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Home My WebLink About1999-011427 - tearoff/reroof PERMIT CITY OF ORONO PERMIT TYPE: 275Q Kelley Parkway- P.O. Box 66 �;:_:i��.i��:_ Crystal Bay, Minnesota 55323 Permit Number: .— ` Date Issued: ��_ ��- ? - (612) 473-7357 - - . .- - -_ SITE ADDRESS: .....�'!,� L!_ . �I�Y �i'� iy _ . !`v . . _ .. "'j i�—�.: _..—'il:_:'•t '� DESCRIPTION: '��_f;L'+_�i�F�;��;;4�°�-�a �� i1 1� i}S i 4!'� �"�E�1'I?f i� �T F„- __ �.F—i"'��._�'a!r`''.��i'..�=:5�i.... s-.:_3 i ; ;�;,�r== i�;��r��:; i;;�-�,_� i;:i-:—.;:°i_�t:i� _ =';�k�4 j R '_i ii�sm �'t_�� t'-�'� . �''•.��_��N i� I ?%`34_ REMARKS: FEE SUMMARY: -. ...._t}:-:;'Ts;1i�v �`_' ��':' _ _.�� . .__ ��.`i . - _�E!)'`�^I"_c.�i'�:�= _�._._�_ 1':�' — i��_;�7'..�:? }-i��_ �-f l-;� ,_i :� CONTRACTOR: -- �,�:�-:: �;:�;�z. — = , . i_�_:: OWNER: _ . .. . .:_.;,' - ;-si.��- i i�i; :�:l�is::t-` . . 7 ,"::_«._;;':_i ,,_;_;i i��':_i:i. � 3-'�_:'_:�C'i°�:��,F�,� s j:4::_ : , i��_�_ _ f . `'�tv,�'._� .-�'4`€= _ _;�'s_.h ;.�r's°!�u �i=� �''jf—`_.� r'i�''w = _ . _. = t_,i3,',i_f�`�:�I �:�t.w -`!,�t_, . __�_. . _ _ . _ . . . ... _ ... _ i �. ,-- . ,. „-_._„ W.�.. .; _ — >. . �, - -�: — �_.:=::r�� .`s," . . � _:r,r-,��:._ _ _.. .�'�. �"�r:�:�,'_-`•�� :::=i.`:._,_. � � . '"._.'�::��_ _ — ._��;•`v 7�=_ -°'F;: .__ j{�:{"' . .�"i-�L_ i, .� . ._ . __e �_-�" - - �,,� , ! ^ E . . .#;�f r-$_. '". _�� .y�E�t V 71,_; '��. .�.� . _:;'�""�'-__i:-%",;.•?-. 4 .� i{ . ..... _ _ . . ;_�#" _�- . . . t__ _ _ _� — _ _. .-r:: .___ ., — ' — �t: �t,:• • " _ - - t� —t; : ;�tF [,_' �_ �i._S y„f}�:ayi.1-.'�. :�!'.:i t _. . . � . , .�. . . �. . ._._ _ . n _ _ ____. %y��.�' _. ___._, __ , _. .__, _.. . . _. . L _ . ._ . ;—�- ,= ��.i � , APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� CiTY OF ORONO Z ( �o �j � b122494616 OS/10/99 10:31 � :03l08 N0:210 � �� C� Total Fet: � D�u Rec.eived: Entered By: ,,,,�� . Permit�: -'/�f � � CIT'Y 4F ORONO - BU7I..DING PERMIT APPI,�CATION All iniormatioa must b�submitted in full before plan re�ie.v will he started. (pltase prinr all l►�fonaarion) T�E APPLICAI�T IS:�--- (ctrcle on�) OWNER O�Q_N'IR�►_CT03�' ' �r�____�,.w JOS SI'1'E A.DDRESS: �"i:5"" �.-�-%� �� L�v`, ZIP: ,�S .�S1v - NAME OF OWNER: �%r�_�c. � T m Qc�_�m�;�rl PHONE: (home) ��G - �i�a , (work) MAII.TNG ADDRESS: �'3iS i��vls,✓ L"'' CiTY:w O�a�.�J Z�: ��3�,� _ Ct7NTRACT�R: �,fi�n�n e�.. �c^oKr��,_ P�iONE: �1`��"y`�� C4NTAC'T P��tS4N: IYiOBILE/PAGER: �1��'�s' �1?�S: 'CCl � �-il.S. ��Gt.'TY'�I 1�'l Pl S ZIF: J3•t�`l�i STA� LICENSE: M 2vU r z��-� . . ARCHITEC�'1�NGINEER: PHONE: NIAII.,ING ADDRESS: CTTY: ZIP: NAME: REGLS'I`RATION# TYPE OF WORK: New Addition Accessory Structure Movt Remodel/Atteration�_ La.nd Alteration�. PROPUSED WORK(descrtbe in detat�: ��a• �9.� �� -�=��'c`�. STl3RYES: �� SQ,FEET OF EACH�ZQOR: N'U. OF B�DROOI'iS: GARAGE 5TALLS: A'I'T• � DET. EST�IATED CUNSTRUCTION VALUATION(exclud�ng tancn: $ q! �S�'� L%�� I hereby apply fnr a building peraut and I acknowltdge that the infannation above is comptete and aceurau; that the work will be in canfocmarLee with the ardinanccs and codes of the City and a+lth tbe State Building Code; that I undecstand, this is twt n permit and work is not to starc aithaut a permit; �ud that the work wi11 b� in accordar�ct wlth the apQroved plan. APPLICANT'S SiGNATtJRE: � ' G�i<��r;��c , �� DATE: :S i�' -9�� NDTE! �!�Hnmts tvtals requ�re separalt permlt apProval by Potice Departnctrtt and Ctty Gounctl 60 days priar to tha sve�t. Non ptrmiKed n►t�ts w�ll rtot be aliowtd. Sec.13.04 RIGHTS OF SUBJECTS OF DaTA ' Sabd. i. Type of data. The righcs of individual on whom[he dara is s�ored or ro be stared shall be as sec forch in this secaon. Subd.2. Intormation reqirircd to be givea indiridual. �n iadividual asked to supply privare ot confidendal dam concerning himself shall be infora:ed of: (a)che purpose and intended use of che rcquuud dara wichin the collecang�tace agenry,poliricai subdivision,or sat�wide rysum; (b)whect:er he tuay refuse or is_legally cequir.d to supply the rquesud data;(c)any latown coasequence arising from his supplyiag or refusing to supply privace or con.�der.dal dam;and(d)che idendry of ocher pecsoas or enddes au�horized by srace or federal law to receive t�e data. This requiremene shalI not apply when an ir:dividuai is asked to supply invesrigadve dam,pursuan�ro secaon 13.82,subdivision 5, co a law enforzement officer. The eee-�missioner of rcvenue mav place che nodc- rauird und-r this subdivision in the individual income rax or orooem taz reFund inscrucuons insuzd of on those forms. Subd.3. access to data by iadiridual. Upon rcquesc to a responsibie authority,an individual shall be informed whacher he is the subjecc of scor.d daca on individuals,and whecher it is classifi:d as pubtic,privace or conF.denaal. Upoa his further request,aa individual who is th:subjecc of scoced priva�e or public daa on individuals shall be shown che daa wichouc any charge ro him and;if ha desires, shalI be informed of[he contenc and meaning of[hat daca. After an individual ha.s been shown the privare daca and iaformed of its meaning,the dara need not be disclosed ro him for siz monchs thereafter unless a dispute or acaon pursuanc to this secdon is pending or addidonal dara on the individual has been coltecced or crear�d. The responsible au[horiry shall pcovidt copies of che privac:or public data upon request by the individual subject of che dara. 'Iht respansible authoriry may requir_ the reqcesdng penon to pay the accuai coscs oi makin¢, cerrifying,and eompiling the copies. 'Ihe responsible auchoriry shall comply immcdiacaly, if possibie,wich aay tequest made pursuanc to this subdivision,or within five days of the dace of the tequest,excluding Santcdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc within that dme,he shali so infocm[he individual,and may have an addidonal Five days wichin which to comply wich the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness oF public or pri�•ate data conceming himsdf. To ezercise chis righ�,an individual shall noafy in wricing che raspoosible aurhoriry describing the nature of the disagreemeac The responsible authoriry shall wichin 30 days eict:er: (a)corrcet rha data found eo be inaccura[e or incomptece and aaemp[to nodfy past cecipienes of inaccuate or incompiete data, including recipiea�s nam:d by tbe individual; or(b)nodfy the individual that he believes the daca to be correct Dati in dispu�e shall be disclosed only if the individual's sta�emenc of disagrcement is induded with the disclosed data. The de�erminaaon of ehe responsiblz auchoriry may be appealed pursuanc to the provisions of the adminis�arive procedure act relaang to contesud cases. � DATA PRiVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Ri�hcs 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 depanments may require you to fumish 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 suppty data, but refusal may require that the Ciry deny the perm.it or license. 3. The information may be shared wich other local, state or federal a�encies to the eztent necessary to process the permit or license. 4. If your requested permit or licease requires Council action to approve, some information may become public. S. You have certain ri�hts under M.S. 13.04 (availabie upon request) to review priva[e data on yourself. 6. Your full name is required to process this applicatioa or permi�. � ��-� � �� (�r J , First ,- �fiddlc Lasc �� I � ��y��, � � +/P _ ��,:'�,�� '� ��' �� Addreu �� '�� Gr,o �i � ,�i� ��/ �/ ��`� ��17D �rry Sate Zip Phoae I un erstand my rights as stated above. nscure Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan revie�v will be started. (please print all information) THE APPLICA2r'T IS: (circle one) OtiVNER OR CONTRACTOR JOB SI�E ADDRESS: Z�= NA1�IE OF Otii�i�TER: PHONE: (home) (work) MAILPi 1G ADDRESS: CTTY: ZIP: CONTRACTOR: PHONE: COiv'TACT PERSON: IYiOBILE/PAGER: MA1LT\'G ADDRESS: CITY: ZIP: STATE LICEI�TSE: # ARCHIT'ECTlE\TGItii TEER: PHOti�: I�IAlI�Itii TG ADDRESS: CITY: ZIP: NAME: REGISTRA.TI0�1# TYPE OF ti�ORK: New Addition Accessory Structure _ Move Remodel/Alteration Land Alteration PROPOSED`VORK(describe in detain: STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIi�IATED CONSTRUCTION VALUATION (excluding land): $ 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 Buildi-�� Code; that I understand this is not a pernut and work is not to start without a permit; and thac the work will be in accordance with the approved plan. APPLICA��"T'S SIGNATURE: D�'T�' NOTE! Parade o Homes events require separate permit approval by Police Department and City Council 60 days prior to tke event. Non permitted events will not be allowed. � 39-33863 LICENSE CERTIFICATE No. z4694� ��0�� Department of Regulatory Services —_� Minneapolis City Hall Phone 673-2080 L I CENSE N0. 05500 (��Oo�� BUILDING CONTRACTOR - CLASS A BANNER ROOFING CORP CODE DESCRIPTION UNITS FEE 139 BLDG CONT CL A 204.00 311003 Mail to: BANNER ROOfING CORP. 6001 LYNDALE AVE SO SUITE C MINNEAPOLIS MN 55�+�9 License expires 1 2/O 1/99 Renew betore 12/Ol/99 Post in a cons icuous !a � � p p ce. � Department oi Regulator ervices v��,q� STATE OF MINNESOTA �' DEPARTMENT OF COMMERCE (3� R .'� ;F �'`i�.��.�''- 133 East Seventh St .�" � :,�..�.. 3 . �y �': St Faui,'.vIN SS101 �w s �E ` r6319 , S1�2� •��t fi�� , __ BUILDING CONTRAC'TOR ID#2001204d BIJII..DER CORPORATION Expires: U31311'2t�i70 CkAIG R DAHI. 7 Hrs CE due by 3/31/2000 B?NNER ROOFING t�001 LY�tDALE AVE S /#� 2�I.S M2�T 55419-OOc�