enuaes auchorized by state or fedeial law to receive the data. This requirement shall not apply when an individuai is asked to supply invesrigaave data,pursuant to secdon 13.82,subdivision 5,to a law enforcement officec. The commissioner of rovenue mav place the noace required under this subdivision in the individual income tax or vroperty taz refund insnucdons instead of on rhose forms. Subd.3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and wherher it is ciass�ed as public,private or confidenaal. Upon his further 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. After an individual has been shown the private data and informed of its meaaing,the data need not be disclosed to him for siz months thereafter unless a dispute or acaon pursuanc to chis secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The rosponsible authority may require the requesting person to pay the actual cosa of making,certifying,and compiling the¢opies. 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 Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal five days widiin 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 conceming himself. To exercise chis right,an individual shail nodfy in wriang the responsibte authoriry describing the namre of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to nodfy past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)nodfy the individual tha[he believes the dara to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is inciuded with the disclosed data. The determinadon of the responsible authority may be appealed pursuant to the provisions of the administ�ative 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 furnish certain private 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 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 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. �C'j�I�t..- �� l�W r �Ir ' First Mid e �t 2�[� ��. C,`�c�� . Addres�x�C �� N� 5�33� ��-� �9�6�. City � State Zip Phone I underst d my 'gh as stated a ove. � Signature