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Home My WebLink About1998-010130 (tearoff-re-roof) PERMIT CIT..Y OF ORONO PERMIT TYPE: i; �;�r��; c;�:� ` 2750 Kelley Parkway- P.O. Box 66 Permit Number: _�'��;?�:�i-� Crystal Bay, Minnesota 55323 - -; ,:.;c, (612)473-7357 Date Issued: ��- - SITE ADDRESS: _�.;:"�'H i_i-�:��i_�_� ��t ��i'� E'� . � . f'�. . .L�_f`i 1 :t'"_:f'"`L._�—i It}:J�_ DESCRIPTION: ��j�i;;l_i��;=.'�{l,��i;t�E��f{- ��I 1 Z 1��1 ll'� ��1'(ii��. �`�C��? :r�i'—��1;�j=��i'�i_i{�_� t-�i_.�7 �i 1�,S 3+3 �i_t�'{�:; s G'�}s�- �c.�^3-ti!_1E_f� ::F�i i�i t� :_�� '%� i-�i_f . �i�`•_��1��'�1 1 f-1� REMARKS: FEE SUMMARY: _ `•,;�E-';: l i��;�i!I�s �� _ �� ;,3��_. (=L.,^ +!..;_4 . I` w_.. i��ri�'+3Y .�.�.........�.� rF a"..'� i1i�. �,l:i{.;,t f"i_?i=' 'T�_..,T�.�� 'G`.�. �.��•'.?'.�� _ �A� C��T��T�: . � ' - � - _ � � -`'.�O NE . , -. ,--,��. ,,�) ��..E_t�° iL.'. !'',:`Ct:��_ _-s_7;:t,it:-:�}._.. �`!S�r-?`:��. . . t7e-�w��L1 �..7`�t^+ ;y�_t`". � i?��`.�� `.l.J _. _'••i-i s�i-?`_:i.:1_X t� �"s i t•;i_it:i;lii �}��,� �.�;'-;r,:1 i�t�;:i=;�,1��'! �;�,� c�,_;`�1� i�_�:E:�'? %�!:_—�ii�'.;: w�fi —'�.�t�. _;'�__.�'"�.� "r [-.�' . ' .,� _ . � t _..._ -�:_,•,- _. t,:�;k�:.... 4 . . .`:€�i` `��_':�[°:�':.�€:- ��?-,r t t ,,f:�- i�.v�� a �••il-.l-',-1-;'t` �; ;,��.r_�=j�'_; r-°L��.°;��;,:_,._,�;,_ti°.4 s d�i r- �:r•_ s T i''s�`F:,_1 1 _. �. .�_ '1.=I`�.� f�;•#�:' �:��*`.�,�`_: T�� [ia_E #�1L?._ � ..'�..:. �k! w E '-�i;_: � ;�:�,'s�•io'i I��f�*� �:t'•I'�E-' ,=i�_'s_ t:T i't i�ii= '��'� � `_� . r-� �``� ;• -- , -• -- , =r,�: t vt�; f�l�`i l T� �s"� i: - i i T': ,�F� . i, Jt::;-:-:i_.! i F� �i,_? �,s„i a�ut, :,:I�fi: ��-t3t:T ':-�°2;�,��s!°_ , _.. ._ �._. . ._ sf�� _�_� ti��v — -. �=�� . ._._ � w �=:.-. --..� �l'_._.,_ _�_: � J / � APPLICANT%PERMITE SIGNATURE ISSUED BY:SIGNATURE _ � ' � TUtal Fee: $ Date Received: Entered By: ,,�� , Permit#: �� j�O CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) - -----------�-r==,----- ---------- --------------------- --------------------------------------------------------- - THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR �, JOB SITE ADDRESS: ��ZG�} �..(,L�1r� �,� . D�� ZIP: NAME OF OWNER: ��J� �/,�,��,��;� PHONE: (home)�7/-7�I��- (work) MAII.ING ADDRESS: ,��j'� 1—�iQ ` ' (�,�f?� CITY:��r.p�..� ZIP:v�'�5.,�`�l CONTRACTOR: �lxd�'►� Lc>.�'�- PHONE: �7�-�-5�� - CONTACT PERSON: ��z MOBILE/PAGER: ,.5�j'�j"- �2%c%'�-- MAILING ADDRESS:¢-_ 7��}p��,�,� � CITY:�"�-�-„� ZIP:5�-> STATE LICENSE: #��rf�,�%�s ARCHITECT/ENGINEER: / PHONE: NiAILING ADDRESS: / CITY: ZIP: NAME; .�'' REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: /��y�� _ STORIES: `� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: �� GARAGE STALLS: ATT.�_ DET.�_ ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ja,��,�. �� 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 pernut and work is not to start without a pernut; and that the work will be in�ccordance with the approved plan. �/ APPLICANT'S SIGNAT`LJRE� � DATE: �/�%�� „ 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. � 5ec.13.04 RIGHTS OF SIIB.TECTS OF DATA Subd. 1. Type oE data. The rights of individual on whom the data is stored or to be scored shall be as set forth in this secrion. Subd.2. Informadon reqirired to be given individual. An individual asked to supply private or confidendal dara conceming himself shall be informed of: (a) the purpose and intended use of the r�quesied data wirhin the collecang"state ageocy, polidcal subdivision,or sratewide system; (b)whecher he may refuse oi is legally required co supply the requested data;(c)any lrnown coasequence arising from tus supplying or refusing to supply • priva[e or confidential data;and(d)the idenary of other penoas or endaes auchorized by state or federal iaw to receive the data. This requirement stiall not apply when an individual is asked to supply invesrigadve dan, pursuant ro secdon 13.82, subdivision 5, to a law enforcement o�cer. - The commissioner of revenue mav place the noace reauired under[his subdivision in the individual income tax or propertv tax refund instrucdons instead of on those forms. Subd. 3. Access to data by indiridual. Upon requesc to a responsible auchority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her ic is classified as public, privace or confidenrial. Upon his further request,an individual who is the subjecc of stored private or public data on individuals shall be shown[he data wichout any charge to him and,�if he desires, shall be informed of the concent and meaning of[hac data. Afrer an individual has been shown che privace data and informed of ics meaning, the data need not be disclosed to him for six mon�hs thereafrer unless a dispute or acdon pursuanc to this secrion is pending or addidonal data on the individual has been cotlected or created. The responsible authoriry shall provide copies of the private or public data upon requesc by the individuai subjecc of che data. The responsible authoriry may require the requesring person to pay the actual costs of making,cerrifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of[he requesc,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc within chac time,he shall so inform[he individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individuaf may contest the accuracy or completeness of public or private data concerning himself. To exercise�his right,an individual shali noafy in writing the responsible au[horicy describing the nanire of the disagreemenc. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomple�e and attempt to noafy pasc recipients of inaccurate or incomplete data, induding recipiena named by the individual; or(b)noafy the individual that he believes rhe data to be correcc. Data in dispute shall be disclosed only if the individual's statemenc of disagreement is included with che disc(osed data. The decerminaaon of the responsible authoriry may be appealed pursuant to the pcovisions of the administrative procedure act reladng to contesced 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 reques[ 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 pemut 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 (available upon request) to review private data on yourself. 6. Your fu11 name is required to process [his application or permit. ��Ah�°�'� �4 iJ� ��`��'.� First Vtiddle Lasc �}-7� �en;z'�,J`� Addres f �� f�� v..�,�� >`�-`v�� Ciry' State Zip Phone I unde d my ri�hts as stated above. �, � ` , Signatur