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Home My WebLink About1997-009088 - re-roof/tear-off � �. PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �"•' ".-'�`�`�'�`� Crystal Bay, Minnesota 55323 Permit Number. ':�i.'`��.i=T«�= _ (612)473-7357 Date Issued: _ �.�� :`'.��-�.� SITE ADDRESS: '�;�� .��_ �;� !,_ � - . �� . . .. . --� �,i__-:='_ _..�._- . _ ...- DESCRIPTION: �-- .__ . ,�{!_E�'!' (_..r:E-i—i_I:.• i��l.�3 i°�?l 11�a �`�I'�Ei 1' �I Y=��=_ 'T„�--H=�;!;�:`�i`.L j�{i_=f�'s.:L t., ;�y . . ��.�i �F��3��l�--�t Y.'i�i 1'�:, i f��': �y`j-«..f��_��-lL t::��7`��i'= �:;��,1.:-� .�.:��.�i ''rif_; . �i;�`•��'��4 1 f-i!._ REMARKS: FEE SUMMARY: . . .___.' ' _ _ . . . _ . i:=°'�` s:,�.=;•�:�_ , c=?=' '�s%��.� . .;_:'�+ _S;'i'�'t:;1'�--- ___..._.��._... �.i-.�".�...�i�`s`. ?'::f.r;, f _..{-_Jt-s �-�r�i h-..7 , i � . : . , ,,:.,.. ,. ;. C NTRA TOR: � _ :;;=:;-.:r , ;_�__:_,: _ ...: � _ :._ :�._: .OWNER: ;_ _ ; ic't t:Fi� .! I � �' :-�� •-��s i r y''-` i ; s ��' _._ _ . . ... �'i . ._ _. . . � _ _ t.__.f � 2 u1:..•_. . . _.�'tF,•r ..�;_ll� �=+�+1=t��.._i��'�a �"'IY` ._ .'=� _._!:f`"�t` ..' i i{;'��':�h�r�f�i 3�_ �S{�Y� �L.�!�� ._ '_�,�i��t S �'�Fi'} [[._ _ . . . � . _.. ._. '_ , .. _ .. �,�'"�H:, i»'i`�!�. ;.t.•��i i_J�%1 t.�".`' �_L `� :._.�_,�.:_._. t :'+ �`_.�".��'... _ ._ _ _,i� • � r."._.. f . .._ . .....r`;i 3€'`.. ti.., . _...�'. �.�I_: � "; �.i {� .. � . `:..�:'t:� ... _' r�_. f}�a,_i ;�-it..�..f``.��_ �,:.i _ t-1}�..�.._ �:ri r� .r�-. t='•, _ _ _. I t�t„1;�. _.L�ir..__ �:=? #�, Y��._�_ _ ! °�� _. z' ��I i ��F; �. ��- ��.��" .'._t _r�r.��f- � i t : i .k�� . _ : �� s �� ,� _,i ��, � , � _ s, ... . . _ . ._ ... �.._ . .. � . � • � _ .... . __ _ , .». �.. . .. , _ t c � . � '_ -. � ' _. _ .. ....._._ . :. . _ .__.... ..... r . � � � APPLICANT/PERMITEE SIGNATU ISSUED BY:SIGNATURE �a . �.• Total F�e: S � �, � � DateRzc.eived: . Dace:�pproved: Entered Bv: P�:mit=: q(�� CIT OF ORONO - BU1�LD�TG PER1l�II'I' �.PPLICATION AI.L I�`FORtiI�iTIOti I�ILST BE SUBtiiTI'TED P��ZL BEFORE PL�v REVIEtiV tiVII.L BE ST:�RTED ----------- --�---==_---- ------------------------ THE �PPLIC�:�'T IS:N � (c:rc:e one) O�V�ER OR NTR�.CTOR JOB STI'E �DDRESS: I�S� ,�t ►�- � z�: � 53� I ' �7(�?_. � y� —� N��IE OF O�V�tER:�1�>�"�5 �'�-��-�— PH0�1E: (home) (work) �ln 5 - i--�'�� ( I�LAILI�i 1G�DDRESS: ' �CJ i-��rt,� �� CITY: �7 �) ZIP: c�-,��I'i I �: _ t�i Q�� ,� PH0�1E: �� ` ��->�`� CONTR�CTOR: � �� -IOB PHON�E/P�GER: � ,�i,� , ,� r�-� ,5 M;,p i .: ZIP• � �;iv1 I�IAILINGADDRESS: ��V � S � �� CITY: • � � ST:�TE LICENSE: �� .� _ �,RCHI7�ECT��G�vr,�,R: PHONE: �IaILL�G:�DDRESS: CITY: Z��_ N��IE: REGLST'R.�TIO�' � TYPE OF tiVORti: Ne�v ?�ddition Accessory S�ucture _ Move ?e:nodeL��lteration L�i Alteration PROPOSEDtiVOR�i(describeinde:ail): ` �� r '\ ��. (`� i . ��i ,- �.� n < <�t. k��t�a � STORIES. SQ. ��' �F EACH FLOOR: �r0. OF BEDROOI�IS: G�1R�GE ST.-�LLS: :�TT. DET. � ESTLtiIr'�"TED CO�STRtiCTIO``''�-L=-�TION(eYcludin�land): S ��1�' �� — I hereby apply for a buildin� pe:rnit and 1 acknowledQe that the information above is complece and accurate; that the work will be i.n contormance w'th the ordinances and codes of the City and with che State BuildinQ Co unders �s is not a permit and work is not to start without a permit; and that the work will in rdan with the approved plan. 0 � � �f � �1�,TLRE. .. c.� C.�-iz- ,�,�, DATE: C_r3 I�( APPLIC��t'T S SIG , NOTE.' Parade of Homes events require se rate permit approval by Poliee Department and City Cauncil 60 days prior to the event. Non permiited events wi11 not be allowed. � Sec.13.0� RIGHTS OF SLBJECTS OF D�TA Subd. 1. Type of data. The rights oi individual on whom thz data is scored or to be stored shall be as sec forth in chis secaon. Subd. '_. Information required to be�ven indicidual. ?.n individual asked co suppiy priva[e or conndenaa!dac�concerning himself shall be informed of: (a) [he purpose and in�nded use of the requesced data wichin ehe cotlecang'state agency, polidcal subdivisioo, or sracewide rystem; (b)whe[her he may refuse or is legally cequired co suopiy[t�e requesud dat�;(c)any Irnown consequence arising from his supplying or refusing to supply privace or confidendal dara;and(d)[he idznacy of ocher persoos or enodes authorized by stace or federal law to receive the data. This requirement shall noc apply when an individual is asked to supply invesagadve data, pursuan�to section 13.32, subdivisioa�, co a law enforcement o�cer. The com.�nissioner of reve ue mav olac� �Z� rotic� r�auired under �his subdivision in the individual income tas or vropem taz reiund instructions inscead of on those forms. Subd. 3. �ccess to data by individual. I:pon request to a responsible authoriry,an individua!shal]be in2ormed whecher he is the subject oi stored data on individuals, and whecher ic is ciassitied�s public, pnvace or contidzndal. Upon his fur�er request, an individual who is che subjec� of scored privace or pubtic data on individuals shall be shown ch�data wichouc any charge co him aad, if he desires, shall be informed of the conten[ and meaning of rhat data. .�her an individual has been shown che pnvate daca and informed of i�s meaning, the data need not be disclosed to hun for six monchs ehereaiter unless a dispuce or acaon pursuan�co chis secnon is pending or addinooa!da�a on che individual has been co(lecced or creaced. The responsible aurhoriry shall provide copies or�he pri�•a�e or public da�a upon reques�by che individual subject ot che dara. The responsible au�horiry may require che requesdng person to pay the accual cosu of making. cerdfyin¢, and compiling rhe copies. The responsible authoriry shatl comply immedia[ely, if possib(e, wi[h any request made pursuant to this subdivision, or within five days of the date of the request,excluding Saturdays.Sundays and leeal holidays, if immediate compliance is no[possible. If he canno[comply wittt the request within chat time,he shall so iniorm the individual,and may have an addiaonal tive days within which to comply wi[h�he reques[,excluding Sacurdays, Sundays and Iega! holidays. Subd.4. Procedure when data is not accurate or complete. An individual may co�[est the accuracy or completeness of public or private data conceming himself. To exeFcise�his right,an individual shall noti"ry in wri�ing the responsibfe authoriry describing[he oature of the disagreement. The responsible authoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomptete data, includine recipienes named by che individual: or lb) noary the individual cha[he believes the data to be correct. Dara in dispute shall be disclosed only i[the individual's statemenc of disaereement is included wi[h the disclosed data. The determination of the responsible au[horicy may be appealed pursuan�ro rhe provuions oi[he adminisa-adve procedure ac[ relating [o contesced cases. DAT� PRNACY aDVISORY In accordance with;V1.S. li.04, Subd. 2, "Rights of subjects of data", we wouid like to iniorm you that your request for a permi[ or license from che City oi Orono or any of ics depanments may require you to furnish certain private or confidencial information. "Iou �ue :,ocitied that: 1. The information you furnish will be used to decermine your qualification for the perm.it 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 wi�h o[her local, s[ate or federal aQencies to the extent necessary to process the permi[ or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain ri�hts under �f.S. 13.04 (available upon request) [o review private data on yourseif. 6. Your full name is required [o process this application or permit. . `L�..�r�'Tt'��'�'►'�.> �',�L �..L�S��`�-----(r-1 First l-tiddlt �� l T V ��v�7`'�E.:SL"�� ..y/�.l liC� - .4ddress 5(-�,(��; Ezv iZ9�� 5S/ �-�, ��5'b�v/�� C�ry Sta[e Zip Phone I under d rights as stated a�bove. �� ' �'� �J �