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Home My WebLink About1999-011965 - reroof garage 4 � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Permit Number: - - - ---. .. -.. Crystal Bay, Minnesota 55323 - - - (612) 249-4600 Date Issued: _. > =:=:� � � - "=�`_ SITE ADDRESS: ._ _ .. _'{._'�� _'.!�r'i'!-4��. ��"j y i'.'..�i i:i `'l� f'- �i, ++i,-� " "�.�` l ti`v ;r''�"+.��+'`; DESCRIPTION: . .�:.#�;_ _,-" ��€;�"€:_;� `��..�?. it.:3lti''� '-'1.'fli1� !y==_ _. -'r:t.�'�.,Jf�`ts:_i't�_�lss—:�.. ;_-.t_�3 : �;i'f :j_; :�,{f�i'L:; ��•i::,r;� �`;--�'j,�(�j;— _W'il�Et•� _�t=}fuf=' ��.Y 'r-�� . �ti:_j�'•i`1�`= . REMARKS: FEE SUMMARY: -.;i._�r: � W r.. �. _ �;i_:< �_•:.__ i=.__ . � ._ . , _ _.{i;'i:l"'�='t3"�:f��,= ._.�._.�,.�.� �=;i �+-i+ -;� s��=r.:` �1%. �=+1_ _ CONTRACTOR: OWNER: __ _ _ __ _. . .. .. ,- ; � e . -i_Y s.`:�ii,�ii�� 1 :� _ E_li_�t ip:t�.`�'i`:_��;:. k-:f�`� i'i,i,F F.: _!,N _ .. ..... .._ _ .. -_ -:,�•-:� --r�ti= '-• - --�- •x-m��- M j. ��"l�.. �.:�1'��.t'i•.s 1��'+��r . .�{`��..�=f 1"{s��;1��_=F:�; . .... :�'>s _. .:F�.�� ; '_ . :.s`.�__ �`�"' _ . .._... .._ `'? �'` _ . .... ! ' � �:��``�.�..��.� `��.��1 ��:��: !twF �,`1i�$ �.�; � �.t �s _., . ��.�;. r.. ..5? . . _, -� ' i� P .. y tYF� . , - , , .,. ;* _ � l�I�=�i`,:�'�I_� €�s .'�{��.�"'`"`-: '��4st� '`f,�i''�' _� _`#...,Y� a.._.. W - H"�_f s�-_�. ` '= _ _.. -� . ._ _' _, ,.., ..�j � � IL, APPLICANVPERMITEE SIGNATURE ISSUED BY:SIGNATURE C�( � � . i otal Fee: $ �' o>Z� Date Received: �ntered By: . Permit#: ��s� � CITY OF ORONO - BUII�DING PERMIT APPLICA.T`IOl� ` ' � � . � - - � � .All information must be submitted in full before plan revie�v�-ill be started. . � � . � (please prira all information) � . . . . ' I Z'�E APPLICAh'T IS: �� - (circle one)�.� O�YNER OR.CONTI�CTOR � ��.. - .� � . . � . � � . �. . . TOB SITE ADDRFSSi /g 5 �'�Q � .�.'/� � ZIP: ��3'..�`d i . , .. � � _ _ _ _. - -- __ NAriiE OF O�Yh'ERs _F..��r -��- PHONE: (home) �?'�� ,7 I . (work) '� � I tiiAII,I'�IG ADDF•FSS: /�"� ��. r:�.�x �_CTI"Y: �� Z�:� . • . � _ . . � CONTRACTOR: � r��-�.,.�I�-._ PHONE: �'7.� -�'"y'.��" . �� ; CO�T'TACT PERSO�I: � � MOBILE/PAGER: 1�IA.�,Ii�G ADDRFSS: _ C�: �:---' STATE LICE�SE: # � • � ARCHITECTlEi�TGIl��ER:� . . . , � . PHO�►�:.� � . �Ti�TG ADD�tESS: _CTI'Y: � ZIP: . N�ME: REGISTRATiOY# TYPE OF ti�ORK: New Addition Accessory Structure Move � RemodeUAlteration_ _ Land Alteration_______ , PROPOSED ti'�ORK(describe in detai�: �� -� . . . o� „� - -c_... STORIFS: / SQ.FFE�'OF EACH FLOOR: DET. - � . � � 1�►'O. OF BEDROOiVlS: _____. GARAGE STALLS: ATT. ____ — . . � EST .Il�i IA.TED CO�iSTRUCTIO�I YALUATIO�I(exCludina lanc�: $ �.3� cfZ� . I hereby apply for a buildino permit and I aclaiowledge 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 Buildi.n� Code; that I understand this is not a permit and work is not to start without a permir, and th�c the work will be in accordance with the approved plan. - APPLICAI�T'T'S SIGNAI'URE: �J�"��r �� DATE: �� .,y,� , NOTE! arade of Home_s. events require separate permit approvaT by Police Department and ' City Council 60 days prior to t�ie event. Non permitted events x�11 not be aItowed. � Sec.13.04 RIGA'I'S OF SUBJEC?S OF DATA - -- __ ._ ._ . . . • . Satd. i. Tjpe ot data. The righcs o[tadividu�on whom rhe data is smced or a�be sm�d shalI be u sec focsh�this secdcn, � 5utd.2. Iatormation nqmred to be�ivm Iadividuat. An�dividual asked to supptY Pdva�or coafcdenrial daea coacetaiag him:elf shaIl be infoc�d o�: (a)ths Purpase acd tnr�nded vse of che requasrd dan wichia�he eallecdag 3tare ageary.polidal sabdivisioc,or sn�wide Sy3L'�; ' (b)whe�e:he e3y r_.ru.se aT u le3alIy reqnir_d m suPPiY.�e r.quesc.-d dsra;(cJ aay t�owa eoastqu:ace uisicg tzom his suppiyiag o�re(usiag to suppty � privac�occoa:"dea�al dae;arcd(cn cke iCendry o[acherpersoas arearices-auc�sorized by sace acf:=e='L•a;�r_ceive�e d3r3. �us c�quire�eac s.�II � � �aoc apply w;:ea an i.dividuaI is�sked co supply invurigadve dan,p�iis�tanc to secaon 13.82.siibdivisioa S.oo a Izw eataczemeatoKcer.' •r-'. �• . • 'ihe cec:tr�ussioner of reversue mav iace.che nadee r_auir_d undet this sutdivision irt the individual ineome az or oco ertv taz refiir.d inserueaans i*uuad otan fiose focros. Subd.3. Aeceis to data bv iadivtdcnI, Upon�equest to a iespoasible au�horiry,ut iadividual sball be intotmed whechec he is the subjeec of saord daa en iadividasls,aad whaher Ic Is eIassifi:d u public,privat�or eoaF.dendal. Upoa his tiu�her r_quesc.aa iedividwl who is th:subJ:.� o[sieced priva�at publie dam aa�adividwls shail be shown the daa wickout any ehuge oo him and;if he des'ues.shali be in[ocaud oC the eoncenc ��5°��- ��za IndiYiduat has beea shown the private daa and Iatarmed o[in meaaing.che dan ne:d aoc be disdosed ao him for six moadu thec-at4er tml:ss a d'�spute or aedoa pursuanc to this secdon is peading or addidoeal daca on the iadividual has beea eoIIamd or ereac:d. Tite tespo�s3ie au@socicy shallpcovide eop'ies ol dte privat_oc pubtic daca npon request by the iad'�vidual subjece o[�he daa. The eesponsi'ble auchocicy may cequir_the tequesring pecson to pay the acaul coics oi tcukin�.cecdfying.aad camp�liag the eopia. . � Tt:e«sgocu�ble authodry shall eompiy�csunediately.i!possibie.wuh aay mquest mad:pursnaat co this subdivisiaa.oc wichin five days of ' the dace o[the teq�cest,exeluding Saaitdays,Sundays and legal hatidays.it iauaediate eompliaaee is noc possble. ff he eanaot eociply wich ehe request � wi�hia dsac acae.he shal!so tnforta the Individual.utd may have an addidoaaI five days wi�hin which to compiy wich the nquest,ezciud'�ag Saairdays. Suadays and IegaI holidays. � , , . . Subd.4. Proeedure Nhm data Ls net accunte or eomplete. M individual may eontest dze accunry or eompteteness ofpublte orprivace dzn coaaming h'uaself. To ezeccise chis dgh�an�dividual shatl aaafy ta wridng d�e�espoas�3te aud�adry daerIbiag the aaaire of du disag:eemeac The respoosibie authoricy shall wichia 30 days eic.4er. (a)co�recc the daca found oo be inaccnat�oc iccomplete and aaemp�to nodfy pist raipiencs of laaccu�ate or incampie�e data.including ceeipien�s nansed by the tndividusl;oc(b)nonfy the tadivYdual that he beiieves the dat�w be coreset Dati ia dispu�e shail be d'uclosed oaIy it the individuI's snceraenc o[disag�eem:at is iacluded wirh the dtulosed dara. 'the decerminaaon o[the respoasibie auchoriry may be appealed pursuanc to the provistons of che admiaisaative pcocedure acc cetadng co conc:s�.d easa. ' . . . , . . DATA PRIVACY ADVISORY • � . Ia accordance with M.S. 13.04�Subd.2, "Ri�p.hts of subjecc�of data",we would like to inform yoa that your nquat for a permit or license from the Ciry of Orono or any of iu departments may require you to furnish certain private or confdential information. You are nvtified thar. � 1. The informacion you furnish will be used to detormine your qualification for the permit or license requated. 2. You may refuse to supply data, but refival may require that tlie Ciry deny the permit or license. ' • 3. The informatioa may be shazed w�ich ocher Iocal,stace or federat a�eacia to the etceac necessary to procas the permit or license. ' 4. If your requested permit or license requira Couact� acdon to approve, some iaformation may become � � . pubtic. ' - . �. . . . . . • � . . . � . .'S. Yoa.have certaia ri�hts uader M.S. 13.04�(availabte upon requat) to review private data on,younelf. . _ 6. Your full name is required to process this apglication or permi�. � _ ��✓� ;,,..�-� � �i �-,oi-'"'� : . Fust ��t � . ! �+,-✓ �;w:,,:° �' /3 �C d . Address ,o '�"." _ ..�y ��:>.,✓�..,.. • �,'��.� .. . �' 7i ti, / L�• `�,��r''� / • . . L C�ry Sate Zip P�oee � I uaderstaad my rights as stated above. �l� • �� . • . � . stgnacuce .