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Home My WebLink About1998-010208 - reroof PERMIT � CITY OF ORONO PERMIT TYPE: 2750 Kelle Parkwa P.O. Box 66 �=.i i'!� t i T��;� Cys'.aM Bay, Minnesota 55323 Permit Number: t_;;;:{��_;:�: (612) 473-7357 Date Issued: i�7�.;f..�J;,->>: SITE ADDRESS: - _ - -_- - - _ -,,, _ - t:.� . . ... . r�'� . . __. _ � _ J. _.._ � . " `'��'_" DESCRIPTION: :�;��E�,� ��a�I ��1 1i`� !''�l'fti l�• �_:,"--_� :=1'-"-;;tl`(..,';`l��.`i'�`_�_..'��V.. t7t.�1 �.��1?i°j G�C:�rE:; T;�� ;�—{-i;_;i1F t_�'?�lSl,Efa �:�sF�? x��_�� f-iLT . :'i+.�.�_��E�'`�`��1 f-1� 1 I REMARKS: FEE SUMMARY: y�`�.ri_tlr:Tl�ttt,! �.�; ct�r�, , - ._. �.:�''_ ��'':"� '�'_-!�_-1 �r/� � _��1'=1�3%;i'°=i� �•: -'`' - ______ :=�.� T�t�t.�3 r r:� 5�1 i.;� , t:�i_i I I I CONTRACTOR: - ';��i i t.i�-�t. - '=�� . �E�: . OWNER: :.��"!�K}'i{�..lY��`j �,i,,,�{'i�"��=i�� .i i��3L...�.. 1��{�,1�� Fi�i. � C��3 ��1�T .t�l1t.!i 1 , �=!�'{.«t�.�� 1 i�l`-e,. .�'"!i;i% i_.�}.��{.1� t`_�L j!�� I�.� _��'�!�`.��Etj i-',S-�,�i��:, 'r•;�� ;L��'�'',.{f,. !i`siI_i�,(t_! hiq:.j :��•_ -:"s , �_�. � �:i �.?1 —ii�:��y .%`i—=;17� I Z-}� i t{�,!`'��- `i�l:::'E j i;;'C�' �-ee ;a` trl!:='-�!`.- �i-C;=�:j( p�`��'�i Ti i �''t''`�`�t- :[� F'1,:':1 ?��'Si- 'I t'tlf-:�i�E.;�'.j :._.. J3j L:E...�.•�.'1 ._.__ . ._._ L_�..'#• �_., ��. ... . . S•_�•_'.1�_. 4 ! '. .'".f "' . T_!L . . . _. ��._ . .. :��{'��3 i �� f^3?`�i1 i't�.7i"i�..``j s;_I �i_f �-+`.�_� i:'t!''�C�`.}.•. _`d ^:�'i"'{y�_ 9 �k I!`ti'�L_?�-il�{�t_ '-+:�s C� i-�#_L _1. ! Y +_Fl` :__!i.`:_i�''v�,i i_E}:::3 y`'.{�-;i�ft_.�,:-. G�;S:SI_3 �, I ��-,��, 1_i� �'i:�y`J��i_= r� _::! I t_I 1 f�`ri: i�.:,,�1;�-. �.`.!+si_.`•: Ct`tR.�':�^.;�:�, . � � 1� APPLICANT/PERMITEE SI N�T� ISSUED BY:SIGNATURE 1�►� Total Fee: $ �U�.��-�� Date Received: .��j�,/�,.Y 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) ---------------------------------------------------------------------, -------------- ------------------------- T'HE APPLICANT IS: (circle one) OWNER O CONTRAC � �—_—, = JOB SITE ADDRESS: G�� - � � ZIP: j s � `�� . �� f� NANIE OF OWNER: �`: v'^ ��" �"" ' '`�' �� PHO�tE: (home) �� -"��7 7 (work) MAII.,II�TG A.DDRESS: CITY: ZIP: C0�1'I`RACTOR: ,Ic. `JJilti�� PHOivE: �"��—�'S � Z- CONTACTPERSON: -�-'--�� MOBILE/PAGER: MAILING ADDRESS: CITI': ZIP: STATE LICENSE: # /��C� ARCHITECT/ENGINEER: PHO��: MAILII�G A.DDRESS: CITY: ZIP: NAiI�: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: ` -v� --� ' 4-<-��- STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. Lf, -•�' ��l EST�IA1'ED CONSTRUCTION VALUATION (excluding land): $ / ��'�' I hereby apply for a building pernzit 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 Buildin; Code; that I understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance wi approved plan. � APPLICANT'S SIGNAT'URE: ''�- DATE: � /, � �� NOTE! Parade Qf Homes events require separate pe it approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. ..i''�t ` � Sec.13.0.1 RIGIiTS OF SUBJECTS OF D:�T?. Subd. 1. Type of data. The ri¢hcs oF individual on whom the data is stored or to be stored shall be as set fotth in this secrion. Subd.2. Information reqirired to be given individval. An individuai uked to supply private or confideaaal dara coacerning himself shall be informed of: (a) the purpose and in[Ended use of the requested daca wi[hin the colleccing'state age¢cy, polirical subdivision,or statewide system; (b)whe[her he may refuse or is legally required to supp(y[he requested data;(c)any Irnown coasequence arising from his supplying or refusing to supply • private or conFdendal dara;and(d)the idendry of other persoas or enridzs au�horized by state or federal law to receive the data. This requirement sl�all noc apply when an individual is asked to supply invesrieadve da�a, pursuan�to secdon 13.82, subdivision 5, to a law enforcemenc offccer. - "Ihe commissior.er of revenue mav lace [he noace reauired under this subdivision in the individual ir.come tax or orooem tax refund instrucrions insczad of on �hose forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of scored dara on individuais,and wherher i�is classified as public, priva�e or confcdendal. Upon tus funher requesc, an individual who is the subjecc of stored private or public dara on individuals shall be shown the data wichouc any charge to him and, if he desires, shall be informed of[he content and meaning of chat data. Afrer an individual has been shown�he priva�data and informed of ics meaning, the data need not be disclosed to him for six mon�hs thereafcer unless a dispute or acdon pursuan�to chis secdon is panding or addirional data on the individual has been collzcced or creaced. The responsible authoriry shall provide copies of the privace or public data upon requesc by the individual subjecc of�he data. The responsible authoriry may require[he requesring person to pay the accual coscs of making, cerafying, and compiling the copies. The responsible au[horiry saall comply immediacefy, if possible, wi�h any requesc made pursuant to chis subdivision, or wi�hin five days of the dace of che requesc,excluding Sacurdays,Sundays and legal holidays,iF immzdiace compliance is not possible. If he cannoc comply with the reques� wichin chat cime,he shail so inform the individual,and may have an addiaonal five days wichin which to comply wi�h[he request,exciuding Saturclays, 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 private data conceming himsetf. To exercise this rieht,an individuai shall nod"ry in wriang the responsible auchoriry describing the nature of the disagreement. The responsible aurhoriry shall wichin 30 days eicher: (a)correcc the data found to be inaccurate or incomplece and attempt to noafy past recipients of inaccurate or incomplete data, including recipiena named by the individual; or(b)noufy the individual that he believes che data to be correct. Data in dispuce shall be disclosed only if the individual's sc3tement of disagreement is included with the disclosed data. The decerminanon of the responsible aurhoriry may be appealed pursuanc to the provisions of[he adauniscraive procedure act reladn� to contested 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 its departments may require you to furnish certain private or confidential informacion. 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 wich other local, state or federal agencies to the extent necessary to process the perm.it or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process chis applicatioa or permi[. First �fiddle Last Address . Ci�, Snte Zip Phone I underst my ri�hts as sta �ove. i ,� '/��. Signamre � �'