The URL can be used to link to this page

Home My WebLink About1998-010572 - tear off/reroof PERMIT CITY OF ORONO PERMIT TYPE: _ 2750�elley Parkway- P.O. Box 66 `�-��-�`';`vs- Crystal Bay, Minnesota 55323 Permit Number: ;;;__:�:�:� (612)473-7357 Date Issued: f^;�f;j•i^ - V : SITE ADDRESS: �'`;_;?J, t_:-i��t�!_I i`t F s f�3 I .`+.'s� �•i.1 f.' T (+,� , ',�[I-- ' � r`-- -- -:�-�S_1{i',�i_, DESCRIPTION: ��,r:,�-t,` f_s��—I�:`L_fi�_Yf_E� y�i..�3 1 ��'I ll'� I'�1'fii t �. f ��—`� _;i'...''t-�=..:°;..,!.''`t:k_�'4+� �t�.'_ ��i.{Z ��7 ii_J l}�t_ai'�: � VC,t.� h;�-_—I:`{„sl_E�- !�}��1.�'� �.i�it]i� + .. +�t�'^� �-�_ � . r,`'•.%��'j'.-{�'� f j.f"�i..� REMARKS: FEE SUMMARY: �}f= �'�i ii i �4<<;{_i 1F;i T;�l�,: . - 'f '- - - �;•�'�:� ;-�}, �':__%! • L- ��1.2'_�I^.?'ar' �._.__.._� �':a:�f.a��.� {�=�t.,_s�, F-rt=+ �'i�.•�%%.L . s.� CONTRACTOR: _ ��,�,� ��.�,,:. - _ . . �E� OWNER: '�"'[;'" ' il�ai: l :i;ii"_�ii'si -:i�,;;' 41i;�_s_¢=� ``i=: ! T.{"'fi't�'.�' i 3.t'!i�•�+ _ _ _ _ • _ ��t ' -i±i , ��S__ �"��3��y{� !z`!f :�;+�_;_) �'i�'�:?'��. i S _—`= • — ' — — �1 �r;�1:�,-•f_•_•#-i' I�a��:� V'L�:��f i tl=i'i~t`.�:3 �":�`d f=-'_'-'- t•� .. . r.:-.•-__. . _ _ _ i;=.i �'i .�.?i.i-;��.'�_Si . .._.�, . .r.._ --- • • . - � s�": -- - 2 :ir•=�..:��;�,'�• -:;F-i':,� ?''- _ _._. ._._ _._. �., ._. ,___.._._.r : ,�.. rr�'�'-�`.�, i !�t�'y . ._.. i ;-i t�. . .`.}�`_.. . . . ._. �. . _. �:�' ; ;••s`.;� (:a;i��i—.i;`:�,,�i,3�.��,: i-c.`:�`;'T �,:`.t,��=_;t-_'-:1�'°r: -, .�:� _ .. , ,_� .:. . _. ._., n � .._ - - ;,� _._ �i;=�� f�t,��iP-_._ _f _Jt_! ,iS i 3::�_i.`..`�. _#� =� ;i:`i_ f .1„ff'•��`�f_�.t#t4 !� i-+;� l '''. ,r�"_� ._ _ . - :_!� _�!_; _ "' .'.'T.` _ '_ ; . ..� .� L. � ' t'. "'?'-� ''• �'r=! I �_%: i '�k1T. �.I_it.•''��. , .�Sr'��v T".4 3�r`,:..,,�'J { .�� , � _. .i_iT.,i_ i_��:Li 1,;'ur;,,ii.:f-`�: i-;:•,i;,i =�i.i � __ f..�� ,'i s ��,;iyr-,:�.s_. ,.; . _. . � � ,�- (?`�n.a�-- /}'1 APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE • _ ', a Total Fee: $ �� - � -� Date Received: � �i�- �� Entered By: � ' Permit#: � `7��' CITY OF ORONO - BUII�DING PE�tMIT APPLICATTON � All information must be submitted in full before plan review will be started. . (please print all information) . THE�A,PPLICANT IS: (circle one) O�NER OR CONTR.ACTOR� � � _ . . � .�.. JOB SITE ADDRESS: .�1� � i �u�cr, �� R�� Z�: ��53 9/ . , - NAME OF OWNER: G��" �d) I f�- PHOivE: (home) � (work) MAlI.ING"ADDRESS: ��,�1 � ��sr c� � 'P�. �c� cz�rY: �r�,�,� z�: COti'TRA.CTOR: �j n��;a �S �� Pxo�: �-I�1 ��✓ �Oo 1 �� CONT'ACT PERSON: T i` vr1 MOBILE/PAGER: � MA.]I.ING ADDRESS: I y�V "�C��1� '(�� CIT'Y:('�1 U�I�US�'� ZIP:^j�j.] STATE LICENSE: # �j ,;t . - AP CHITECT/E�'GINEER: PHO�TE: � NIA�II�IlYG ADDRESS: � CITY: ZIP: I�'At��: REGISTRATION# TYPE OF tiVOR7�: New Addition Accessory Structure Move � � Remodel/Alteration Land Alteration PROPOSED tiYORK(describe in detain: ��f �t� - � E - Q�G � _ STORTES: SQ.FEET OF EACii�I.00R: • - - NO. OF BEDROOMS: GAR.A.GE STALLS: ATT. DET. - .� . EST .II�IA.T'ED CONSTRUCTION VALUATION (excluding land): $ � r n� � • f� � 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 ihe ordinances and codes of the City and with the State Buildin� 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 STGNAT'URE: ' ' ' DATE: �-� �-I -- C�� NO?'E! Parade o Flome� events requir separate permit approval by Police Department and � City Counci160 days prior to the event. Non permiited events will not be allowed. ^ Y . ..S s«.i3.0:RIGHTS OF SLBJECTS OF D�,Ta . Subd. 1. Type of data. 'Ihe righrs of individual on wham th-data is swted or to be swcad shaII be as set foah ia this secdon. - Subd.2. Information reqiured to be givea indiridual. An individual asYed to supply privare or confidenrial daa concerning himsetf shall be informed of: (a) [he purpose aad inrended use of the roquesc�daa wirhia the eollecang Stare agency,polirical subdivision,or satewide rysum- (b)whaher he may rfuse or is legaIIy required m supply[he rsquesud dan;(e)any]rnowa consequence arisiag from his supplying or refusing W supply privar_or eonndendal da�;ar:d(d)ehe ideeriry of o�her pecsoas or enddes aachoriz:d by sa[e or fedetal law to receive[he dam. lhis requirement shal! not appiy when an individual is asked to supply invesrigadve dara,punvaa�to sccdon 13.82,subdivision 5.to a law enforcement ofricer. • The eommissioner of rvenue mav �lace [he noace r_auir•d under chis subdivision in the individual income nz or o�ooem taz tefuad inscrucdons instead of on�hose focros. Subd.3. Access to data by indi.idual. Upon requcst to a responsible auchoriry,an individuai shall b�informed whethec he is the subject � of swcrd dae on individuals,and whecher ic is dass�:d as pubiic,privaG or confidendal. Upan his furcher request,an individuai who is the subjecc af seored privace or public dati on individuals shall be shown che dara wichout any charge W tiim and;if he desires,shalI be informed of che content and meaning of chat dara. Afrer an individual has been shown�he privace data and informed of iu meaning,the dara need not be d'uclosed to him for siz monchs[he�ea[cer unless a dispute or acdoa punvant to ehis secdon is pending or addidoaal dara on the individual has becn collecced or creared. The rsponsible accthoriry shall provide copies of the privace or public data upon request by the individual subjea of[he dara. �he responsible authoriry may require the requesang person to pay the acaial cos�s of making,cerrifying,aad compiling the copies. "Ihe responsible aurhoriry shall eomply immediacdy,if possible,wieh aay requesc made pursuant to this subdivision,or wichin five days of the dace of�he request,exciuding Sacurdays.Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply wich the requesc wi�hin chac cime,he shall so inForm che individual.and may have an addiaonal five days wicfiin which to comply with the requese,e�ciudiag Saturdays, Sundays and legal holidays. Subd.4. Procedure�shea data is not accurate or camplete. An individna!tnay contest the accuracy or completeness of pubtic orpri�ate daca concerning liimself. To ezeccise�his ri¢ht,an individual shall norify in wridng the nspoasibie auehoriry describing the nature of the disagceemene. The tesponsible auchoriry shall wichin 30 days eicher: (a)correct�he dan found to be inaccua�e or incomplece and attempt to noufy past recipiencs oF inaccura�e or incomplece data, including recipients named by cha individuai; or(b)noafy the individual that he believes the daca to be coaecc Data in dispute shall be disclosed only if the individuaI's statement of disagreement is included wich che d'uclosed dam. The decerminadon of the responsible auchoriry may be appealed punuanc to the provisions of the administtaave procedure act relacng to eontested easas. DATA PRIVACY ADYISORY . � In accordance wich M.S. 13.0�, Subd.2, "Rights of subjects of data",we would like to inform you that yourrequest for a permit or license from the Ciry of Orono or any of ics departments may require you to furnish certain private or confidential information. " You aze 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, buc 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 excent necessary to process ' the permit or license. 4. If your requested permit or license requires Council actlbn to approve, some information maq become public. . 5. You have certain righu undec M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permic. • �Qhe.ccc�1 ��,� l� �� R�� .c� r�c�-�- � First �fiddle Lasc �a s c�� .� r,� . � �1 _ Add �;, Il� 1� ti'� ` � '� - �� Ciry Sate Zip Phone I understand my ri�.hts as stated above. Signamre .