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Home My WebLink About1993-005117 - brick patio/planter PERMIT r / CITY OF ORONO PERMIT TYPE: v 2750 Kelley Parkway - P.O. Box 815 Permit Number: BUILDING 0t X5117 Orono, Minnesota 55356-0815 t 7 Date Issued: (612) 473-7357 05 j06/9*3 SITE ADDRESS: :37-S WAKEFIELD RD LSV P . I . N. _ 36-11,,-:1-23-31-0017 DESCRIPTION: BRICK PATIO/PLANTER Building Permit Type '3F-ADD/REMODEL Building Work Type RENOVATE/REMODEL REMARKS: FEE SUMMARY: VALUATION $24, 725 __ �1jfj� I,Ai-!•y Ulf Cipf iii Ease Fee $252 .00 F.iiVAMr,', nF;r*I G Surcharge -------- �IIS s.'-'m,L E 13131;:A,0"v�� t5i,�� # Total Fee $264 . 36 010, 1122,22061000 01 WN N12a36 40K P.- t54: 36 id'C,r-j PT-iHAJve� YOU #2741860 001 R01 T12:19 05106,93 CONTRACTOR: - Applicant - ST . L I:: .OWNER: ALAN N I KOLA I CONSTRUCTION 14746776 8653 WARNER DALE 6570OAL 'I N LVD .375 WAKEFIELD RD EXCELSIOR MN 55331 ORONO MN 55391 (51'.1) 474-5776 (612)473-6812 ��I GNED `"kEft Y'.' RE 2 EST , f�ER1 � ' �t+ " #IK .. EC IF 1170 AND AGR EE `�' N sim(,'T. C + l L IANCE CITY OF IJO INO C RD I NAd ' INMCRE APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ ��' j Date Received: Date Approved: Entered By:- * LL_ Permit#: / :2 ALLINFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) -------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR (6 aap,c JOB SITE ADDRESS: '�-45 ZIP: 5,539I (work) NAME OF OWNER: CI 44/✓ K.)0" Nrz_Pte— PHONE: (home) 24AILING ADDRESS: �ktmrr_-- CITY: ZIP: CONTRACTOR: PgA-IJ O.)LV_0t-i*t CCx,*-TX- PHONE: q-+Z - ' �} 24AILING ADDRESS: 0540 6ALPlO CITY: 5z9G LS(CVL-- ZIP: S S a 3 1 STATE LICENSE: # ARCHITECT/ENGINEER: � (l� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : S J S n X 3'f t %(L[l:t<- P[AI"W'CE10 ► 800 S E STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2 41I'VS 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: DATE: 514eO 9 + ; r J CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices • _ On the North Shore of Lake Minnetonka DATA PRIVACY ADVISORY In accordance with M.S. 13.041 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 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 to review private data on yourself. 6. Your full name is required to process this application or permit. AA# Nlla1A1 @t-,-5—r2 tkT 01\J First Middle Last l9 5� Cvq-c.P«.S Sc.t/D Address Gr//I/ City State Zip 44:74�� Phone I understand my rights as stated above. Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—47 3-7 35 9 ASSESSING F • 513,04 RIGHTS OF SUBJECTS OF DATA . Subdivision 1. Type of data. The rights of individuals on whom the data is stored or to be stored shall be as set forth in this section. to be given individual- An.individual asked to Subd. 2. Information required himself shall be informed of: (a) the supply private or confidential data concerning purpose and intended use of the requested (ti)wwithin the hether he may refusestate toris egally political subdivision, or statewide system; }mown consequence arising from his required to supply the requested data; (c) �Y supplying or refusing to supply private or confidential data; and (d) the identity of state or federal law to receive the data. This- other persons or entities authorized by investigative data, requirement shall not apply when an individual is asked to supply g pursuant to section 13.82, subdivision 59 to a law enforcement officer. aired der is tice re �i The commissioner of revenue ma °lent tax re°and uistructionsuinsteadhof subdivision in the individual income tax or r on those orms. --- Sub,. 3. ACem to data by individuaL Upon request to a responsible authority, an individual shall be informed whether hprivatethe or confidential.stored Upon his individuals, and whether it is classified asp or al. data on further request, an individual who is the subject of stored iprivatem and, if he desires, shall individuals shall be shown the data withoutanyt datchara. After an individual has been Se informed of the content and meaning the data need not be disclosed to shown the private data and informed of its aaningaction pursuant to this section is him for six months thereafter unless a dispute ending or additional data on the individual has been collected public dataruponarequest by ' p may require the responsible authority shall provide copies The he authority the individual subject of the data. p Yi gcertif n � and compiling the requesting person to pay the actual costs of making, copies. immediately, if possible, with any request The responsible authority shall comply ' of the date of the request, made pursuant to this subdivisic, legalwithin holidaysdays i�immediate compliance is not excluding Saturdays, Sundays andpossible. If he cannot comply with the request th wiLhia which to comply mply informth the p have an additional five Y5 individual, and may request, excluding Saturdays, Sundays and legal holidays. Procedure when data is not accurate or complete. An individual may Subd. 4. himself. To contest the accuracy or completeness-of public o lnriv`�ai� the responsible authority exercise this right, an individual shall notify describing the nature of the disagreement. The responsible or incomplete and attempt to days either: (e) correct the data found to b notify past recipients of inaccurate or incomprlieatt he believesatav dthe recipients be correct the individual; or (b) notify the individual Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. onsible authority may be appealed pursuant to the The determination of the resp edure act relating to contested cases. provisions of the administrative proc