HomeMy WebLinkAboutrequest/permission for data release " + • ORONO ADMINISTRATNE �FF=CES
INFORMATION DISCLOSURE RE4IIEST
� I�SNNESOTA Ga DATA PR�CTICES ACT
• gLQLTES��R NOTE: �
A. Reauest Frequency - Private Data on individual.s. Afte= Y°u
have been supplied the data and infor�ed of its meaning, the
data need aot be disclosed to you for six montns thereafter
�unless a dispute or action is pending or additional data -on
you .has beeri col.Iected.
g, you may be reauirec. to pay actual costs in �aking•
certifying and%or comailing the copies o� information
requested. -
Date of Request: �` �`� ��' L,� ����
` . � , l--� , � � �
Requester Name: �' v � � ��� ' ��;
-� . �-''-�_�.-� City:
Address: � � �c C, `— `� � � C�-
z��: ��i� �i I ��� ��
Ham
e Phone: Business: �_��Z �
Description of 2nformation Reuueste3:
, ��_-Y--- i----- .
� -
gequester'. s Signature:
���.-�_ ����� '
Bgypy7 INFORMATION TO BE FII�LED IN , Y DEPARZ'MENT ��'Y
Han.dle3 sy:
Department:
ge�aest Type: _In Person .
Mai1 Phone
gequested By=
Subjec� of Data Not Su�ject of Data
=�oz�ation Re�u
ested is Classified: �u�li� Private
NaR-�ubli� :rotected Nan-Public
Conf idential
Aooroved Denied Approved in_Part
ge�qaest is: —
Remarks/Camme�ts:
Anthorized Signat�re:
_ $
Fees:. X TotaZ Due ..
No. of Pages Rate per Page
�
Y'O�
� ��\^ 0
,� ���: ,, Request for Reprint of Oversized Documents
�'� ` �'n ���' or Building Plans and Blueprints
L9kESH0�'�
Date of Request: l� 1 � J �}L�
Document Address: _� ��.��%� �`ti.�-�NC.�_{ (�,-�, ;(� 1Q^���J
Name: ��.���(�
Address: �U�� ��,,�� _ 1��� �����-�.�1 :�' l (1(J
City: �-'��I�lt��-�PC'��15 State: �� Zip: �J�J� ��j
Phone: , � � � '� v���S ' Z� " ��
� � �� � ���Z � � � � �}Ss�' �
(Work) (Home) ,�� �, �r� � v S
-- _ _
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Description of document(s) to be reprinted: _(��--{� QQ�,�N s'S ��-�
CHARGES: All char�es must be paid at the time of the reQuest, and are non-refundable.
Requests must be picked up at the City offices unless other arrangements have been made. The
charges for reprints of oversized documents and building plans/blueprints are based on the
following:
Cost of Prints: ��, t�� � �i � �. �� �
Special Handling Fee: a,5, U�
6.5% Tax on prints and handling fee: °7 ?C�
Pickup/Delivery Fee $10.50
Clerical Fee $ 5.00
i � 5. ��/
`� .
C
(signature)
,
2750 Kelley Paric�vay,P.O.Box 66,Crystal Bay,MN 55323
Phone: 952-249-4600/Fax: 952-249-4616/www.ci.orono.mn.us
�
August 20, 2003
Calculating Charges for Reprints:
1. Image
Each image scan=$5.00
2. Print on Bond Pa er
Paper Size Cost to Scan Cost for First Total Cost for Cost for Each
Print One Print Additional Print
11 x 17 $5.00 $1.00 $6.00 $ .40
17 x 22 $5.00 $1.50 $6.50 $ .60
22 x 34 $5.00 $3.00 � $8.00 $1.20
34 x 44 $5.00 $5.50 $10.50 $2.20
Add the image scan cost of$5.00 plus the cost of the print by paper size; i.e. a 17 x 22"reprint would cost
$b.50
The size of the reprint depends on what size the customer wants and the size of the orig-inal dra�ving.
Sometimes the customer wants the reprint to be the same size as the original,but it could also be smaller
or larger.
4. Special Handling Fee
1-3 images No Charge
4-9 images $12.50 (approximately '/4 hour)
10+images $25.00 (approximately '/z hour)*
*If you have approximately 20 images, it would be $50.00.
3. Sales Tax
Add 6.5% sales tax on Prints and Special Handling fee.
5. PickupNelivery Fee
$10.50-includes both pickup and delivery
6. Clerical Fee
$5.00 as listed in the Orono Fee Schedule
City of Orono
P.O. Box 66
Cry5ta1 Bay, I�1 55323
t95c)249-4600
04/01/04 16:46:08
Custo�eer: BUILDING PLt�J REPRINTS
6'EI�RAL TAXABLE SALES
1 8 135.84 135.84 +TX
SUBTOTAL 135,g4
TAX 0.pp
TDTAL 5Al.E 135.84
Check Received 135.84
� 0.00
CLERK� 03 TRANS� 227�7
X:�Data�Administrative Support\(Forms)�Request for Reprint of Oversized Documents.doc
' oaiaiioa i5: ia FAX _ _ _ �002
' ' ' --——— — —�— T 612 92� 4706 P.e2
MAR-31-2004 14=18 �OLDWELL BFINKER BURNET
BRUCE A-�Y�L�
��l g��dURNFT
MinneapoFs L�kes Otfite
3033 6acelcior 8oulevard.Suiie 100
��nedpolis MN 55�16
To�o�It May Concern,
I Mary��II�'►�e°��°�1360 French Creek Dtive i��n°fr��a city of e�e
release of architectural blueprint$fToc�B�kelands Cynd��o �M�us de los
O r o n o c o T h e B u k elaxld GmuP� u
Reyes of Coldwell Banker BuTnet•
. � � v �
M�y Guz Date
612-925-g405
bruceabirkdanc'.�a�l.com �•
TOTAL P,a2
, , , PAGE 7 CUSTOMER COPY INVOICE DATE 4/19/2004
Engineering Repro Systems CUST ID 9so2so
3005 Ranchview Lane North
Plymouth, MN 55447
USA INVOICE NO 67457
(763)-694-5900
ORDER NO P0016651
S 960280 S Denise
O ORONO,CITY OF H 04/08/2004
L P.O. BOX 66 I JS,
D CRYSTAL BAY, MN 55323-0066 P
T T
O �
NET DUE 131.53
SLS1 SLS2 DUE DATE DISC DUE DATE ORDER DATE PLANWELL/EWO iD
100 5/19/2004 4/79/2004 4/8/2004
TERMS DESCRIPTION CUSTOMER PO NUMBER SHIP VIA
N30
ITEM ID TX CL UNIT ORDERED SHIPPED UNIT PRICE EXTENSION
PLY HANDLING I 0 HR 1.0000 1.0000 25.0000 25.00
HANDLING IMAGING
1 set(s)of 1 Handling
PLY BOND File 0 SQ/FT 66.0000 66.0000 .5000 33.00
BON D PLOTS
1 set(s)of 11 22.00�34.00 Bond Electronic
Original
SA-L 0 EA 11.0000 11.0000 5.0000 55.00
CARD SCAN
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,U ���;� �1 r
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��� CiCY V�V���O
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We appreciate your business.
TAXABLE NONTAXABLE FREIGHT SALES TAX MISC TOTAL
113.00 0.00 10.50 8.03 0.00 131.53
PREPAYMENT 0.00 NET DUE 131.53
FROM :CAPREIT-REGENCY PARC FAX N0. :9529039258 Feb. 14 2008 01:53PM P1
RECEIVED
February 1�, 2008 �EB � � ��Q�
City of Orono CIN OF ORONO
P.O. Box 66
Crystal Bay, MN 55323
RE: 1360 French Creek Dxive
To Whom It May Concern:
Andrea Bri�gs, has authorization to view and copy the floor plans for my home at ]360
French Creek Drive.
If you have any questions you may contact at 203-829-1213.
Sincerely,
��
Martin Graf
13C0 French Creek Drive
Orono,MN 55391
PUG-2�--(J!� TN�U 09�53 Ai�i FA� N0, P, 02
� �
i�TEMOI�ANDUM
TC): Ivlereditt� Ho�vcll ,.-�-
Coldwe iiker aar
�9" -�+7S-a . f
I�h: Jahn Tai' y
RF:: AcceSs ta Micrufi he C'.opie� of
I3b0 Fre ~h Cree Duilding Plans
U�l�:::l1L1'-�'L1Si ��, �Q��
� iz�reby �i�•c ;�uu c�r��aur a��istai�t, Andi Bri�gs,p�rmission t� access and cop�� b��riciin�
plans far aur}�ornc at 13b0 French Creck 1�riv� frum microfiche files at tl7e Citv of'
Or�:�o's affices. . J
If y�ozt have any pr��blems, plc��t�� sp�:�tic w��th Lyl� C7nYan at thc City�.