HomeMy WebLinkAbout1998-010637 (Deck Railing) . . • PERMIT
~CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ ._i i L_=:?;�:=
Permit Number: L�
Crystal Bay, Minnesota 55323 Date Issued: `�"-'�`�`�?
(612) 473-7357 t�i;:;:'= �. � -
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/ ERMITEE SIGNATURE ISSUED BY:SIGNATURE �,
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'�otal Fee: $ Date Received:
Entered By: C�� � Permit#: �L^�� �'�
CITX OF ORONO - BITa.DING PERIVIIT APPLICATION �
All information must be submitted in full before plan review will be started.
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THE�APPLICArIT IS: (circle one)� R R CONTR.ACTOR� �� � . . � .
JOB SiTE ADDRESS: � 1�t�� �(�'�,� .1��/ !�E� �f �� • ZIP: ��/�'� �
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� NAME OF OWNER: � '��` � PHOYE. (home) � �� . I�����
(/�� (WOI�C� 'j � � l
MASLING ADDRESS: `���''^ �_- . CTT'Y: .:� ZIP:
COti"TRACTOR: ''�--`� . , PHOivE: �
COl�'TACT PERSON: � MOBILE/PAGER: �
MAII�ING ADDRESS: CIT'Y: ZIP:
STA'I'E LICENSE: # .
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ARCHIT'ECTlEI�'GINEER: P730��IE: �
MA,lI�ING ADDRFSS: CITY: ZIP:
�,*��; REGISTRATION#
TYPE OF tiVORb': New Addition Accessory Structure
Move ' � RemodeUAlteration�_ Land Alteration
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PROPOSED ti'VORK(describe in detai�: �'_ �(,�� Y'-` ��-�' (/t� �
STORIES: �--' , SQ.FEET OF EACH FLOOR: ���•�� - -
NO. OF BEDROOi1�IS: �_ GARAGE STALLS: ATT. DET. ,:��
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ESTI�I�IATED CONSTRUCTION VALUATION (excluding land): $ '«5f'� _
I hereby apply for a buildin�permit and I aclmowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with
the State Buildin� Code; that T understand this is not a permit and work is not to start without a
permit; and that the work will be in ac r c approved plan:
APPLTCANr'S SIGNATLTRE: ���' " DATE: l� �Jr (J ���!> .
NOTE! �arade o Homes events require separate permi approval by Police Department and
� City Counci160 days prior to the event. Non permiited ents will not be allowed.
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Sec.13.Q4 RIGHTS OF SUB.TECTS OF D?.TA
Subd. 1. Type o[data. The righrs of individual on whom rhe data is scorcd or to be s�rad shall be u set fo�ia this secdon. -
Sabd.2. Informaaon reqirired ta be given individual. An individual uked to suppty private or eonfidenaal dam concerning himsetf shall
be informed of: (a)the purpose and inceaded use of the requcss�daa wichin ehe collecdng Sure agency,polidcal subdivisioa,or sratewide rystem;
(b)whe�her he may r;use or is legal[y rtqui._d to supply the rsquesud dara;(c)any Irnowa consequence arising from his supplying or refusiag to supply
privar_or confidondal dara;ar.d(d)the idendry of oiher persoas or entid:s auchorized by Sate or fedacal law[o receive the dara. This requiremeac shalI .
not apply when an individual is asked to suppiy invesdgadve daca,pursuanc to secaoa 13.83,subdivision 5.to a law enforcement ofricec. •
The comm.issioner of re�•enue nav place [he nouce t=�uird under this subdivision in the individual income taz or orooem taz refuad
insrrucdons insuad of on chose forms.
Subd.3. Aecas to data by indir-idual. Upon requesc to a responsible au[horiry,an individual shall be inform�d whether he is the subject �
of smrd daca on iadividuals,and whecher it is ciassiFi:d as pubiic,privat-or conFdenaal. Upon his further request,an individual who is the subjecc
of scored pcivace or public dat3 on individuaIs shali be shown che data wichout any charge to him and,-if he desires,shall be informed of the eontenc
and meaning of chat data. Aher an individual has been shown the priva�e dara and infarmed of ics meaning,the dara need not be d'uclased to him for
siz monchs thereaiut uniess a dispuce or acaon pursuan�to�his secdon is pending or addidooa.l daa on the individual has been callecmd or creaced.
The r:sponsibte authoriry shall provide copies of the privace or pubIic daca upon tequest by[he individuaI subject of the daca. Tlie tesponsible auchariry
may�quire che requesang person to pay the accual cosis of making,ce�rifying,and compiling the copies.
The responsible au[horiry shail conply immediacely,if possible,wi[h any request made pursuant to this subdivision,or wi�hin five days of
the dace of�he request,excluding Sa�ucdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply wirh the requesc
wichin that time,he shall so inform�he individual,and may have an addidonal five days wi[hin which m compty wieh the request,excluding Sanudays,
Sundays and legal holidays.
Subd.4. Procedure rchea data is no[accurate or eomplete. An individual may contest the accuracy or completeness of public arpri�ace
dara conceming ti�mself. To exercise chis ri¢h4 an individual shall nod"ry in wridng[he respoasible aurhoriry describing the nature of rhe disagreemenG
'Ihe responsible auchoriry shall wichin 30 days either: (a)correct the daca found ro be inaccurace or incomplete and attempt to nodfy past ncipiencs of
inaccurate or incomptece daca, including recipiena named by the individual;or(b)noufy the individaal that he believes the data to be coaece Data
in dispute shall be disctosed only if the indi�•idual's secemtnt of disagrcement is included with tht disdosed data.
Tht decerminadon of the responsible auchoriry may be appealed punuant to the provisions of[he administredve procedure act relaang to
wntested 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 Ciry of Orono or any of ia 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 perm.it or license.
3. The information may be shared with ocher local, state or federal a�encies to the extent necessary to process
' the permit or license.
4. If your requested permit or license requires Council actlan to approve, some information may become
public.
. 5. You have certain rights under M.S. 13.04 (available upon request) to review private daia on yourself.
6. Your full,name is required to process this application or pe '�. �
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