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Home My WebLink About1992-004593 - chimney extension � - PERMIT �ITY OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 ' PermitNumber: i��Z�`�� )() !.� Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 ��fi7!_�z SITE ADDRESS: 1:�;i j� �=�Hi il�,'EL I NE €3�t � C:H F'. I .N. � Cj�—f 17—i:_;—:;4—�:ri r�.:; DESCRIPTION: ��H I Mh�E Y E�1'�h!'.:I��+ir� E�uil��in=� #_`�,��r�Eit. Ty��. '=;F—t�C��:`RENl+iDEL E,ui l��it-�� W<<��:: T;°�.�� F;E:h�i�VHTE/F;EMi�+L�EL , w � �� "��h iV��s�ait y��a�w� W��r . _ s u � � � � �� r�v �'. � � ^n ��MW �. � � �� .� �� "` �� xF�a N�t k£ ��a�� ro "�'�Fn '�i��e��'�w"�k '^a�� v��.� r �,t � � �t � �zi a�a ��, . �.y'�,��- '�, '� �� "� �.� � a�'n, `�� ar.��g�a�,n�� z"�" �8�+� � � �"�'��`��. '� r �+��' �� '�r��: r w�� ¢'M1 / � .�. � d�f7; 3'� t ��'r � - f��yJ q�� ; y� _ .. �41� µ � �J�'�l _ � � ��yV,� k �9��N�, �r ry �ll✓�'ti � �� ro�" y"T ��v � g;�'�.. l ��±� ��,� , � �� .. r' ' �. '' » ` N�.� �, -� u � . .-� •. .� i r , .� REMARKS: �ITY t�' clf�J;�'3 f��/�V��h:f J�FI�F i��vi vlfte?ifir � FEE SUMMARY: �1# ;;i'd �3.Q¢ �ALIar�T I E��! -�,�.i�, 1 r`''''t'JL't�� : LLLL � s�I �� .f.�1 �� F,�� ::;.i_7i} t��`NEChi 3'L ��.8! '=:Larchax��e � �f��#'7'-3�'�kiV/t' Y'JU �. '_'� j� ' /� J� �'� lj.j j��3 �] ---�—�---�• io: i►ir%V�f V �VUi !\V�L Ttt17'Jf7 �'t{.ct 1_ �t'�' �'it=,!(, �� f.; rr v�i i��Fc: C�Q�ITRACTOR: -- A��°Iicant. — '=:T . LIC:. OWNER: +_iVINC;Tt:.�N G�;��t�� 17t45�{i� �ti�i7 �'t�F�� WILLIAM g�►� •.�:�•�ti4 i:�s;� �=�Hi�FiELINE �R RI��HFIELCf !'�hi ��.•�:�; s��;i::�� Mt� ��:=;��t t:�i��; 7;',�—��t7•.� �.7�,-1iy�,f -- ___ ___ � ___ _----_ ------ - --- -- __ __ _ ___ _ ___._.-- _____ _._-- ----___ _._ _ __ __ _ � �'�NE 41h,�� :T t�f�#EC� HF�EE,�' E�;E�n!��:_ � _; F�j;�i _ t�I��td '�� iufc-��::E T�-:� �:.E�rL I t7F'k#:��:'E!*iEt�lT�_: '_:i='F�_I�=7 EG Ht�fi� r�+.;n E�.:; �f� p+_:} r�l_L ��iRh; I�� Th I�:T C:+it1�='�i r�td+=:�' +�I T�-i r�LL C:I T i� ��t= � :�f��:i(��i t_{F;[?I�;�#h4�:��'_; �?No� ==;'1"�TE: ��:{� h1 I�it�F�'�,�=��a. E:;!1 I L_C�I;vr; �:i��t� F�E�;�t J I�;E[�Et�!?''=, . � � ` A PLICANT/PERMITEE SIGNAT E ISSUED BY:SIGNATURE �/E.J � . �- CITY of OR(�N� Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Officea • � - � � On�the North Shore of Lake Minnetonka 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 Iicense 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 IocaZ, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Counci3. action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review priva�� data on yourself. 6. Yaur full name is required to process this applicatian or permit. Co� t ��`�� Gr��CJ � First Middle Last �;�,�. �3 �.� �-- Ad ress � , City State Zip �Z ��- --S' S~v 2 Phone � I understand my righ s as sta`ted above. � Sign u . BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING . . 513.04 RIGSTS OF SIIB�TECTS OF DATA � . Subdivision L Type of data- The rights of individuals on whom the data is stored or to be stored sha71 be as set forth in this section. An.individuel asked to � gubd, Z, Informatioa required to be given individueL � � su 1 rivate or confidentiel data concerning BmWi�th�in the collecting state agencY, PP Y P uested dat purpose and intended use of the req tem; (b) whether he may refuse or is legally political subdivision, or statewide sys �oWn consequence arising from his required to supply the requested date; (�) �Y �d (d) the identity of supplying or refusing to supply private or confidentiel date; ' esked to supply investigative data, other ersons or entities authorized by state or�ederal lav�► to receive the data. This. p 1 when an indrvidua], requirement shall not app y pursusnt to section 13.82, subdivision 5, to a law enforcement of icer. �der this The commissioner of revenue ma lace the notice re uired subdivision in the individuel income tax or ro ert tax re und u�structions instea o on those orms. . - --- � � - . Subd. 3. - Access to d�� Y ��, Upon request to a responsible authority, an individuel shall be informed wh b�c h r vateeor aonfident al•e P°n � individuels; and whether it is classified as p � P ublic data on turther request, an individual whc is the subject of e to�mrl�v�aae if he desires, shall individuels shall be shown the data witho of that date. After an individuel hes been �e informed of the content snd meaning t� �ta need not be disclosed Lo shown the private data and informed of its ��8action pursuar►t to this secticn is him for six months thereafter unless e �t n request by � endin or additicnal data on the individuel h�8te or public datarupoe8ted. The � P g rovide copies of the p require the responsible authority shall p The responsible authority may the individual subject of the data. certif 'n and compiling the requesting person to pay the actuel costs of making, Yl g� copies. immediatelY, it possible, with anY request The resporisible authority sha]1 comply ' a f the date of the request, made pursuant to this subdivisi�d legal th 1ia Y5,�if�immediate compliance is not excluding Saturdays, SundaYs ossible. If he cannot comply with the request within that time, he shall so inf�h the P have sn additional five daYS Within which to comply individuel, and m S turdays, Sundeys end legal holidays• request, exeluding fia�e when data is not accurate or eomplete. An individual mgY Subd. 4. p� himself. To contest the accuracy or eempleteness-of public or private data concerning � in writing the responsible authority exereise this right, an individuel shall notify �ible authority shall within 30 describing the nature of the disagreemenL The respe lete and attempt to days either: (s) correct the data found to be inaccurate oc incomQ notify past recipients of inaccurate or incomple t�belie esdthe dataito be �orrect the individuel; or {b} notify the individual tha eement is Data in dispute sha11 be disclosed only if the individuel's statement of ��' to the • included with the �isclosed data• e81ed ursuant ' The determination of the responsible authority io��tested cases. provisions of the administrative procedure act relating � ~ CITY OF ORO:IO - BUILDING FER:`�i1T APPLICATION Total Fee: $ �i�� Date Received: Date P.ppro�ed: �ntered By: ��/ Permit',`- �`�`i 3 �T•T. INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIL�1 WILL B$ STARTED (See Check-off List Enclosed) ------------------------- �E APPZICANT IS: (circl.e one) OL�]i�IER o CONTRACTOR � ^ r � J � � 'C' � ZIP: ZOB SITE ADDRRSS: 1 /�' � � ��'1�(/ '� /.0 % �' �J` � (work) :I� OF OWNER- 1,�' ( � � l� i� 1 lJ��'JT PHONE: (hcme)� /�,'° lOF/ . � MAII,ING ADDRESS:� ,t�� S�c.,��r ( , �� ' �(/ t CITY: !�'��1��/t� ZIP: CONTRACTOR- � C� � i iC` C= �[ c' �'�� f��C� �r �'� , PHONE: 7��` �� •.� �\� • .'L�II,ING ADDRESS: �j� c�'�( � j � C`� � CITY:r��J(��)�� C� � l.i�ZIP: �c� � � ��• STATE I,ICENSE: �� 1 � ARCHITECT�ENGINEER: C___ �/� ��`� C��'� � PHONE: 'KAIZING ADDRESS: CITY: ZIP: ��E: REGISTF2�TION T TYPE OF WORR: New Addition Accessory Structure riove Demo Re.*nodel/Alteration� Renovate Land Alteration PROPOSED WORR (describe in detail) : � � x / ��' � l �/J�/�� ' �� l _i � �� .I ��i �i � i�� /� ��c�w S� � STORIESs SQ. FEST OF EACH FLO�Rs NO. OF BEDROOMS: GARAGE STAIZS: ATT. DET. � c� ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ �� v I hereby appl.y for a building permit and I ac?cnowledge that the information above is complete and accurate; that the work will, be in conforznance with the ordinances and codes of the City 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. � �' c _L� l �G 1�� n � C�r-1 !�� _� _ � � �. �1 A.PPZ�ICANT'S SIGNATIIRE: " � � c 7�' � DATE_ .-. � 8 �7 q�----- � . _ � . � �` =, ��'�'�' o� O��leT� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices 0 s ' s o On the North Shore of Lake Minnetonka DATA PRSVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would Iike 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 Iicense requested. 2. You may refuse to supply data, but refusal may require that � the City deny the permit or license. 3. The inf ormation may be shared with other Ioca 1 , s�ate or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Councii ac��on to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review priva�e data on yourself. 6. Your ful.l name is required to process this application or permit. �� C�U � � � Gvv �w �� w � � � L.�4-�� 1 First Middle Last l�o X' 2 3�0�- Address �� e L�- ►�,� �v x� 4 .�� 4 23 City State Zip � �4 � SSa2- � Phone I underst d my rights as stated above. < � S ' gnature . ,• BUILDINC& ZONI�IG—473-7357 • AD�flNISTRATION&FIYANCE—473-73�3 • PUBLIC WORKS —473J359 ASSESS(NG