HomeMy WebLinkAbout1996-007872 - carlisle roof system � ' f_ PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ���.�Z LL?T f�f4a
Crystal Bay, Minnesota 55323 Permit Number: {_y�;�a_l•y
(612)473-7357 Date Issued:
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — A��r�i i c.yn t. — '�;�T . �I�: OWNER:
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APPLICANT/PERMITEE SIGNATU E ISSUED BY:SIGNATURE
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Total Fe�: S ,>� q7: I� DateRec�i��ed:
. Date:�Qoroved:
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Encered Bv: �',�� Pe:mi�T:
CITY OF OROtiO - BU�ILD�TG PERNIIT �.PPLICATIO�t
:�LL Lr�'ORIL�TIO�IILST BE SL-B�iITTED li`+F�ZL BEFORE PL��REV�tiy tiV�II.L
BE ST:�RTED
THE �PPLIC:�:��'I' IS: Y (c:rc:e one) O�V�ER OR O�iTR�CTOR
JOB srrE �Dx�ss: ��►� 1 ���. , ►,'��A� .� �c-� zrP: ��5�
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N�l�1E OF O`VNER: �Di"1G��� SC v"� PHOti'E: (home) �-( 7� �(�1
(«�ork)
I�L�II.L�i G�DDRESS: a300 1 �r���1�i.�• CITY: j�?c�rlc� ZIP:�3�'�
CONTR�,CTOR: l�a�oc.lC-- �.Qrc�n � �; �<., PHO�tE: `7c�.�—�7/a��
�IOBII..E"Pi#v�ti��P:�GER:
�IAILL�iG�DDRESS: a30°I ' c - �- CITY: �S ZIP:���-�Q
ST:�TE LICENSE: � �Dc��`-��-�
:�RCHITECTr`E�G��EER: PHO��E:
11.�II.LtiG�DDRESS: CITY: Z�:
��:�1E: REGISTR-�TIOti �
TYPE OF `��ORIi: tiTzw :�ddition Accessorv S�ucture
tilove Re:nodeL�.�lte:ation � ?and�lteranon
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PROPOSEDtiVORh(describe indecail):.L�� -� <<� �J`'� Q�
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STORIES: SQ. FEET OF E�,CH FLOOR:
�,rp. OF BEDROOI�IS: G�R.-�GE ST:�LLS: :�TT. DET.
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ESTLtiI�TEDCO�STRtiCTIO\V�I-L:�TION(escludin�land): S (� �c�5 �� —
I hereby apply tor a buildin� pe:�ut and I acknowledae that the information above is completz
and accurate; thac the work wiil be i.n coniormance with the ordinances and codes of the Ciry�
and �vith the State Buildin� Code: th�t I unde:stand this is not a permit and work is not to start
without a permit; and that the worK wiil be in accordance �vith the approved plan.
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APPLIC�v'T'S SIG��,TURE: � �DATE: �I— .
�YOTE.' Parade of Homes events require separate permit approval by Police Department and
City Cauncil 60 days prior to the event. Non-permiited events will not be allowed.
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Sec.13.0� RtGHTS OF SUBJECTS OF D�T.�►
Subd. 1. Type of data. 'Ihe righcs oi individual on whom che data is scored ar to be stored shall be as sec forth in rhis sccdon.
Subd.=. Information reqtrired to be given individual. �a individual asked to supply private or contidendal dact concerning himself shall
bz informed of: (al che purpose and in�ended use of che requested dara wichin che coqeccing'state agency, polidcal subdivision,or stacewide rysum;
(b)whecher he may retuse or is legally required to suoply the requesud data:(c)any lrnown consequence arising from his supplying or refusing to supply
private or confidendal data:and(d)�he idenacy of o�her persoas or endtics authorized by srace or federal taw co receive�he daea. This requiremenc shall
noc appiy when an individual is asked to supply invesdgarive data, pursuaac to secdon 13.82, subdivision�, co a law enforcement o�cer.
The commissioner of revenue mav olac the noac reauired under this subdivision in the individual income raz or ocopem raz refund
ins[rucaons inscead of on thase focros.
Subd. 3. :�ccess to data by iadividual. Lpon request to a cesponsible auchoriry,an individual shall be iaformed whether he is the subject
oi stored dara on individuals,and whecher it is ctassitied�s public,private or conridznaal. L'pon his furrher requesc,an individual who is che subjecc
of scored private or pubtic daea on individuals shal!be shown ehe data wi�houc any charge to him and, if he desires, shall be informed of che concent
and meaning of chat data. :�fter an individual has been shown che privace daea and informed of ia meaning,the data need noc be disclosed to him for
six mon�hs ehereaiter unless a dispute or acdon pursuanc co chis secrion is pending or addidooal data on�he individual has been collected or creaced.
The responsibte au�horiry shall provide copies of che privare or public da�a upon requesc by�he individual subject o[che data. The responsible aurhoriry
may require [he requesting person to pay the acaal cosu of making.cerafyin¢,and compiling che copies.
The responsible au[horiry shail compiy immediace(y, if possible, wich any request made pursuanc to[his subdivision,or wi[hin five days of
the date of the request,txcluding Saturdays.Sundays and le¢al holidays.if immedia[e compliance is not possible. If he canno[comply with the requesc
wichin�hac dme,he shali so iniorm che individual,and may have an addidonai five days wichia wlvch to comply wi�h the requesc,excluding Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is aot accunte or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exe►cise[his nght,an individual shall nod'ry in wntin8 the responsible aurhoriry describing[he nacure of the disagreement.
The responsible auchoriry shall within 30 days eicher: !a)correcc the dara found to be inaccurace or incompiete and accempt to nodfy past recipients of
inaccurace or incomplece data, includin¢ recipiencs named by che individual: or(b)nod"ry the individual chac he believes the data to be correcc. Data
in dispute shall be disclosed only if the individua!'s scaremen[of disaereement is inctuded wict►the disclosed dara.
The determinadon of the responsible auchoricy may be appealed pursuant to the provisions of the adminiscraave procedure act relacing [o
concested cases.
DAT� PRIVACY ADVISORY
In accordance wi[h M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request
for a permic or license from the Cicy of Orono or any of its deparcmen[s may require you to furn.ish certain pri�•ate or
confidencial informacion.
'lou are ao[ified that:
1. The information you furnish will be used to decermine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the Ci[y deny the permit or license.
3. The information may be shared wich o[her local, sta[e 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.
�, 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.
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I undentand my rights as stated above. ,
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Signature