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Home My WebLink About1998-010388 - tearoff/reroof � � PERMIT • CITY OF ORONO PERMIT TYPE: � 2750 Kelley Parkway- P.O. Box 66 ��_��s_��I C•v�W Crystal Bay, Minnesota 55323 Permit Number: i_;1 �_;:T;:;;;;; (612) 473-7357 Date Issued: _��r;� ;_;�:,�j; SITE ADDRESS: ;`�"�i�i t_f ifiVi_� E�-e`.�;i ri `,�� ! . i�f . . 'i —1 1 , —�_ _ --t'ti_}i_af_� ��RIPTION: !��:nf_iF��:'h`3��;i_il_i�' ;-;i.,t 1 .L��?1'?'_? �`��`;'j;j,t. ?�yt,�,+ :��._�}1111!!�'.�!'��_f(J��_ - _�3 ��_;��i�� (}j��i 1'i�:; �:��s !�j-—�i I.i f_j�� :�._�.�-:;-=t j,'_ 4`�_.F�" ' — - - _ _'_t��- REMARKS: FEE SUMMARY: , :�'t E}��'j I�;t;� ¢.�: i i.�,=; : ....._..:. . ._.� . .�`_� . �i� _.�. . -..- .,�_s;�_, ��c;� _______ ��.��::� -- _. .•=_.'. �F:° _ '� . . .. I CONTRACTOR: - �;��= i�_.i�-r�. - =�T . �I;� OWNER: �sr'=::F�;°t�,� (:�;+:i:aj;' ti_%!�'�'#`Y �.��.i�ii:t,(ia. i°i;i:�j,�;�il.' �%j:=:! _�t=iF;t� !i:s.� �� ?,��1� �.�v�`�! j`��'_c.' fW 4.1f'1i:� f;=�`!i't%'i `_�'� �-`�,�s,'�3;_It� I t-{ (�j'J ��:�;�� I_i�`E t�y_t j'tf."`� �•�',�.�:'=!1 s:t�,i i:;'s �;�.f—t=�:}i i:� �j.?�—'�t�s�? �h r i.�i.. � CL�v 6.. iF ' L.'�. 't>l i '� � i� Fei i':L%`W i f � j irSi P. t ,Y:� :��W;��,;:`�; i :�i.;P_i �={�'�..,. } I-i�_t,,._tF:°;�:�: . ._3-,� �_ _ _ : i�(�.f s �_I � ,r-„•..t- T�-:i�, �ilyfn�, :�'i1=°�i"s_i.�� ,__..!!�°� _. ��1 i i`L' 1��1.:' i-��_a:z`i—;—`_; �:y; j1'ij i ij 'L a.,'i 4t'.C••. i`=.'�t W� #t"? I C_ � t�#_iC'i;'`�!%-'i!�`••�� :4i�T.s�"'t. rl?w (_�,T��' �_��` � �_€F`;.;f`�1_! :�:;i�:�t';!(—';�.�::�'._� f,�',:!: � ;p'-'?1 �, i„t!— ��.iv�'�'�r_-_�'.��_1��t �„_!f i !,�i Iy:i t:;_:i 7�� =c';„l:�l��jh'=(`!F F;i "(:_ . � j� — i f � -�.�/ APPLICANT-PER TEE SIGNATURE ISSUED BY:SIGNATURE f� !�- /'6"'► . • Total Fee: $ Date Received: Entered By: Permit#: %D 3�� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) -------------------------------------------------- ---------------------_=------�----------------------------- THE APPLICANT IS: (circle one) OWNER O ONTRAC�TO� JOB SITE ADDRESS: i �Z C� �C�n.:%Cv�2�(R S•T ZIP: �S� °( � NAME OF OWNER: �� U }�� -'`�'_�S�i PHO�TE: (home) �� / 7 (work) MAILING ADDRESS: 'C��2..C� (0^�c e,��)t� �'CITY: C, k r�ti,c:� ZIP: S)3� � C0�ITRACTOR: �=� S'�—'jz�= � �'d�� J PHONE: �K( ' c3 � o y CONTACT PERSON: M BILE/PAGER: MAILI�i 1G ADDRESS: �cr� n�� r� t�'�� ! �� CITY: �C 7y��%�-t ZIP: S S`{`�f STATE LICENSE: # 'Zvv )y Zr 7 ARCHITECT/ENGINEER: PH0�1E: NIAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF `VOR�i: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED`VORK(describe in detai�: ''�_ ,� ,;=,- �� .�.�`- STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTI�i IATED CONSTRUCTION VALUATION (excluding land): $ �t,f S � 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 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 wi the approved plan. APPLICANT'S SIGNATLTRE: � DATE: Cr� ��f�J " `lI�° NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Counci160 days prior to the event. Non permilted events will not be allowed. <'�'� � ` � Sec.13.04 RIGH'tS OF SiJBJECTS OF D:�T?, Subd. I. Type of data. The rieh�s of individual on whom[he dara is stored or to ba stnred shall be as se�fonh in this secdon. Subd.2. Information reqirired to be given indirzdual. ?.n individual asked to supply private or confidzanal dara concerning himself shall be informed of: (a) the purpose and intended use of the requested data wichin the cotlecang'sta[e ageacy, poliacal subdivision,or statewide rystem; (b)whe�her he may refuse or is legally required[o supply the rquested data;(c)any irnown coasequeace arising from his supp(ying or refusing to supply � private or confidenrial dara;and(d)the idenriry of other persoas or enddes au�horized by state or federal law to receive[he data. This requiremenc stiall not apply when an individua!is asked to supply invesri�aave dara, pursuanc to secdon 13.82, subdivision 5, [o a law enforcemea[ofFccer. - Thz commissioner of revenua mav place [he norice r�auired under �his subdivision in the individual ir.come tax or provern tax refund inscrucaons inscead of on chose forms. Subd. 3. Access to data by individual. lipon request to a responsible auchoriry,an individual shall be informed whether he is the subject of s�ored da[a on individuals, and whe�her it is classified as public, privaee or conFidenrial. Upon his further request, an individual who is the subjecc of stored private or public daca on individuais shall be stiown�he dara wichouc any charge to him and, if he dzsires, shall be informed of the contenc and meaning of chat data. Afcer an individu3l has bzen shown rhe priva[e data and informed of ics meaning, tbe data need no[be disclosed to him for six mon[hs cherea[ter unless a dispute or acdon pursuanc to chis secdon is pending or addidonal data on the individual has been collzcted or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subjecc of che data. The responsible authoriry may require [he cequesring person to pay the ac�ual cos�s of making,cerrifying, and compiling the copies. The responsible authoriry shall comply immedia[ely,if possibl�, with any request made pursuant to this subdivision, or wi�hin five days of the date of the request,excluding Sacurdays,Sundays and le;al holidays,if immedia[e compliance is not possible. If he cannot comply with the request within that time,he shalt so inform che individual,and may have an addirional five days within which to comply with[he request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completenzss of public or private data conceming himself. To exercise this rieht,an individual shall noa"ry in wridng che responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days eicher: (a)cocrect the da�a found to be inaccurate or incomplece and attempc to noafy past recipiencs of inaccurdte or incomplere data, including recipiencs named by the individual; or(b)noufy the individual that he believes the data to be correct. Data in dispuce shall be disctosed only if che individual's stacemenc of disagreement is included wich the disctosed data. The decerminadon of the responsible auchoriry may be appealed pursuanc to the provisions of che adminisa-adve procedure acc 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 tha[your reques[ for a permit or license from the Ciry of Orono or any of its departments may require you to furnish certain private or confidential informa[ion. 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 da[a, but refusai may require that the City deny the permi[ or license. 3, The information may be shared wich o[her local, scate 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 rioh[s under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your fu11 name is required to process this application or permit. t 16,�J3-z.�) ��Li S I t��✓L - Firsc �tiddle Last �C� � /�'c�Ttr G�'� `"� � � ( Address .� ��c��-1 /22 ,� S� 7�(� �Y( - C'�c City State Ztp Phone un ers rights as stated a ove. � Signanire