The URL can be used to link to this page

Home My WebLink About1997-009307 - re-roof/tear-off PERMIT CITv �F ORONO PERMIT TYPE: -. i 2�G h�lle Parkwa P.O. Box 66 `":��'��?�v'� y Y- i_si;=:�;t_'s, Crystal Bay, Minnesota 55323 Permit Number: (612)473-7357 Date Issued: - - � SITE ADDRESS: �;.},�M;� :.=i�'� f=��'r (`s .�j�E �.=� i I•.t ° _''i .._'� — � —— _ � . _. . . . . . _ _ _ ' "�. �. .. .. _ _ .. DESCRIPTION: _ , _r.. :__ _ �...�._..�.:—:: :,_ : ; _..: ._.. . .._ _ . . . _... ?1-.'_"�»f�` . _�_j j 'i E:.':1-:_ . _. if'`s 1�' t �*, %�.+' �,j-.._ '{5��,,:';-��k�y._._.� ��, r �.v.Y� ;-�1_!i W i 3_%j=_ s.��e t�1�:; t j C,:F,s_ r -ti�I_3._.� �.:N��'j%,e�'� t.F�FF„jh+ r1;_inl j^i1_� , (.�`T_;:1�'!��ti�f i•1�?_ REMARKS: FEE SUMMARY: _ _ . , ._.. _ . _ r . _ e,�;c_: =;_i..�;� �-�� `�.��:_ , �= _,i;i}'�I`i.=t,i'��r•= v....._._._...._. � F'�..} W� i if.,�{3 v ��F�,, wt`r '¢ � CONTRACTOR: 01lI�NEEi: � {`��t'- ''-` '`: � .. , ;—::,.; _�� , , ..,.... , ,:._: _ . .. _. . _. .. . _ ��.� _._. . _ :. -, r�,:��-! �='3�,}:= �� .,�,� ... .... ;•,x'� _ _ — — �- � .•i F .s....� .:'? ..� .�..��S't�� i i�� iji[T:�'� # .W� ( �...i:�,i-... ... ?, ..��,� ' ',..{ 3 ..�.a t..� .,i�i... .�.�::..�"�{...� . �. .lE..:�S'. ,_.. .wSM1? . . �:��I�'��:� A�1� ��E�.� Ttw� �tl ��t �,�_�r.. . �t, m °�.T�: . �.;��i��,_i� �_ .� ,'� . .�.? �:��'� CtF' %�(��t�#F� r:3hC�I�#�I+,lC�`= �i�� ATE }�F �'�I�'��i�::;�'T�t; �W�=}��_�.�.it��;i _s_��Sw .�.;��_s ._. .w��•��'t��'��, _ L� � � � � � � � �- � APPLICANT/PE EE SIGNATURE ISSUED BY:SIGNATURE � 1 �'�tal Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BIJII,DING 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 aos srrE annx�ss: L//�'S l� f c, �.�e - �. z�: SS3S�p NAME OF OWNER: c��j'�L � p.1 �lA L d �-S`��PHONE: (home) � .S— �� , / (work) MAILING ADDRESS: �/�S �p I Gt fl�'C- �/ '� � CITY: (�J( r✓� ZIP: SS.3 S� � CONTRACTOR: � C�`w G�� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # � ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition A ssory Structure Move Remodel/Alteration �Land Alteration PROPOSED WORK(describe in detain: �-2 /z O a � STORIES: � SQ.FEET OF EACH FLOOR: ��d NO. OF BEDROOMS: � GARAGE STALLS: ATT. DE .� a � FSTIMATED CONSTRUCTION VALUATION(excluding land): $ D - 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:�L---� -� DATE: c� NOTE! Parade of Homes events require separate permit approval by Police Deparlment and � City Council 60 days prior to the event. Non permitted events will not be allowed. . � � 1 Sec.13.04 RIGHTS OF SITBJECTS 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 secdon. Subd.2. Information req�rired to be�ven individual. M individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data wichin the collecting§tate agency,poliacal subdivision,or sracewide sysum; (b)whether he may retuse oY is legally required to supply the requesud data;(c)any�own consecp►once azising from his supplying or refusing co supply private or confidendal data;and(d)the idenary of other persons or enrides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav nlace the noace rewired under this subdivision in the individual income tax or provertv tax refund instrucdons inscead of on those forms. Subd.3. Access to data by individual. Upon request to a respoasible suthoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data oa individuals shall be shown ehe data wirhout any charge W him and;if he desires,shall be informed of the content and meaning of that data. Afur an individual has been shown the privau data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuanc to[his secaon is pending or addidonal data on the individual has been collected or cmated. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actua(cosu of making,cerdfying,and compiling the copies. 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,exciuding 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 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 private data coaceming himself. To ezercise this right,an individual shall noafy in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall wi[hin 30 days either: (a)correct the data found to be inaccucate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data,including recipients named by the individual;or @)noafy the individual that he believes the dara to be correct. Data in dispute shall be disclosed only if the individual's stacement of disagreement is included with the disclosed data. The determination of the responsibie authoriry may be appealed pursuant to the provisions of the administraave 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 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 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. E, Your full name is required to process this application or permit. ST :.1 � � Cv � sc, � First �/�U S �� dle p J� /"//CI •7 (/l �� Address �� c�� /�' �� J V Ciry State Zip Phone I understand my rights as stated ove. � �..L� ' Signawre