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Home My WebLink About1999-011483 - tearoff/reroof PERMIT CITY OF ORONO PERMIT TYPE: . 2750 Kelley Parkway- P.O. Box 66 `'�'•�!=�'-��t= Crystal Bay, Minnesota 55323 Permit Number: ;�;� � �_�;:; (612) �f73-7357 Date Issued: t��,.f;;�:,:_:�� SITE ADDRESS: _ , ,;�.'��` L�%�L��%-is-�._� H`4`=. ��:� T . . _ . . �i7—i '# 7—�'..- _ _—:'s€.'sti:�7 DESCRIPTION: ��{�i#_t i-{- :`I-i L�i:_'t�_!� ��.�1 .L t�T 1'1�'� (='�+1'�l11 F• 1 •:�:.,ts :_,�-.._;;;;j i��;i��ri{�li�S�� i;_�� .��=t�� i::�_:;��:; �Fv�:�r:: �'�.-'�,'i�ilii- ��?'1�3��:� t�,��j,ti �r:t:_�� H!� . :,`.r`_::��'��W�1 f-1�_ REMARKS: FEE SUMMARY: . . .___�t: i �t�li�„ �F�, '�':i:) L;.�•=� i r=� �s��4 . !� -�1 i:'��"'t;�j''_:�}' ----�._ .{ m.{.G {3"i i._i f �F�� '�•y i�y_�L'. _ CONTRACTOR: — ��s=�� .}=�� — `=�� . �-��-= �OWNER: �:'T t;i�#� i�.��;''; -:_ilii- ��,Ei; 7 �-L.�`;T,r=.�`;,: w;'�#:'a _ _..=iyiy;; ;�: �i;i{,ei�='t�,i �.r_,�.�:� �t��i� r�'��. r� .� _ _ _`r`�Iii=;u r�'•�E . ...�:'�*�l�i.!I�� . .. . Gi'.L.:1�, E�l;ei1-lE,�;_i Pr,'i� C,�_v;•_�i . _ _..._.f ._}_!I`—i ti_�f i v , t_3 V�� ,_Si:�•Y_� �' L ...�.t i .{s5T„� -:Y..°� ' 1�4..•i i��;.,;�•' .' �..... . . . ._..; ' ..T � . ,._.r�. �"I r� �'.L._..�_�I r..�.i.. �-:_:,;��:°�` �tt._, �_ f ._. !—`�_„� �� :_�:�.j _:�°,� � s_� ;<:�'s:� _ �;-.._ �-':�:��_ w �: �. .. . ..; L;�=°�t�,��=��: ;i��i� �3#.��',''�'�; `�t� �'�_� ��...�.. "�'_. ..•:. _.� :, I '."�3.�. ? �•'..�i!�-"!_'.'?. .�_._ �'�=..�i. ..=ai_iY _ s r,�� 's�'t� ' ' __ .... _ _ T ` ` :1-�„a}.�'f , ; _.i-.. ; �� i� I�, .�.5�' �'�f_. .( .._. _ , Fi W,r��i�..�rz�51t,�. i.l_ie!_ �,.��i �i. .��t .�' � i 'W � _.. . ._ _.. _. . . . , _.. ' J �� 1i�1.�� APPLICAN MITEE SIGNATURE ISSUED BY:SIGNATURE ' Total Fee: $ �� Date Received: �P-�—`j � . �ntered By: Permit#: �/�{� . CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � � V�� ZIP: NAME OF OWNER: ��a� �� S�d'� PHONE: (home) �? �� ,�5 /1 y�, ( rk) MAILING ADDRESS: �__'F� �- �IG��+ ��rCITY: �(�'Y1,D ZIP: CONTRACTOR: 1 1�1�� '� 4 �I� �►'� 'L PHONE:_ ��`-g�4'�� CONTACT PERSON: S OBILE/PAGy��: MAILING ADDRESS:I � CITY: �� U JVt ZIP: �� STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CI1'Y: ZIP: NAME: REGISTRATION# TYPE OF WORK:. New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration 1 PROPOSED WORK(describe in detai�: �Gl Gt' (^� t�`Q3�-i'�O� �(3 C.��QJ�� STORIES: SQ.FEET OF EACH FLOOR: a ( NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � Q ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � � �� o 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 Ciry 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 accordance with the a proved plan. �' APPLICANT'S SIGNATURE: � : _�� NOTE! Parade of Homes events require separ e permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 . . Sec.13.04 RIGHTS OF SUBJECTS OF DATA .. Subd. 1. Type of data. The rights of individual on whom t6e data is stored or to be stored shall be as set forth in this secdon. . Subd.2. Informat�on required to be�ven individual. An individual asked to supply privau or confidential data conceming himself shall be u�fornud of: (a)the purpose and intended use of the requested data within the collecang state agency,polidcal subdivision,or statewide sysoem;(b)whether he cnay refuse or is legally required w supply the requested data;(c)any Irnown consequence arising from his supplying or rofusiog to supply privaoe or coafidential data;and(d)the identiry of othec persons or emides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked w supply invesdgadve.data,pursuant to sec6on 13.82, subdivision 5,to a law eaforcement officer. The cammissionzr of reve�e mav nlace the nodcp rewired Lnder�his��bdivision in the individual income taz or orocem tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an i�ividual shall be informed whether he is the subject of stored data on i�ividuals,a�whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without az�y chazge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months d�ereafter unless a dispute or action Ewwrsuant ro diis section u pecding or addidonal data on the individual has been collecoed or created. The responsible authoriry shall provide copies of d�e private or public data upon request by the individual subject of the data. The responsible authoriry may requiro the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediacely,if possible,with any request made pursuant to this subdivision,or within five days of the dau of the request,excluding Saturdays,Sundays and legal holidays,if immediate complia�e is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request, ezcluding Sadudays,Sundays and legal holidays. S�bd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleumss of public or private dara co�erning himself. To execcise this right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreeme�. The nsponsible audwriry shall within 30 days eidier: (a)correct the data found to be inaccurate or i�omplete and auempt to�tify past recipients of inaccucate or incomplete data,including recipients named by the individual;or(b)�dfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's staument of disagreement is included with the disclosed data. The determic�a6on of du responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating 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�iry of Orono or any of its departments may require you to fumish 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 Ciry deny the permit or license. 3. The information may be shazed 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. First Middle �s� Address City State Zip Phone I understand my rights as stated above. Signatun 6