HomeMy WebLinkAbout1996-007961 - tear-off/re-re-roof PERMIT
� C1TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �;i 1 T f [}3���;
Crystal Bay, Minnesota 55323 Permit Number: �_���`,���
(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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AP ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� � � �� DateReceived:
Total Fee: � �
Date Approved:
Entered By: ��/�,cJ Permit�: =i 1(v %
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CITY OF ORONO - BI.TLLDPi tG PERNIIT APPLICATION
ALL I�YFOR1tiIATION�IIJST BE SLBI�LITTED IPt FULL BEFORE PL��T REV�tiV tiVII..L
BE STARTED
---------------- ----- ----�-.,..�==--------- -----------------------
THE APPLICr��'T IS: (circle one) OWNER C'\��'-°NTR.ACTOR
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JOB SI'TE ADDRESS: � � � �L� \�. �,\c�e 1 1Z ZIP:
NA1tiIE OF O`Vti'ER: ��� � �� ��� � PHONE: (home}a��' `SSc��
(work)
NIAILINGADDRESS: �� � �J � 5��,�� t��1 CITY: C j ,l!1�=� _ZIP:
C�NT
R.ACTOR: �S c � PHONE: ���- �"-1�°�
I�IOBII.E PHONE/PAGER:
MAILINGAD)RESS: 3��S�r�1 �-<�,�t� CITY: 1 � � ZIP:�.5.3 q� \
STATE LICENSE: #ar�e:2�.�5 L-1 3
ARCHI'I'ECT/ENGliYEER: PH0�1E:
I�IAII..I�tG ADDRESS: CITY: ZIP:
NAitiIE: REGIST'RA'I'ION #
TYPE OF WORK• New Addition Accessory S�ueture
Move RemodellAlteratio�'� Land Alteration
PROPOSEDWORK(describeindetail): �e ��� r��� \ �c� c��
STORIES: __. SQ• �ET OF EACH FLOOR:
NO. OF BEDROOI�IS: G�RAGE STALLS: ATT. DET.
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ESTIiV1ATED CONSTRUCTION VALUATION(excluding land): $ 3��v
I hereby apply for a buildin� permit and I acknowled�e 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 Buildin� Code; that I understand this is not a permit and work is not to start
without a permit; and that the work will� in accordanee with the approved plan.
APPLICANZ''S SIGNATURE= DATE: � � ` �J " �
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Couneil 60 days prior to the event. Non permitted events wi11 not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF D�1T�
Subd. 1. Type of data. The rights of individual on whom the data is stored or[o be stored shall be as set forth in[his secdon.
Subd.2. Information reqirired to be�ven individual. An individual asked to supply priva[e or confidenaal data concerning himself shall
be informed of: (a) the purpose and inrended use of the requesced dara wichin[he collecang'state agency, poliacal subdivision,or stacewide system;
(b)whether he may refuse or is legally required co supply the requested dara;(c)any Imown consequence arising from his supplying or refusing to supply
priva[e or confidendal data;and(d)the idendry of o�her pzrsons or enrides authorized by state or federal law co receive the data. This requirement shall
noc apply when an individual is asked co supply invesogadve da�a, pursuanc to secaon 13.52, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav place the nodce required under �his subdivision in the individual income tax or prooertv taz refund
instrucrions inscead of on chose forms.
Subd. 3. Access to data by individual. Upon request to a responsibfe authoriry,an individual shall be informed wherher he is the subject
of stored data on individuals,and whecher it is classified as public, private or confidendal. Upon his futther requesc,an individual who is the subjecc
of stored private or public data on individuals shall be shown che data wi�hout any charge to him and, if he desues, shall be informed of[he contenc
and meaning of thac data. After an individual has been shown che private dara and informed of i�s meaning,the data need noc be disclosed to him for
six months thereafter unless a dispuce or acrion punuant to [his secaon is pending or additional data on che individual has been collected or creaced.
The responsibie authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require che requesnng person to pay the accual coscs of making, cerrifying, and compiling the copies.
The responsibfe authority shall comply immediately, if possible, wich any requesc made pursuant to this subdivision, or within five days of
the dace of the reques�,exciuding Sacurdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform[be individual,and may have an addiaooal five days wi[hin which to comply with the request,excluding Sa[urdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contesc[he accuracy or completeness of public or private
data concerning himself. To exercise chis right,an individual shall norify in writing[he responsible authoriry describing the nature of the disagreement.
The responsible authoriry shal!wirhin 30 days eicher: (a)correcc[he data found to be inaccurate or incomplete and attempt to noafy past recipients of
inaccurace or incomplete data, including recipiencs named by the individual; or(b)nodfy the individual tha[he believes the data to be correct. Data
in dispuce shali be disclosed only if che individual's statement of disagreement is included wi[h the disclosed data.
The decerminacion of the responsible authoriry may be appealed pursuant to the provisions of the adminisaative procedure act refating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Rights of subjeccs 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 fumish cenain private or
confidential information.
You are notified that:
1. The information you furnish will be used to detecmine 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 shared with other local, state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested perm.it or license requires Council action to approve, some information may become
public.
5. You have certai.n rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process chis application or permi[.
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First Middle ast
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Address
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Ciry State Zip Phone
I understand my rights as stated above.
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Signa�ure
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CITY of ORONO
Post O�ce Box 66•Crystal Bay,Minnesota 55323•Municipsl Offic�
�
� - � � On the North Shore of Lake Minneton.ka
August 1, 1990
Joseph Jester
2515 North Shore Drive
Wayzata, MN 55391
Dear Mr. Jester:
Very soon the City of Orono wi 11 contract with a private
contractor to televise the sanitary sewer lines in your area.
The reason fcr this is to determine if there are any failures
(broken pipes, separated joints, etc. ) in the system. We have
been noticing that the pumps at the lift station are puznpi.ng more
than normal and in some instances not able to keep up with the
f low during rain.
You will notice our trucks as well as the contractor in your
� driveways. The cleaning and televising should not take more than
a couple of days unless major repair is required.
If you have any questions, please feel free to call me at 473-
7357 .
Sincerely,
� �� �
� L�/��'��
John R. Gerhardson
Public Works Director
JRG/lsv
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING FAX-473-0510