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Home My WebLink About1996 - 008593 - remove tile/re-roof PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 I T Permit Number: Crystal Bay, Minnesota 55323 00859:3 Date Issued: (612) 473-7357 /77/96 SITE ADDRESS: 320 WOODHILL RI) P . I . N . : 02-117-23-13-000S DESCRIPTION: REMOVE TILE/RE-ROOF Building Permit TypP SF-ADD/REMODEL Building Work TYPe RE-ROOF Census Code 434 ALT . RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $9, 396 Base Fee $162 . 25 SlArch•Et r c.3i2 SA 70 Total Fee $166 . 95 CONTRACTOR: - Applicant - T . LIC OWNER: GARLOCK FRE(.H ROOFING CO 17227129 1423 ( *ER JOEI 2309 SNELLING AVE 320 WOODHILL co MINNEAPOLIS MN 55404 ORONO MN SS391 ( 12) 722-7129 THP uNDFRIGNED HERERY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE. REQUIREMENTS . APPLICANT/PERMITEE SIGNATU E ISSUED BY:SIGNATURE Total Fee: S DateReceived: • Date Approved: Entered By: j, Permits`: CITY OF ORONO - BUILDING PERMIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED THE APPLICANT IS: (circle one) OWNER 0 CONTRaCTO) JOB SITE ADDRESS: 4() C , ZIP: 5�3 9 ( NAME OF OWNER: (-no n` of PHONE: (home) (work) 37( - zaaa :MAILING ADDRESS: 3a0 ti l k, u P) CITY: (:!)-101y) ZIP: 3ci CONTRACTOR: - Q (\dn ; (Nqq PHONE: 6.z MOB PHONE/PAGER: MAII INGADDRESS(Di-')Dc\ .1%) `t� { S- CITY: 0'\.() is ZIP:55LI STATE LICENSE: # D0e-)1 ARCHTITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NANIE: REGISTRATION TYPE OF WORK: New Addition Accessory Structure Move RemodellAlteration Land Alteration PROPOSEDWORb(describe indemil): I. . AL so h STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): S (o , 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:S SIGNDATE: AP N �� 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. j CS OF SUBJECTS OF DATA 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. '.. Information required to be Oven individual. An individual asked to supply private or confidential data concerning himself shall ,a) the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or statewide system; y refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply atrial data:and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall 1 individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. immissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund d of on those forms. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject individuals,and whether it is classified as public, private or confidential. Upon his further request, an individual who is the subject Dr public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content tat data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for fter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. uthority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority equesting person to pay the actual costs of making, certifying, and compiling the copies. sponsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of uest, excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request to shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, I holidays. 4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private imself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. .uthority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of >mplete data, including recipients named by the individual: or(b) notify the individual that he believes the data to be correct. Data e disclosed only if the individual's statement of disagreement is included with the disclosed data. :termination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to DATA PRIVACY ADVISORY lance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request )r license from the City of Orono or any of its departments may require you to furnish certain private or aformation. notified that: The information you furnish will be used to determine your qualification for the permit or license requested. You may refuse to supply data, but refusal may require that the City deny the permit or license. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. If your requested permit or license requires Council action to approve, some information may become public. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. Your full name is required to process this application or permit. Middle ( last �YVO^�o CV — t�VIC op�\ I 23 ( l ; (z-lv _ Mp 5-5-z-/oY `) 22 -712 State Zip Phone ;rand my rights as stated above.