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Home My WebLink About1999-011426 - gutter above kitchen PERMIT � CITY OF ORONO PERMIT TYPE: _ _; 2750 Kelley Parkway- P.O. Box 66 Permit Number: - ��`"`•=:��J;` Crystal Bay, Minnesota 55323 Date Issued: '-,� �t}.'�=y� (612) 473-7357 `-��'' ' �� ` _`�=� SITE ADDRESS: �_��_�� .•i��=_�;;i�;�.�� .� —��.: .:� � . ? . �`K . . -'3—� ii`—�M:'_:_�=�_.t�ii;iiL DESCRIPTION: �,;.i��'��;� �;E::_�t,,;- �:::r-_:��t�� +=��1I1 !.�_i 1 t't'� t''r=1�F1�3.�, i`i�_=' '_;1=•_;-1#a'i';'(?�j'st_s��';�e_ -��11 j��ki�� j;l��i;'L:; 1 7�:�-., �i�.�'•JI_I��=;�i_%Fi�('�i«'t�tL� ' . ='ll:7t.{•a {_:}=s}';: dt��=s% f-1�� . t1�'y�1 i L{�.t��i'f`-'1�_ REMARKS: FEE SUMMARY: ��f-tL..l3F;3 Ts�t�„ �t``'4 : tD��:� �� ;- -, �;;i�� r_=s� -�•=S`:-� . f•`_ :,:• �_. C k f� =:i.�� _t}�!'�if= ______ .�'�.:...:,.� � i 1�.C�,y' t"i-:-' v?�,`_ � . f�-� CONTRACTOR. •— �;=��j, �.3�.=a;'�T. -- _=T . i_�==: .OWNER: { �it�i�"i.L_`.i�.f+. ('�:%�[,.i"f ii��_ii�ej' �{�1,� i,.��,� � F_!��'f 3�� _ _ ,�_ �{_��'?_! ��:�FT'�jy � � �— '��;:�� t°if��=`L�h I��c�� "'=�i;��y °��i�`�..�_1.k�1{� €-:�1t, ._ _ '�i�v �� '':`�. I'E 1(,�jvY'-.t�-`I_I�::_: '{i;s �,�,.;:�.t 3i.? d�E;;i_:�at_# _ _ _ . _ __. . .`_.. . _.,.__ �-'`-�- _ _ - - �� - t 7T`,.'('r �t } �^`� ��f' Pz,� i,k� s ',- t-;t.s{I � — !E: .;i-�`t '-+�_ ' :t �f. ._. _��.0 � �—� -' _ �'��:�� :_��. _,. _ . . , _ . _ ��(-�t .�� f�i�l t��i1 {i��?�� R�f :�'j.� H� �.. ' €�'� a r'+�s".. d aWs€ �, i ; .� L T �--� �1 ;_ [v i�u l�31= k_�_ ,_ f,:i.! . �'.�?1�4�� !`•;�� :��=;1�: f...;�" E'�.. ,_-F�._ _ltt� __i_��{�_�7T.v'� _tf�;__ . .__ , 1l1-�- °s_..t.� l . �J L � ,� ,�, ' � �. AP:�fCANT/ RMITEE SIGNATURE ISSUED BY:SIGNATURE � � Tatal Fee: $ Date Received: Entered By: /t; Pernut#: /%'�-��- CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be snbmitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: �UI(�� '��i��,C �t('i{4P� "� Z�� NAME OF OWNER: Y'� � (�' PHONE: (home) L�S 1- (�'$-`�S(�% ��.,,e (work) 4 3 I - (y g��, MAII,II�TG ADDREss: ;�(P D S ./�G'„�L�. "� g��-��ITY: D�o�n zIP: CONTRACTOR: �C�t l-UCk �tn�h �o��,�,no PHONE: (U I �- -?��-�I a Gi CONTACT PERSON: 6r MOBILE/PAGER: MAILING ADDRESS: r1�� ` qv-C_ CITY: 1�1n I S ZIP: Ss�-/0�l STATE LICENSE: #p�ool 4 �� ARCHIT`ECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration i� Land Alteration PROPOSED WORK(describe in detai�: '1`� � � � � �i-�e� o� , � ` �` STORIES: SQ. FEET OF EACH FLOOR: � NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $�/��. Gb 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 City and with the State Building Code; that I understand this is not a pernut and work is not to start without a - permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: ` NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. � � 1 Sec.13.04 RIGHTS OF SiJBJECTS OF DATA Subd. 1. Type of data. The riehcs of individual on whom the data is stored or to be scored shall be as set forth in this secrion. Subd.2. Information reqirired to be given individual. An individual azked to supply privace or confidendal dara concerning himself shall be informed of: (a)the purpose and intended use of the requesied data within the collecang'stace agency, poliacal subdivision,or starewide system; (b)whether he may refuse oY is legaliy requi�d[o supply[he requested data;(c)any lmown consequence arising from his supplying or tefusiag to supply � priva[e or confidenoal data;and(d)the idenriry of other penons or endaes authorized by state or federal law to receive the data. This requitement shall noc appfy when an individual is asked to supply invesdeadve dara, pursuanc co secoon 13.82, subdivision 5, to a law enforcement officer. - The commissioner of te�enue mav place che norice r9auired under[his subdivision in the individual income tax or propem tax refund inscrucrions instead of on chose forms. Subd.3. Access to data by individual. Upon request to a responsible au[hority,an individual shall be informed whe[her he is the subject of stored data on individuals, and wherher ic is classified as public, privace or confidential. Upon his furcher request, an individual who is the subjecc of stored private or pubtic data on individuals shall be shown�he data wichouc any charge to him and, if he desires, shall be informed of the content and meaning of chat data. Aher an individual h�s been shown�he privace data and informed of ics meaning,the data need not be disclosed to him for six mon[hs thereafter unless a dispute or acrion pursuanc to this section is pending or addidonal data on the individual has been collected or cteattd. The responsible authority shall provide copies of the private or pubiic data upon requesc by the individual subjecc of[he data. The responsible authority may require the requesting person to pay the accual coscs of making,cerafying, and compiling the copies. The cesponsible au[horiry shali comply immediacely, if possible, wirh any request made pursuant to this subdivision, or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc within chat time,he shall so inform the individual,and may have an additionai five days wirhin which to comply wi[h the request,exciuding Saturdays, Sundays and lega(holidays. Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accumcy or completeness of public or priva[e data conceming himself. To exercise[his rieht,an individual shal(noafy in writin�the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplete and attempe to nodfy past recipiencs of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he be(ieves the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminarion of the responsible authoriry may be appealed pursuanc to the provisions of che adaunistrarive procedure act relacing 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 pernut or license from the City of Orono or any of its depanments may require you to furnish certain private or confidential information. You are notified tha[: 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 tbat the City deny the peruut or license. 3. The information may be shared wich other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permi[ 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 permi[. First �Siddle Last Address �iry State Zip Phone I understand my rights as stated above. Signacure