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Home My WebLink About1995-007305 - tearoff/new dr garage � � � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 _ Crystal Bay, Minnesota 55323 Permit Number: (612) 473-7357 Date Issued: SITE ADDRESS: _.__ _ --_. . -. , . .,°{�� _..: DESCRIPTION: ...: _: :.,.. _� .,. .. . : . ;�� ` _ ;. .�,e:-:.._>. . .__. _ ._ .. _- .;;:;=�• -:,-,;.__ _ . __ . .. _ . ._ . ��..._. _ �_ ._.._ �ii_;r_ �i i i _ .-_ . .. . � , ' C.�� "��`33N., j•"•v e:� �i:':iiii: 41 f f L'e'� V111:)f1 _...ii:i�5i_:y "��...''� !.!.!Yt9JIL•L IJ!�l.....-_.. 1 Li<"+'i'ti'i!iF 1 Ltlr•1t�s�Vt1V TI V..'f LL7 1'1'e t. 7: – �'iiFi}lYert y,..�::�::L,_:�i��+v v v . �i�i L�1 L'�4ff .L c!ti r�urri• - 4f lLl+t\ � t1�.f.'�� — fif`._ f1Lt•L1l�i� �!fITt111 !�L!! � h.8�.�td! .., :. . ;.,; ..__ w!'V�JL�L' i:•.;�{!S !!4:�i . i:1.�. . �.. '.. REMARKS: FEE SUMMARY: . .:�__. . -_. ='�' > .. . :.;�_, � .:._._ ;�. . . ,. . f�= :��.a�- _:=:._:�i�- -_ -----_____ ,� - - i�;.;t.�.-. :=- . . � . _.__. CONTRACTOR: OWNER: -- �� =� � � - -�� - _-.. . ...:-._. ._ " __ � - - -;-. ��_�{... . - _ �.�-.- j F� �ry;�.�.;.: r.., _._.. _ _ ._. . . . . . i.�:. � _....".- �'li�> =_ .. _��, =;�, �+».r T� ...� .�� r��. .-...; :— ; �""'' `r : �.. ��f i�_ _,;i��,,�s�,a��:� r-��.�.E�Y � �._�__._ .. �•.-� � �_. . ;_ . , �_ ��.;� €:�}�::� TN�. fi��a�. �;_ ._�.-<;_.. .:�_t�: . •-: ;:._�`. � E�.`.��:�t �':�,�f"� i��tr1`��t ��_'s � . _�.. ��3 t�K;�=; "? . ,�t:�" �:3mi�s�-'$,..�t°�'-r�'�� `�' i _ � . `�" L �:��__ ._:� �. . _ :° . _:�: ��`� =;7:. ._ >��=µ �,#��. . _ . . . _ _�T�G 1�c� �:��r�� €-�'F��xx. ,.a .�" :. . J� ��-� LICANT/PERMITEE TURE ISSUED BY:SIGNATURE � �.. Total Fee: $ DateReceived: Date Approved: Entered By: Permit#: CITY OF ORONO - BUII.DING PERMIT APPLICATION ALL INFORNIATION MIJST BE SUBMTTTED IN FULL BEFORE PLAN REVIEW WII.L BESTARTED --------------- __------ ---------------------------------------------------- THE APPLICANT IS: (circle one) E R CONTRACTOR JOB SITE ADDRESS: �'�-O.� N -�rw� ��' ZIP: �53� � NAME OF OWNER• �i9-�..�- sk��'� ��'�i' PHONE: (home) y7a '� 7�� (work) �/7 fr- �f`f MAILINGADDRESS: (a-�� /lJ. �jv vc� � �- CITY: �lm�'►-d ZIP: S5 3 L �/ CONTRACTOR: PHONE: MOBILE PHONE/PAGER: � NIAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHTI�CT/ENGINEER: PHONE: MAILING ADDRESS: CITY: Z�: �AME: REGISTRATION # TYPE OF WORK: New Addition Acce,ssory Structure Move RemodeUAlteration ✓ Land Alteration PROPOSED WORK(describe indetail): �� -P�-�� STORIES: � SQ. FEET OF EACH FLOOR: � �v NO. OF BEDROOMS: a GARAGE STALLS: ATT. DET. ESTIMAI'ED CONSTRUCTIONVALUATION(eYcludingland): $ �� 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 permit and work is not to start without a permit; and that the wo ' be in accor ance with the approved plan. APPLICANT'S SIGNATLTRE: _DATE: 9 �/� 5 � NOTE! Parade of Homes events require separate pe ' pproval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. ..-., . � Sec.13.04 RIGIiTS OF S[JBJECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information reqirired to be givea individual. An individual asked to suppiy private or confidendal dara conceming himself shall be informed of: (a)the pucpose and intended use of the requested data within the collecdng§tate agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the identity of other persons or enudes au[horized by state or fede�al law to receive the dara. This roquirement shall not apply when an individual is asked to supply invesagarive data,pursuant to secdon 13.82, subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individuai income taz or propertv taz refund instructioas instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individuai shall be informed whether he is the subject of stored data on individuais,and whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data wi[hout any charge to hun and, if he desires, shall be informed of the content and meaning of that data. After aa individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for sie months thereafter uniess a dispute or action pursuant to tlus secdon is pending or additioaal data on ihe individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying, and compiliag the copies. The responsib(e authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Satucdays,Sundays and legal holidays,if immediate compliance 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,excluding Saturdays, Sundays and lega(holidays. Subd.4. Procedure when data is not acc�ate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the naaue of the disagreement. The responsible authority shall within 30 days either: (a)correct the data fouad to be inaccurate or incomplete and attempt to notify past recipients of inaccurdte or incomplete data, including recipienu named by the individual; or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's starement of disagreement is included with the disclosed data. The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating ao 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 City of Orono or any of its departments may require you to furnish certain private or confidential information. You aze notified that: � i. 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 City deny the permit or license. 3. The information may be shazed with other local, state or federal agencies to the eztent necessary to process the pemut 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. ��-�. �— �r ,�4( � Z'�'' �.� P ✓� First Middle t 1 '�- v � � d�,��,�r p � Address o� � � �� 5:�� -i7a -� -�� _ C��, State Z�p Phone I stand rights tated above. Signature