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Home My WebLink About1996-007846 - tear-off/re-roof , !- PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: ��+�.)�;+�t� Crystal Bay, Minnesota 55323 - - - (612) 473-7357 Date Issued: �s3�7�=�dN�� i):.��j,�,;�;c SITE ADDRESS: °�� n�vi��?_� %��h� i__�<<1 �' f P�i =��-f i u- =��L��z1s� DESCRIPTION: I!-�;}�;`_..i I}-i�;�1-i�—l-i i�i!_E r. i=+�rti .Ci:?!l'� �`�'1'Ct'i1f• �Yr,�� '=�"—(.�jiil%;=?s=�'IE_+�i�� i�j, �r�j.i"�� c1��i1'{�:; j vc�t�= �F-,—j=3;1_if_fj– t=��3��u:� ti:t_�E�� .:;�. i�L�l� . ?�:�°��T C�t:i��i i r?L REMARKS: FEE SUMMARY: ':��t�,tir.�•;;��,{ �_�� L;;�=t �;.��t: �� '�_'!� . I� y ____�_�_ ��. " - '.�:t�1'C.�ici!''��:' .�..�.',:,'. }f�i i.i:�� f''F'° C�' IN�, �_�.�� CONTRACTOR: OWNER: -- H��=�I i+_�.rt t. ._ °=,T . 1__i�-: _��:�ti FiE_t�_:��,i�� .�M<<:'::;;;t:.��=. �t:.�t�� !-;t i�,:W.�: �'::i-�E 1C::��. _ �''��== F-i��lt�?t��='I C�� r��J� � '_�� . _:��ii�Fj�_(= ��l;�.Fit� �•i I t�t�f��iF'�::3�.T�=; �i�� :r.�::_; �r:+�:t';��t_� t�t:� c.�,•::__� i w,i ','_'.� _ ' ;�s�.�, i:;=,f �y'3;,?:=;--i i;��.f�. T� �L i:�:i3 it; - I t-i{y;-i i � y,��-��°g' I,Ai:=i 1�: �—i - ��iti,-i7 �:!('} �;�{ IT�t:�'[ �r; �``�i�! ':i-,� ��i,=.t-:'ii-,1 y�:-: . �tl.,. . . _ ._. �. .__. �f 1�� _ ! �_ �_._: 1•Y;��'y _. 4 ... .. . '•.C_�. f x� !!L .'.t. ��'`i . ��! _. 'w��J��'!_��' �� f-1�'��.�° �-i'-:3i'%�:j�:`•-� !(�{ ;l�_( ;i!_�_ ',bj!_1!-�:!'�. �I'•� �� i !=.'?;?� �:i�ij�#i�-'L_��`,(i_:F ��I��'� '-i�1.._ '•._:� { '•.'' f_�{-' � }_.f�!_}�`,�l�I 1_i�.`�J F t;!�=:1i;_:t�'�� j-;�'::L;° _:i�-q �� :_.ii- �.i T h�#'ar�:�;!_E��t t�-:(i j,�[)�,i.�t.� �..��_.��.?� �+"�(�?k_!7,�if-:'��::.�+i�`•_� . �.1 � � l� � APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE , ,� � • Tota1 Fee: S ��'' 4 ', DateRecei��ed: DateADoroved: � Pe:mit~: '1�(�(a Entered Bv: �,;� CITY OF ORO�O - BLTII.DI�IG PERNIIT APPLIC�TION ALL I�i`FORti�L�TION�fL.�ST BE SLB�iTT�ED IN FULL BEFORE PL��1 REVIEtiv tiVII.L BE ST:�RTED ---___ -- -----�1.------------------------- THE �PPLIC:�:\�'I' IS: ~ lcircle one) O�VNER OR CONTR�C�R JOB SIT'E :�DDRESS: t� % " �'� Z�' �i SJ 1/ �tAil�1E OF O`Vr'ER: C1�V C� /�UG S�c PHONE: (home) ��TG'T�y (work) l�1AILL\'G�DDRESS: �/ � ,��E'/V�IfG� C�k'��ITY: C�,E'� �t c: ZIP: 5'S3 yf CONTR�CTOR: �c�9 �P��`� _PHONE: „��--3�C�� I�iOBILE PHONE/PAGER: 1�IAIL�G:�DDRESS: �/oc� �Xc��y��P ��v�� CITY: 5 T t-��,:S ��t' ZLP: S� 7 / � ST�TE LICENSE: ��f[)�[� �RCHITECT/Ei�G�tEER: PHO\�E: I�IAILL\G�DDRESS: CITY: ZIP: v�vlE: REGISTRI�TIO�t n TYPE OF `�ORK: New Addition Accessory Struc�re ��Iove Remode'J:�lteration L,��d Alteranon PROPOSED`VOR�i(describe indetail): ��r�z �--� �e�z.� �c��--� STORIES: SQ. FEET OF E�CH FLOOR: NO. OF BEDROOI�iS: G�R�GE ST:�LLS: .�TT. DET. ESTLI�TED CONSTRLTCTIOti V:�LL:�TION(esciudin�land): S .�, �� - I hereby apply for a buildin� pe:mit and I ac?cnowledae that the intormation above is complete and accurate; that the work will be in conrormance with the ordinances and codes of the Citti' and with the State Buildina 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 �vith the approved plan. APPLIC�'�1T'S SIGNATURE: a., DATE: 'y�h ��' . �VOTE! Parade o Homes events require separate permit approval by Police Department and Citv Council 60 days priar to the event. Non-permitted events will not be allowed. ��'' .�• � . Sec.13.04 RIGHTS OF SLBJECTS OF D,�Ta Subd. I. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as sec forth in[his section. Subd.2. Information required to be�ven indi�idual. .�n individual asked to supply private or conndenaal dara conceming himself shall be iniormed of: (a) the purpose and incended use ot[he requested data wi[hin the collecdng"state a2ency, polidcal subdivision, or stacewide rystem; (b)whechzr he may refuse or is leeally required to supply cfie requested data:(c)any k�own consequence arising from his supplying or refusing to supply priva[e or contidendal data:and(d)the identicy ot o�`:er c�rsoas or entides au[horized by state or federal law ro receive the data. This requirement shall not apply when an individual is asked to supply invesn�sdve data, pursuant to secnon 13.82, subdivision�, to a law enioremen[oificer. The commissioner oi re�erue ^ia� olac .'r odc rcwired under 'his subdivision in ��e individual ir.come taz or oropem taz rerund instructians instead of on rhose rorms. Subd. 3. ?,ccess to data by individual. L?oon reques[to a responsible authonry,an individual shall be inYormed whether he is the subject of stored data on individuals, and whe�her i[is classided as puolic, pnva[e or contidennal. lipon his [urther request, an individual who is the subjecc of s[ored private or public data on individuals shall be shown [ne data wichout any charee to hun and, if he desires, shall be informed of the concen[ and mzaning of that data. After an individual has been shown[he pnvace data and informed of ics meaning, the data need noc be disciosed ro hun for six months[hereafter unless a dispu[e or accion pursuanc co chis secnon is pending or addido�al data on the individual has been collected or crea[ed. The cesponsible authoriry shall provide copies or[he pn��as,or pubiic data upon request by[he individual subject of the data. The responsible authority may require the requesting person ro pay �he actual costs of ma}:ing, cemfying, and compiling che copies. The responsible authonty shall comp(y immedia[ely, if possible, with any request made pursuant to this subdivision, or wirhin five days ot che date of the reques[,excluding Saturdays,Sundays and le�al holidays, if immediate compliance is not possible. If he canno[comply wirh the request wi[hin tha[cime,he shall so iniorm the individual,and may have an additional five days wirhin which to compty wi�h the request,excluding Sa[urdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concemine himself. To exercise rhis ri�h[,an individual shall notify in wncing the responsible auchoriry describing the c�ature of the disagreemenc. The responsible aurhoriry shall within 30 days either. (a)correct the data found ro be inaccurace or incomplete and attempc to nodfy past recipien[s oi inaccurate or incompizte da[a, includine recipienes named by the individual; or(b) noti"ty the individual that he believes the data to be correcc. Data in dispute shall be disclosed only if che individual's sta�emen[of disaereemenc is included wi[h che disclosed dara. The de[ermina�ion oT the responsible au[honry may be appealed pursuanc ro �he provisions of the admuustranve procedure act relating to contesred cases. D:�T:� PRNACY ADVZSORY In accordance with�I.S. 13.04, Subd. �, "Riahts of subjects of data", we would like to inform you that your request for a permit or license from the Ciry oT Orono or any oT i[s depanments may require you to furnish certain private or confidential information. "iou are ^o�ified cr.a�: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply daca, but refusal may require that the City deny the permit or license. 3. The information may be shared wich o[her local, sta[e or federal aaencies to the extent necessary to process the pemut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have cenain riQhts under �4.5. 13.04 (available upon request) co review private data on yourself. 6. Your full name is required to process this application or permit. �-�� ,r�c` f��j� �7`� First ( '.i:ddle Last 7lQ C> �� G-"�S�D� �_ G'/] — Address S"r �ui S .�.� .G/�' �� S�/� d��-�3��5�� - �ity Srate Zip Phone I understand my rights as stated above. � ,�..�--�.�'c��_ Signacure