The URL can be used to link to this page

Home My WebLink About1994 - 006626 - garage entry/shingle PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 Date Issued: (612)473-7357 SITE ADDRESS: :3:32 DESCRIPTION: ildi n.:g Per ri.1 " U11iCI 1h : VV 7: TLIU REMARKS: FEE SUMMARY: VA_UAFIOM CONTRACTOR: OWNER: - h:iF4 THE UWERSP3NED HEREBY REGfUESTS FERMISSION TO MAKE THE REAL IMPROVEMENTS PNO N.:REES -10 OU ALL wuKK I L.j.;11NUL WIlh CROW) ORO:T.NAI\CES AND STATE 07 MINNESOTA BUILDING COCE REQUIREMENTS . L_ 6/€14/226PC.74/41-604 s) APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ Date Received: • ��) Date Approved: Entered By: Permit#: /f 4 /G ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: S 5,x, �� , r �� ZIP: SSJ6-, (work) 947--10 ,c, I �_ `�1 7 5 � � �(t NAME OF OWNER: +E)61\47- �I C��N I � '�I PHONE: (home) MAILING ADDRESS: S.5) Com} ! `L CITY:� -.A ( . (At/Yt ZIP: CONTRACTOR: !V-[ PHONE: Z?-;) --- MAILING f MAILING ADDRESS: NX.I1', CITY: ZIP: STATE LICENSE: # RCHITECT/ENGINEER: \f) 1-0110Ckl PHONE: 'AILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : _11 j _ i:t Lc-14111-65 STORIES: SQ. FEET OF EACH FLOOR: -:7 NO. OF BEDROOMS: r GARAGE STALLS: ATT. DET. x :(7`-5TALL., ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ G 7 C)O P')/20(. 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. U,PLICANT'S SIGNATURE: ./ /??/ /i -4DATE: 1' 3 cl CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF ORONO 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 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. � I First / Middle Last JJ ii)) Address _ 7e SS City Cit S�)t� Zip- 47 . P S Phone I understand my rights as stated above. - ,1‘z M-)L715Z('',4 Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING u# 513.04 RIGHTS OF SUBJECTS OF DATA Subdivision L 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. Subd. 2. Information required to be given individual- An.individual asked to • supply private or confidential data concerning datself a thin the be inform dtate agency, PPrequested purpose and intended use of the (b) whether he may refuse or from hips political subdivision, or statewide syste(c) any known consequence arising required to supply the requested data; supplying or refusing to supply private confidential f inti federal dataw to andel) the data.dentit of f PP other persons or entities authorized by stateinvestigative data, requirement shall not apply when an indioviaia is asked to ewnforcementuof icer. g pursuant to section 13.82, subdivision 5, The commissioner of revenue may •lace the notice re•uired under this subdivision in the individual income tax or orobert tax re and instructions instead o on those orms. Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whether he s the subject ofred data on Upon individuals, and whether it is classified as public, p confidential. data hiss charge to him and, if he desires, shall further request, an individual who is the subject of stored private or individuals shall be shown the data without any that data. After an individual has been Se informed of the content and meaningthe data need not be disclosed to shown the private data and informed of its uteorgction pursuant to this section is him for six months thereafter unless a dispute pending or additional data on the individual has been nr Pule c datorupreare created. The by P grequire the responsible authority shall provide copies of the privatecompiling the the individual subject of the dual costs The of makng,lcertfyingyand c mp g requesting person to pay the act copies. y ssible, with any request The responsible authority shall comply immediate) , if po made pursuant to this subdivision, or within five days of the date of the request, Sundays and legal holidays, if immediate compliance is not e osuding Saturdays, with the possible. If he cannot comply with the request �thir�i��nt time, toh comply the individual, and may have an additional legal holidays. request, excludingSaturdays, Sundays to or complete. An individual may Subd. 4. Procedure when data is not or private data concerning To contest the accuracy or completeness of publicthe responsible himself. To exercise this right, an individual shall notify in writing authorityespo shall within 3 0 describing the nature of the disagreement. The responsibleincomplete and attempt to noeither: ci ie correct oinacthe curate orta dto be inaccurate or incomplete data, including ecipients named by notifyhepastvrecipients the individual; or (b) notify the individual that he believes the data to be Data in dispute shall be disclosed only if the individual's statement of disagreement ist to the • included with the disclosed data. appealed pursuant The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases.