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Home My WebLink About1999-011489 - reroof/gutter/facia PERMIT :ITY OF ORONO PERMIT TYPE: 750 Ka;1.�y Parkway- P.O. Box 66 �_��_�� ;rystal Bay, Minnesota 55323 Permit Number: _ _ , _ _ _ Datelssued: ,;�;;�;�; ;=;=; 31��J 473-7357 - - ��---,�-- . `�i'=i:. .�.=4°:=°�' {s'.��__ . _ - - . - - - __:1i.t.—,..,_: .3 i ��F�IPTt�N• -.=�;��{__- . :. . . "-__ ..��::�_��_ .". ''s j i^_.�;�t'� }-�:?S'�!j�'�. ! `r C+- �. —i-j��1.:�'`t.�`';t';E_4�=!+-__ j �i:7 i-;- �}�;�i:i.: t': �.i::_.C��_;�_;�.," :{=='t __ _ �-��. � `9 F'�4 F. {. ..;:.1-i { _ _�;t`. �',`_ "��"3["' �;��.'��s ':� OWNER: _.. .—,��i i � _... _ -- -_...= _.;:� ;'�-?�__��= �;S_ �.i-,L -`i-`�`` L^;:i __._. . . •�'.��__`.. . . _ __» ;'�`!_f��I_f !'1�y - - - - - - �:— > >.:�.._,-..- _ -- — - - - - ._ , _ _. .� ,. ,:—:.; : , _ f � , i��.� t'-;f;; ;( '':!`-;,,i i s+-- - 'N=�i";i - - �� i°i;-:.-- � i`�ti y::}i ;3t;�. ,��.� � . �'l?:= _ as,,�._. ._. _ 7; _._ ._. ._.._ . . .._=a�•.___=4 '_ . _._ . _ ._ ._ _ _ � . . . �±�._ . 's"E i .._. __ _. _ . _. . _ :,.�,�.�,..._._ » ._ _ _� ..--- - — - - - - - - - .. ._ .=e["�`rY. l }—' f C.�_r i,:?�ee ' ��-�Si±'i.I'�'�....� �`'. �`•'`. r'�L'i. 5`7'_i!'�k'•. �. . �� ; ?"._ ... . �_.i_IS°ii'"�I.....�::li{_.F... 4h'L I '� . ___' _- ._ . _.. r . _. .'.L»_ . _ . � _. .....- r� ._...» . .. �. ... . �. .. ..,�. .. _ _ _ . ;;_ _.,..... . _�..� ��•-f f t ;'-+'i: E i ?."3S E_.�.��: i`?t�iE.{ .�� ?=i ` �.=. �7�i" .'�i, f �!._�� _= i�'i ._ _� s �_�{_.. :�.7 _ _ _.._ . ... �i+•'-� '�.•`._�'_?�`.'�+ i �: _ ,. , �! `':t `- _ . . _ _. ...- -- ' . . � � _ ._ _ ,_ . . � R /�, J � ��/� ��'x-�'�` i ICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE . .� . � Sec.13.04 RIGFITS OF SUBJECTS OF D�TA ' Subd. 1. Type of data. The righct of individual on whom[he dara is srorcd or ro be scored shall be as set forch ia chis secaon. Subd.2. Information reqwired to be given indlvidual. An individual asked to supply private or confideadal daca concerning himself shall be informed a,`: (a) the purpost and incended use of the rcquuud dara wichin the eollecdng Satc ageary,poliacal subdivision,or scacewide rysum; (b)whecher he taay refuse or is.legally requir_d to supply che requesc:d data;(c}any fasown coasequeece arising from his supplying or refusing to supply privace or conndeaaa.!dara;and(d)�he idenary of other peaoas or enodes au�horized by st�ce ar federal law to receive cfie data. This requiremeat shall not apply when an ir:dividual is asked to supply invesagadve daa,pursuanc ro secaon 13.82,subdivision 5, w a law enfocccment officer. 'fhe ee:-�miszioner of revenue mav via:� che nodc- r_�uir_d under this subdivision in the individual income eiz or orovectv taz refund inscrucdons inscead of on chos�forms. Subd. 3. ?ucess to data by individual. Upon requuc to a rzsponsible authoriry,an individual shall be informed whether he is che subject of stor_d dan on individuals,and whecher it is classified as public,Qrivat:or conFdtndal. Upon his further cequest,an iadividual who is the subje:c of stored privace or public dam on individuals shall be shovm ehe dara wichout any charge to him and;if ht desues,shall be infocmed of che contenc and meaning of chat dara. Afrec an individual has been shown che privare dars and informed of ie�meaaing,the data need not be d'uclosed ro him for siz mon[hs thereafter unless a dispute oc acdon punvanc to this secdon is pending or addirioaal dara on the individual has been coilecc:d or erea�ed. The responsibie au�harity shall providt copies of the privat.;or public daca upon request by the individual subject of the dam. The responsible authoriry may requir_ rhe r_quesang peaon to pay the accual eoscs oi making,eerrifying,and compiling�he copies. The responsible auchoriry shall comply immediateiy,if possible,with any request made pursuant to this subdivision,or within five days of the dace of�he request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is noc possible. If he cannot compty with the requesc within�hat dme,he shall so inform the individual,and may have an addirioaal Five days wichin which to comply wich the request,ezcluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or eomplete. An individual may contost tht accuracy or eompteteness of public or private data cotsceming himself. To ezercise[his righe,an individual shall norify in wriring ehe responsible au�horiry describing the nature of the disagreemeac The responsible au[horiry 5hall within 30 days either: (a)correct cha data found to be inaccurac�or incomple[e and aaempc to nodfy pasc recipiencs of inaccurate or incomple�e data, induding cecipienes named by che individual:or(b)aodfy the individual that he believes the data to be correce. Data in dispuce shalt be disclosed only if the individual's scatemenc of disagreem:nt is includcd with the disclosed data. 'Ihe determinaaon of the rtsponsibla au�horiry may be appealed pursuant to the provisions of tht adminisaarive procedure act relating 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 City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. Zhe information you furnish wi11 be used to determine your qualificatioa for the perm.it or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or licease. 3. The information may be shared with other local, state or federal a�encies to the e�tent necessary to process the permit or license. 4. If your requested perm.it or licease 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 applicatioa or permit. ��-{J��t f' >Q� ��Z S� �� Firsc �tiddle Lasc �ZS l-f��t�t��l2 t/ f-�1 �� Address �/�'� �-�$K� �ri� :�.2;�� l� �'��53 . Ciry Sa�e Zip Phone I understand my ri;hts as stated above. - ,.�� . .. ,��'� s��, / L � Total Fee: $ C ,� � 5 Date Received: �'- L�_ jj Entered Sy: Permit#: %l/u/ + � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review w-ill be started. . (please print all information) THE A.PPLICAI�'T IS: (circle one) Oti�NER OR CONTRACTOR JOB SITE ADDRESS: =` !�i tt c �� i3�:�,'i�:-'i ��i;�.c_ ZIP: �` � :�"� �TA.��IE OF Oti�TER. Ci-i� �i.�P /�, ti'•�.�.�C� PHONE• (home) �rt ( % `` 7 % � (work) . �4d'-8� z5 NLAII..L�'G ADDF.ESS: f�� (+�k�(!i3t�:r Y f�(�� CITY: t.��G- L�l�� ZIP: '�:35� CO�ACTOR: ��'� 1}S Oc�;ti'��'2 � PHONE: � � CONT'ACT PERSO�': MOBLLE/PAGER: MAII�I�'G ADDRESS: CIT'Y: ZIP: STATE LICEI\'SE: # ARCHITECT/E\'GIl�TEER: PHOti�: MAII�I�'G ADDRESS: CITY: ZIP: �T��: REGISTRATION# T'i'PE OF tiVORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED ti�ORK(describe in detai�: /�� k'�� / �� L� �ST l��G SF�I w'L'��<'` �-;�� jL--rc.� �tr,�?. /�-N D So F'�'1 STORIES: � SQ.F'EET OF EACH FLOOR: j� � c NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. '� � �,c� ESTIiI-IATED CONSTRUCTION VALUATION (excluding land): $ � I hereby apply for a building pernut 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 Build:n� Code; that I understand this is not a pernzit and work is not to starc without a permit; and thac the work will be in accordance with the approved plan. l-r - APPLICA.1�'T'S SIGNATURE. �,� �> �1��`:�� DATE: �� -ff �9 NOTE! Parade of Homes events require separate permit approval by Police Depariment and City Counci160 days prior to the event. Non permitted events will not be allowed. �