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Home My WebLink About1994-006046 (re-model) � _ - PERMIT Y �..� CITI( OF ORONO PEFiMIT TYPE: 2750 Kelley Parkway � P.O. Box 815 Permit Number: �`�=1��_�'�at��' � Orono, Minnesota 55356-0815 z;i�F.ci�.r�, (612) 473-7357 Datelssued: iy=,�'i;�_�� , SITE ADDRESS: ��:=:_� d�I�,Eti�i�; :=�T L=at3 F'. �� . �'°�l. � a t�� i�—;;_:�—:�:'6—�br i�.l. DESCRIPTION: . F��'�-��;:'�;��fi��C�EL ' ��,�i 1��i�-�� F��r,t i t- T y�_�� '��s=—�C��F F'�t ie=��L E��i 2{�i�� •�:: i y�� F��li��i�:�F�.��'�6�9!)EI_ u.�a}� �,� �i�i��1�i� �.�,�:�� t?FF.�t�E .��s.��s�t��C�' � � �.� �� v.t,� 1�'`�`z�€��4 # �� Gf11 �,��" �;�C,4' Z ��'�'.�� L'��l�T—T�'�Af�R' i°�'� �:�'c��3�'� �..'c:��t.� f�?� ��:4.� �r�Js��s�s�� REMARKS: �=��I�I��n 1�� •='�f-1 9 f� ;'��t�i!°41 i d?�B:al��1��G� ��I� G�Gt��.i t•i�l� . FEE SUMMARY: 4'�:��a�t�Ii:+�# �1�,,'��'r � ��:� a F�,== ��.�-e y ,��r� 3 :��t�!'r�!=4,�''��—' �, �':�: ..�'� --..__ _ _.��b � �o_:i.s4� ��`�' r��:.._a, a�°�. CONTRACTOR: — �r.�� ,�,��t. — OWNER: :;:I t�1�;E� +:s�g�=:�Rt��.:�a i=��l, T�1�: . i�=;?F,�.��i a ��;�;�:?�� r E��:�E,t��;�t , 0��e�=.�� 1��7i—i��f�l� ��'13''•�� `� �:_'�i�i j�—�6-i`�'�I i�-+i '_�1 i�i�F`�� ;�F14_��J� [�if�9 C��:�.�t i�l�!R�',ji_I C°iC�E ��:::'�1 i;h��,d';1 �;_�?_i��1 °it j �!i_��.•.,=.��'�.,��_�i'.�•?._' I S t"'t�•` P't � fr t�' 3:' t , `��-3L �.J�,#�:��a��.��? &-:�:�:��.� F.��f�•__�'_� r�:��'�.._�I�� [�:d ��'�t•..� J�-�E =:��;� ;.��;��'��"'�< ;��to g"•T t" r't a y' ' �`a` I 1 °" e + t.�;�'+ s`` �'t!'' ! � f 1 i #i , _. __�_ ..�=��.� �-az?+3 ��.:�1=�,�.�'w� �'r;r d i �� ;��;�.: t c.� :_rT�� s �.;t�I°?�='�..��{�,�..-� :� T�-! :�__W_ .�i i',� €= ....F�.., i� _i.._�«, � -y-p�t t� �# - .�t � y� p ' 1;5'i 1 �{:v9 i $t-ii?! 1 ;'I� - f```.� '` �' �t :� �� =:E,f e C;:�t t, )�� d= ,la.} ' �S€� � . � . _1�._ S' 4=("�...•L•_t 91 f..� r�i'rs& �' �t'�.,4 ��#��_, e(`S �. �._� ��]v �..� ��. #�4�, ,. ��`+;�.E��i��Y�^ � � - — --- -- -- —- -- ' � � n ('� APPLICANT/PERMITEE S URE ISSUED BY:SIGNATURE . ' � - � CITY OF ORONO - BIIILDING PERMIT APPLICATION Total Fee: $ ��o' �� Date Received: Date Approved: Entered By: ' � Permit�: � � �� A�L INFORMATION MIIST B$ SIIBMITTED IN FULL BEFORE PLAN REVILFT WILL B$ STARTED (See Check-off List Enclosed) -------------------------------------------------------------------------------- �'SE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRBSS: �,�� (�/'��w- ��r e e'¢,; �d"o�o. h'I fU� Z IP: ,��.� (work) Y�1A1�93 OF OWNER: �Q.Ys L��-v�� -r � i o� PHONE: (home) �� MATT.TNG ADDR.ESS S �� f'tl��Y' ��i`"�C:I CITY S 1,.�y�'� �n� ��)� ZIP: J�� CONTRI�CTOR: �P �(r D� � 1.l_ � �Y� ' C� PHONE: J'��7- � �� fATzix� Annx$ss: � �7� /d��.� L� o �, cz�: /�"I�l� �rc�ve ziP: �`3 �`� STATS LICENSE: � l`��C� ��`� � �iRCHITECT/ENGINEEF�: PHONE: �nTT.nvG ADDRSSS: CITY: ZIP: ��g: RBGISTRATIOA � ':�'YPE OF WORR: New Addition Accessory Structure Move Demo Remode.1/Alteration r� Renovate Land Alteration PROPOSF.D WORR (describe i.n detail) : /i.e,rvmt,., �JZo. � �� m P�.f', �ast�e�q� i�'a�>� Ir'L �ace ls-� eLe� � - '�3�� 6.-s ��c%s�'xa • �TORI$S: SQ. FE$T OF EACH FLOOR: :SO. OF BSDROOMS: GARAGE STALLS: ATT. DET. �.`STI1�iATED CONSTRIICTIOB VALIIATION (eaclnding land) : $ ��a. 9 8 �. � � hereby apply for a building permit and I acknowledge that the information 3bove is complete and accurate; that the work will be in conformance with the �rdinances and codes af 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 �hat the work wil 1 be in accordance with the approved plan. . ' C� s,/ ` �' � �PPLICANT'S SIGNATDRE: /��z, DATE: `�`�� CITY of ORONO Post Office Bou 66•Crystal Bay,Minnesota 55323•Municipal Offices , � • � - � � On the North Shore of Lake Minnetonka DATA PRNACY 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 ].icense 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 3.icense requires CounciZ action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review privat� data on yourself. 6. Yaur ful]. name is required to process this applicatian or permit. � ��i'"t-L � ¢ t.�� 1�h�. First Middle Last .�� -� `7� I�.�� L,�, . t�, Address 1 V \�-#�l� �'�� c�e} i� /t�.l ��J .�� ? City State Zip �37- � %�v Phone � � I understand my rights as stated above. . � i ature . BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING _„_.__._._-- ------ -- - . � ; � . �.04 RIGHTS OF SIIB�7ECTS OF DATA ' . Subdivision L Tppe of data- The rights of individuels on whom the data is : stored or to be stored shall be es set forth in this section. --- Subd. 2. Information required to be given individuel. An.individuel asked to - ' su 1 rivate or confidentiel data concerning himself Shall be informed of: (a) the PP Y P purpose and intended use of the requested �ti�whether he ma� r � °r � g g�y p o li t i c a l s u b d i v i s i o n, o r s t a t ewide s y stem; f r o m his required to supply the requested date; �c) anY k no� c o n s e q u e n c e a r i s i n g supplying or refusing to supply private or confidentiel data; and (d) the identity of other persons or entities authorized bydi idual iseaskedlto supplyeinvest gative da a requirement shall not apply when an m pursuaT►t to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue or rolert tax re�und instructio uinsteadho5 subdivision in the individual income tax on those orms. . _ . ---- - - Subd. 3. � Access to data bY ��' Upon request to a responsibls ' authority, an individuel shall be informed whether h=�ateeorueonfidential.e Upon his individuels; and whether it is classified as public, p ublic data on further request, an individue,l v�►he is the subject of e to himrlande if he desires, shall individuels sha11 be shown the data witho of�hat da a. After an indiviaual h�s been 6e informed of the content and meaning t� �� need not be disclosed to shown the private data and informed of Its u��gction pursuant to this section is him for six months thereafter unless e �SP . � pending or additional data on the individual hes been �blie datarucrn8r 9 est by responsible authority shall provide copies of the pri�ibler authority mayo require the the individuel subject of the data. The respo certifying, and compiling the requesting person to pay the actusl costs of making, copies. immediately, if pessible, with any request The responsible authority shall comply of the date of the request, made pursuant to this subdivisi�d le �tholida e if immediate compliance is not excluding Saturdays, Sundays � possible. If he cannot comply with the req�u et �t within which toh mply wi h the individual, and may have er►S�� 1O�le el ho days. request, exeluding Saturdays, Y5 g Subd. 4. Proced�e �►hen data is not acc�ate or complete. An in�5�. To contest the accuracy or completeness�of public or private dat�eo�c��e auYhority exercise this right, an inciividuel shell notify in writing describing the nature of the disagreem�o be��ec�e ioc ineomQlete and att pt to days either. (a? eorrect the data found notify past recigients of inaccurate or��P�t�believ�e.�s�e r�talt�be�orrecty the individuel; or (b) notify the in� Deta in dispute shall be disclosed only if the individual's statement of disagreement is • included with the disclosed data. � y ��ed P�u�t to ths � ' The determination of the responsible authori ma be aPP provisions of the administrative procedure act relating to contested cases.