HomeMy WebLinkAbout1996-007793 - premanent sign �. P�RMIT
. '��Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: i='���'� .
Cryst2�ay, Minnesota 55323 �'���7'��-�
(612)473-7357 Date Issued: �`�:_,��,{.}.,,��
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _ ���:� � �.��_�� _ :_,—� ��r. OWNER:
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LICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATUR ,�,Ci{.,
� DateReceived:
� Total Fee: $ '
Date Approved:
Entered By: Permit#:
CITY OF ORONO - BUII.DING PERNIIT APPLICATION
ALL INFORMATION NIUST BE SUBIVIIT'TED IN FUI-L BEFORE PLAN REVIEW WILL
BE STARTED
----------------- >
THE APPLICANT IS: (circle one OWNER O �C
� ZIP:
JOB SITE ADDRESS: � S 1�('c �
,
NAME OF OWNER: ��'�(�� !`�7�A-/N��7 PHONE: (home) ' •C — - �S�
(work) 77��— �0 r7 D
MAILING ADDRESS: CITY: Z�:
CONTRACTOR: 2�t' � C� /L�� P�iONE: 9 S_—����I�
MAILINGADDRESS:
��'l�� M�CITY/PAG � � ZIP:_,�>`5���
STATE LICENSE: # 7 5`S �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: Z�:
NAME: REGISTRATION #
TYPE OF WORK• New Addition Accessory Structure _
Move RemodeUAlteration I.anci Alteration
PROPOSED WORK(describe indetail):
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
b�
ESTIMATED CONSTRUCTION VALUATION(excludingland): $ �j�� `'�
I hereby apply for a building permit and I acknowledge that the information above is complete
and accurate; that the work will in conformance with the ordinances and codes of the City
and with the State Building Code t I unde d ' is not a permit and work is not to start
without a permit; and that the w rk ill b acc e with the approved pl .
APPLICANT'S SIGNATiJRE: � TE=
NOTE! Parade of Homes events r uire eparat'e permit approval by Police Department and
City Council 60 days prior to the ev t. Non permitted events will not be allowed.
, �
Sec.13.04 RIGHTS OF SUBdECTS 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 diis secaon.
Subd.2. Information required to be given indiridual. An individual asked to supply private or confidential data coacerning himself shall
be informed of: (a)the purpose and intended use of rhe reques[ed data within the collecdng§tate agency,political subdivision,or sratewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the identiry of other pecsons or enaries authorized by state or federnl law to receive the data. Ti�is requirement shatl
not apply when an individual is asked to supply invesdgative data,pucsuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revernie mav vlace the nodce required under this subdivision in the individual income taz or propertv tax refund
instcucuons instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as pubiic,private or confidendal. Upon his further request,an individual who is the subject
of stored private or public dara on individuals shall be shown the data wirhout any charge to hun and, if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addiaonai data on the individual has been collecud or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The iesponsible authoriry -
may require the requesting pecson to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request tnade 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 wiih the request
within that time,he shall so infocm the individual,and may have an additional five days within 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 priva[e
data conceming himself. To exercise this right,an individual shall nodfy ia writing the responsible authority describing the nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, including recipienu named by the individual;or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included wirh the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrative 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 aze 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 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 fuYl name is required to process this application or permit.
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I de tand rights s above.
Sig wre
FEE� 1�� ����, �i�;: 1�Hf�1 THEF'f�1c=�TEC:H Hi�F�I::IfI�=� �if'�9'�,. 1
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— Stev� Katainen
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%" work # 774-2615
`�'- or 774-7070
Special Event 1 ���r = 1 �
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Banners Her� ��---45 sq ft
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Request for si�m a�.dition
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