The URL can be used to link to this page

Home My WebLink About1997-009349 (tear-off/re-roof) PERMIT CITY OF ORONO PERMIT TYPE: , 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: (612) 473-7357 Date Issued: a _ _ SITE ADDRESS: DESCRIPTION: - .-.-�_�r=.`�.w. "._ : - � �if� �:`1_.j I f t_.i?i�'',3 . ,i'-i:= _ �,'?i=':-�� V;€'"'_F�'•.<�'_�;�:tl'�S_�}.:E_�_ � } _. �� t. —k" C:,� — r'��j� �i�i i i�_i i {I'F:, �J��i-:? . __~.�`�'. '_a r �r•�,�:•.-E_;�•� i_'—:r�� i}:��.�. s��L � . ;'+:�'��L^t�t,,i;!H!,_ REMARKS: FEE SUMMARY: - .. .. � . _ _. . �� . . - � . _�•�:=� =;�:� '�•��'�`_�' . .�c `�(1 .�..'',l'•�^ .",..t.i . _ - _. ..'i..� ._. T��s4�'�F.�'��.L•�:»y5 i _�r_..`__.�s�_.m._:s � F,�t:..�i� 'F�+',_' . w _ � . _ ... CONTRACTOR: .. :.:_- ; ;- ;:;,: .... ,_. : ;:-: OWNER: �. 3:`'`'F_3 . .. . . 4+?.�____ I .-;_I 11.�..t_�,' .. _ � ,. _.l''i._ �_.} .. 4�' . .._ . . _ . ._ ,.., _ ' _ _ --, r . �_ r _ , .; ,_ _ — — _._ , ___ — — i. i..,,E :..�� . �i ��.;..•._:, S _ s. r _. r . . . � i' �..� . ._�.� t _ . ..�. .. .. ... ... ... .... . . �. . . . .«. . . .�. . ..�... . .. , .... .... ....... . �u�•.� : r.- _ r • �T� C M' ..... ..�.`..� .... ..�s _.t .._.:_t . ....:�.�....i...� ( ..,.. ,.. ..' . . i.. € , .. i ii' �'{. �1..... 1 � _. ^ x.. �.} - �`+' . _ � •' _ .- ,7 ' �.j� .,.'- .. ; 1 . � rYij'v:,' 1-i_R, ..........��.' '. _ `f�...i . ......_. .. _'r',�. . _. . . .... ... . ... ...�? .. _._.4.�'�_..._ .. ...NS , . . .___.- ». . . . . L S��'�`f Il�3{�f .4 `*. .. .��.._`�.�— k�-�=`:._� _ , .'_iu _,a s !�.i�.`�.__ ..t t :•i _ ., .----_ ... _ M _ __ . .�_ , .4.. .._.. ._, . . _. . � _ ._. ._ .. E .'t r—; .T._ Gt�_ �� 7 � �-� APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE � . Total Fee: $ ' �. Date Received: , ' �� ' ' � Entered By: � Permit#: � - �� ,_ CITY OF ORONO - BiTII.,DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. � (please pr{�ct all,information� ��'�P�!uC�c�� rL ��,i �.�%,�,E�_--�=_��j<<<��:_-',: >_� � THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: `��t��j ��s � C12c_� 2 ZIP: � NAME OF OWNER: ...�� v�,� �� Co`�Q.� kC?�,�,; PHONE: (home) �=/ - ; ''% j (work) MAILING ADDRESS: >��`,� �-��Sc,� �-e�ciL CI1'Y: ��aa��.,1,�J,�; ZIP• , CONTRACTOR: ��,� �. �� ! � � � �, _� '`_>��.�� PHONE: ``��C��'��132 CONTACT PERSON: --- ' �� :�� MOBILE/PAGER: �-C � -1 =�?, ��! MAILING ADDRESS: I��, �� ,J . �\,�,T,�,�_�1�+�.� CITY: �,�1� i -1 ZIP:-�=;`�;-�,�E� STATE LICENSE: # ;�,��,-�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: `��$� �E-- � '�i �-�,F;;z��- �--��,5��(��v��__ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ '� � L�-=% �� 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 Building 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 accordanc��vith the approved plan. � � __�� APPLICANT'S SIGNATURE: � '�� -��__ '�_ DATE:� ,�� , �� a� NOTE! P�rade of Aomes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. , `; ` ./�.��2.�_ol ��v-'z��c�s--�� .� '.`� G��2`�� r��-� ��Z ��sJ�, c�' L/�Z�Yi22-u'-�. �% �_�- �d_ -- � i - Sec.13.04 RIGHTS OF SLIBJECTS OF DATA Subd. 1. Type of data. "Ihe righcs of individual on whom rhe dara is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidendal data concerning himself shall be informed of: (a)the purpose and in[e�ded use of the requested data wi[hin the collecdng'statB agency,polidcal subdivision,or statewide rystem; (b)whether he may refuse oY is legally required to supply the requested data:(c)any known consequence arisiag from his supplying or refusing to supply private or confidendal data;and(d)the idenory of other persons or endaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgarive dara,pursuant to secaon 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the nodce reouired under this subdivision in the individual income rax or propertv raz refund inscrucdons instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is class�ed as public, private or confidendal. Upon his further request,an individual who is the subjecc of stored private or public data on individuals shall be shown the data without any charge to him and,-if he desires, shall be informed of the contenc and meaning of that data. Afrer an individual has been shown the private data and informed of irs meaning,the data need not be disclosed to hun for six months thereafter unless a dispuu or accion pursuant to this secdon is pending or addidonal dan on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting peraon to pay the actual coscs of making, certifying,and compiling the copies. The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or wi[hin five days of the date of the request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legai holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or pri�•ate data concerning himself. To exercise this right,an individual shall nodfy in wridng[he responsible authoriry describing the nature of the disagreement. T'he responsible authoriry shall within 30 days either: (a)correct the data found to be inaccu�ate or incomplete and attempt to noafy past recipienu of inaccurate or incomplete data, inciuding recipients named by the individual;or(b)noafy the individual thac he believes the data to be coaect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disc(osed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the admirustradve procedure act reladng 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 City of Orono or any of its 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, but refusal may require that the City deny the permit or license. 3. The informa[ion may be shared with other local, state or federal agencies 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 rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. � ( �, , , �"_ �,��1 �cbR 2 � ��1�+.�b� �L�, r � First Mid Last I`4' �;� � ��, 1\� � �,> > � �� Address � ,\ Z � � 7 ` T � �+.��c,s ,L��a ' �'l�n� ��C �,�,� > � �� 7 Ciry Snte Ztp Phone I understan� my rights as stated above. i � ' _-��-�- � ��9-A - Signacure