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HomeMy WebLinkAbout1998-010290 (building-stairway to lake) PERMIT �^ITY OF ORONO PERMIT TYPE: �-'50 Kelley Parkway- P.O. Box 66 Permit Number: �'�'��'� �'`i= Crystal Bay, Minnesota 55323 S-`�`-'Y��`�' (612) 473-7357 Date Issued: �;,_:;.`,�f',=};; SITE ADDRESS: ;�'.�i.1 c=:;°=,s_E�� t=:I� _Tt� %"'. � . t� . . .�::.'i_i—: � ?—.�_—1`;.:_`—Ci:_:�4 i DESCRIPTION: E�:=�i! �:�l}�°a �`�'i'fi!]. #. T`,,•'��r` ���---4rti:t�: = ; �S`t_ ���li#�'� ���.�11��I�-t=� W3,a�;:; �•;c�::� _:��T�°i.�i;:j�r �i k� �_;��::,� �.i-'���Ea.. (.i�,fifH '_.' �...���%ik� �V�_e�`tl�.����. REMARKS: I FEE SUMMARY: ��i'i?E';��'!'s_ii� �: , t�{_'si_: _�.��r_ !-;�r= �7 s�. . ;:j `.��t_.t�'[{'"1=t1''=��� ____._.__ '�a.���.a !��_�'r.�! �H�+ ��.riw� . _._ CONTRACTOR: — ��-s=1 i c�t�t� — OWNER: jJ?�l��t i�+�-1_.. Gi`���hE s:t:;?t-{',�:'-: j�e;��.;�:4:(.'t;� �'�:,'t_-j�j,i;=F- ?i:�'��. }��.��!'��,s j � { S_.• Y`�i'T�'lj�t''t`��t �j _ i_ ,:-.—. �a �.f=� �` .;`.��. .�.��{_�_i i��ti L�i if�S F �r{'� E.�' i �i'{tt{ �L��:.. , __ , � i,�!_ .}-: ,i�.( _�c�i:t;.1 _i�i,�l�,i!f � ��,. _, _ �_#f `z.��_ _�'.? `��.—�;i_:'i_'';: '��'!.—i.}r_�:�:r, T�� :i?41't��".���43�u;.:r� i..���:C;`�` I�z°�i?i��`_:!°_� j-`i-Fi���1 :_::;j i�:l�.# ��s�,f !*'lj�;k:,f=_ ��i'�t: �'`�;ij ?rj```�;j�>�;'�.t�t'f'��°_; '_��'�t:T i�1�L' ��.��'� ;:���;-���s_; j�_� �ss_� �-3�� .V�_En`.E�. i.?� '�!:�°1�_� _ _. .L`l_??-i�`•�`�` ����; i-�L�. k-i;t' i;li= �_;l-i:_i�vt_f i_�i�;r.;��.Et'-�.,�.}l_.�'.-� ,E`�3(Jf.� �� !��: E ` �..f�'" t'j_��y;1:}'`�.I_I � t-; 'r_-;;�1�..;_!T(.:t� t.!_ly;3� :il'�!s�„7!�t'1„,.°ti(`,{! `-_ , L � � 2 APPLIC PERMITEE SIGNATURE ISSUED BY:SIGNATURE � Total Fee: $ Date Received: �Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------ -- - ------------------------------------------------- THE APPLICANT IS: (circle one) OWNER CONTRACTOR JOB SITE ADDRESS: �32`f( ���-5�� C' � ►2C �� ZIP: ,S_S 3 z/ NAME OF OWNER: ��� i � ��N N�FtC IC PHOI�TE• (home) �171�D d Z� (work) "� 3 3�� S Z�o NIAILIl�TG ADDRESS: �2`� � C'�Sc� �t izL�rZCITY: U 2c N c� ZIP: S 53 p C0�ITRACTOR: I,�2�i S��D� S PHONE: �f�Y — �'6 O Z CONI'ACTPERSON: QZ� /C '1�,�,,.��I�IOBILE/PAGER: �',( � - c��p f t vrf-� � MAILING ADDRESS: ,���� �� - ,� �.��v j c1�: / m 4, ' z�: ��.s�y��� STATE LICENSE: # ARCHITECT/ENGINEER: PHO�tE: MAII.,ING ADDRESS: CITY: ZIP: NANIE; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK(describe in detain: �,.�5�,4CL S�iR�2w,4 ; ?� C�K€ MA-r�f�i,g. � c�5�� � S � ' x d S�� k � S'` G�tA�� i E_ s ��� S STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. EST�IATED CONSTRUCTION VALUATION (excluding land): $ ��� I hereby apply for a buildin� 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 Ciry and with the State Building Code; that I understand this is not a permit and work is not to start without a pemut; and that the work will be in accordance with e approved plan. APPLICA.NT'S SIGNAT'LTRE: � DATE: S��Z��I � _ , ��- . NOTE! Parade of Flomes events require parate perm va1 by Police Deparlment and City Counci160 days prior to the event. Non permitted events will not be a1 wed. � . � Sec.13.04 RIGHTS OF SUB.TECTS OF DaT� Subd. 1. Type of data. "Ihe rizhrs of individual on whom[he data is stored or to be scored shall be as sec for�h in this secaon. Subd.2. Informaaon reqirired to be given individual. An individual asked to supply privare or confidearial dara coacerning him.self shall bz informed of: (a)the purpose and iarended use of che requesred dam wichin the collecang"state ageacy, poliacal subdivisioo,or sracewide rysum; (b)whecher he may refuse or is legally required to supply the requested data;(c)any lrnown coa5equence arising from his supplying or refusing to supp(y • privace or confidendal data;and(d)the idenary of other pzrsoas or enaaes auchorized by state or federal law to receive the dara. This requiremen[shall noc app(y when an individual is asked to supply invesrigadve dam,pursuan�to secdon 13.82, subdivision 5, to a law enforcement of�icer. - Thz commissioner of revenu� mav olace the noace reauired und:r[his subdivision in the individual ir.come tax or orooern tax �fund instrucrions instzad of on[hose forms. Subd. 3. Access to data by indi�idual. Upon requesc to a responsible au�horiry,an individual shall be informed whe[hec he is the subject of scored dara on individuals,and whecher i�is ctassified as public, privace or confidenrial. Upon his further request,an individual who is the subjecc of stored private or public dara on individuals shall be shown�he dam wirhout any charge to him and,�if he desires, shall be informed of the content and meaning of chat data. Afrer an individual has been shown[he privace data and informed of its meaning,the data need not be disclosed to him for six monrhs thereafter unless a dispute or acaon pursuant[o this secaon is pznding or addidonal daca on the individual has been coliected or created. The responsible authoriry shall pcovidz copies ot the private or public data upon request by the individual subjeu of the data. The responsible authoriry may require the requesting person to pay the accuai coscs of makine,cerafying,and compiling the copies. The responsible authoriry shall comply immediacely, if possible, wich any request made pursuant to this subdivision, or wirhin five days of the date of[he reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the rquest wichin cha�time,he shall so inform che individual,and may have an addidonai fivz days wi�hin which to comply wich the request,excluding Sacurdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or pri�•ate data conceming himself. To exercise this rieht,an individual shall noa"ry in wriang the responsible au[horiry describing the nantre of the disagreement. The responsible authoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplece and aaempt to nodfy past recipients of inaccunce or incomplete data, including recipien�s named by che individual; or(b)noafy [he individual tha[he believes che data to be coaecc. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinarion of the responsibte aurhoriry may be appzaled pursuant to the provisions of the admirustrarive 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 infocm you tha[your request for a pernu[ or license from the Ciry of Orono or any of i�s departments may require you to furnish certain private or confiden�ial 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 [o supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, sta[e or federal a�encies 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 riohts under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required [o process this application or permic. � U�� .5���� Firsc �Siddle Last - col Addre i � �, � � `�s_.i�i S�Yy= �cX�� Ciry Snte Zip Phone I under y ri;hts as stated above. �!. Signamre