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Home My WebLink About1997-009278 - remove plmb in access bldg � � PERMIT CITY OF ORONO PERMIT TYPE: « 2750 Kelley Parkway- P.O. Box 66 � ��="" �- � Permit Number: �-'�-;•��':��`;=;� Crystal Bay, Minnesota 55323 � - (612)473-7357 Date Issued: _ .. SITE ADDRESS: _ _�—_ -�� ''}`-_ +�: ��i-� ' ;. _.�;. :-;_...-�-_. — '•' �•.". . _. . . . . .._. � � � .., . :'1. :�"^{^i��J:_F::.. DESCRIPTION: :: - � .; _ O� , - cc�ss � .. .� .:: , , :,-..,s _ f i,-� _ _ t.�3 j��i 1 i'1 ;ir'� :�.. � ti::`i:! J __ `: � __..... t_}�ll`��f':3 ��F�;�"'}.:a ��_�I f�jL1 . ��.lE�I''.�'`•_ REMARKS: FEE SUMMARY: . __.i f-;r.� _ . . ._._i_%,''; ; _ _.,,� . .. � �i.�;,�i_ ;=;�;�+ .�'� . ��'�_�� ::;t:i':_��=!?'=%�_ —__�'.�=.:ai ,(, ` ------- �:- , �E's �i_S t�.ri.L . �'��i .a.t..:. . .. _ CONTRACTOR: OWI��R: _ �_ ��:;" ::; _ __. �.: -- ._ ,.s , _. . _..�.i:'i i'•i �. . � F, i� '`t✓C'_ ��} _. ..... �'.>�� — — — _ �` ; �``s� t_.: _�. . : �y`� ` p. x^�#€ 31! ;ttiS�t# + � �tw - 3 �� F,f _:' [ _, (r �� s�¢ �— ; �r x ��s � _ 1'S�'-'�`ti+�#��+€ �� 1��....Ls' t4�}� ��.,��.�.t" y f � � ��.�. �t� .i .� ��t �"�'�� l �� t- � I� ! d � 3'�'i� �a��` t��l�� t:t��i!'�#t�C�G�`� „�� `_�`A�'� '�� .±I t�C��-_ 3�'� ,._ . .__ , i_ �;�'� _._�:�;��.��;. � � � ._� �.:.� _ _ ;_ �.�.,,. � � 's .. L -� � �� ' APPLICANT/PERMITEE S ATURE ISSUED BY:SIGNATURE �� , . , Total Fee: $ Date Received: Entered By: ��;. Pernut#: ` i'; .� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ; ��Q S:x}� ��rZ.. ,�j. ZIP: ��.b NAME OF OWNER: ��,^ C�,�� r�o,��, PHONE: (home) y'� °I -��f,S (work) 3�f � , �S 3�1 MAILING ADDRESS: 1 °�a0 �t k'�� lav� i�, CITY: �f�a r�, ZIP: .SS��5,h CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure jC Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �� r,�,pvc�` �► -� �1 u w,�� a _ . STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1J � 1�1 ��, 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 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. APPLICANT'S SIGNATURE: /'.�.v�;j� �,Vr��d�;� DATE: �J 11� `�� NOTE! Parade of 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-� � -L'� ;�l�'� c� -�li �'.>'. 5 �� , . 1 Sec.13.04 RIGHTS OF SLJBJECTS 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. S�bd.2. Information required to be given mdividual. An individual asked to supply private or confidendal dara conceming himself shall be informed of: (a)the purpose acgl intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested daha;(c)any lmown consequence azising from his supplying or refusing to supply private or confidential data;az�d(d)the identiry of other persons or entiaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the nodce reauired u�er this subdivision in the individual income taz or nropertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an i�ividual who is the subject of stored private or public data on individi�als shall be shown the data without any charge to him a�,if he desires,shall be informed of the content a�meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon Ewrsuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or Ewblic data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authority 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 a�ul 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 addiflonal five days within which to comply with the request, ezcluding Sawrdays,Su�ays ac�legal holidays. Subd.4. Procedure when data ts not accurate or complete. An individual may contest the accuracy or completeness of public or private data co�eming himself. To exercise this right,an individual shall no6fy in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data fo�u�d to be inaccurate or i�omplete a�attempt to notify past recipients of inaccurate or incomplete data,including recipients 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 with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative prceedure 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 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 Ciry deny the permit or license. 3. The information may be shazed 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. ��,A� �Jl- �,'Olrf� +�a`1vv� First Middle Last 19� t� S� X� �1VC. �• Address 0 ro� � m►J ss3s6 3�a-183y C��y � - State Zip Phone I understand my rights as stated above. .- , . Signature 6