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Home My WebLink About1999-011118 - tear-off/re-remodel PERMIT "CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 w'i_r T i F:��i��_� Crystal Bay, Minnesota 55323 Permit Number: :`. . . -. Date Issued: `�f ' ± '`�-� - ,(612) 473-7357 _ _ �•:'`� °�=r� SITE. ADDRESS: , � — _ � _ .,��+�° � �; �_;f.;,=�°�� .t�; �-` . ' . : . . _ �—"_s ` . __._.a�—--.f�;r;t':t DESCRIPTION: t�-#�a�:`—i a�-#-�f`;;;--�';�if';� t�=�_r`.1 .I.t�I l�'� '."`?=;1'F?i 1:. ..;. ��.�. . . .__ . ._. _C._i-if1t�..t%;Z;��°jSWl:�si-$- �-�i:Z !�:I i 'e,"i:�} k�.:i_I}'�;, 1 T�:y:, �y'�_.,Y.'[_II_El— _'='�l`�t�f•:= '.'_:��tt:}:,=� t.�r:=,:i� i-�L� . i?;�:��!•'..3`€�€e :�i! REMARKS: FEE SUMMARY: ''w,•'F-iS_��-{-i�f_,i{'y �•i:i . _i�it_{ .`_�%3.:�� . y.''�' Ks=�:.'��:»'� . ?L' _._}-r•;-�T,t'�_t:�•� ----._— �' i.,u •''i.e: _i{_..�. 1 �t^� _ �:1 (1�__ :ONTRACTOR: _ ;-�,�,`,� i;�.�,;-,s, _ M;-r , .��;; OWNER: v'.:—,_ '?!�s°i:.l _.�;_,f�,j: ��l r:—'l—�_.`i' . . _ C,i; !_)._�t'l:..3 _;;:()i [ �`: ._i �L. �}.._ �.:�i: �y�r� i �'v i�": f�.T1,e.. �;_�.� �S� ;-it�f:' i i��':-� _._`c �vi�i�=i ;;-} �`=��s_i;;;�. 1��i�? �,�t'I°fE_i�_:i�"i i�?i*y _ _:`:;:i' _{S't`i_1:.�t_. I�:',t �',�`��;:�1 i�..r_.� ,�.t.�I •—:3.-:!_ti;. .:�..�.`�•—�_J i "�.il ` i .'. '�C^ >' i"' ''"^ �'—r• -• ',� L a..�.r _ _ ,,} r ,,.. � _ ��, tt�_ ��._,��-a�:(�'_�� "'i=,��'+�,_F'�`p� �!Mt,��r_ _ . -� �__�'i��t :-;�i..:u ##_l ��;�,t� �;-i� t-:�'.•f�._ �.l�.i-�'�.,:.F-� -�'„ t:- ;-�;}"'�.��`�� 'ii4i?:# ��.7i�.:`.i:,..':i �'3.1 �`�' ;-,+,_�, �il>_� ;: �.F : �; t : ... . � u ..'i.. t._.1 i-i!��.:i: �� ?i`€ r��wi__ ;- '#�'� �`}�W `�,.��s`�_t�(„{" _ti-,�::#�y',Tti3{.�'` ,-:��` `'.�(—�S�� _ . . �_ . �.'.� .. . , _ .__..� _. _. _E__..`�' 1-c'�{�i#_�..?1�;:'E�;,.J f _. . � ��-�., � �c�.�.�_ � __ � -- _ . APPLICANTPER EE SIGP.` � ISS BY:SIGNATURE _ Total Fee: � Date Received: Entered By: Permit#: � CITY OF ORONO - BUII,DING PERMIT 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:: .%�� yti'C%�'�-�, S 1•o2e ��' ZIP: I�'AME OF OVVI��ER: �-�v�-� C_ L � ��% c+��L PHONE: (home) �f � `t - �l S� (work) MAILING ADDRESS: Z,C�7� N%c2Y-�--s��,2e_ CITY: c,�r�;�v ZIP: D�.- CONTRACTOR: [,'-�S�v2r.1 CL�(;w c� PHONE: G� �z - Sy f - c��c� � CONTACT PERSOti':�� , �J�G �s MOBILE/PAGER: 3 z� - i z � �' MAII.ING ADDRESS: -7�i r-�,f-�.� r�_� r�=� CITY: ��L� �e��L_ ZIP: �s��j -T�— STATE LICENSE: # Z<%� ( Y z�'� ARCHIT`ECT/Eti'GINEER: PHOivE: MAILING ADDRESS: CI�: Z�: rJ��; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED`VORK(describe in detai�: I , /2-�.'�'o � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTII�i IATED CONSTRUCTIO�' VALUATION (excluding land): $ .�' i �'c ° I hereby apply for a building pemut 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 Buildin� Code; that I understand this is not a pernut and work is not to start without a pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE:��'c'L�-�� I� ��--'�-� DAT`E: � - � �- �% NOTE! Parade o Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SUBJECTS OF DaT?� � Subd. 1. Type of data. "Ihe righcs of individual on whom[he data is storcd or to be stored shall be as sct forth in this secdon. � Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confideadal dara concerniag himself shall be informed of: (a)the purpose and incended use of the requared dara wichin the collecang'sta[e agency,polidcal subdivisioo,or sratewide sysum; (b)whett:er he may refuse oT is legally cequired to supply the requesced data:(c)aay lrnown coasequence arising from his supplying or refusing to supply privace or conndendal dara;and(d)the idenory of ocher persoas or enrides authorized by sc�te or feder,�l law to receive che data. 'Ihis requirement shall not apply when an individual is asked to supply invesdgadve dara. Qursuant to szcdon 13.82, subdivision 5, co a law enforcement officer. 'Ihe commissioner of revenue mav lace che noace rwired under this subdivision in the individuai income nx or orooem raz refund inscruccions inscead of on�hose forms. Subd. 3. access to data by individual. Upon request to a responsible auchoriry,an individual shall be informed whether he is the subject of stored dara on individuals,and whecher i[is classiFied as public, private or confidenaal. Upon his furcher request, aa individual who is[he subjecc of stored private or public data on individuals shall be shown che dan without any charge to hirn and,'if he dzsires, shall be informed of the concent and meaning of chac dara. After an individual has been shown the privare data and informed of i[s meaning,the data need not be disclosed to him for six monrhs thereafcer unless a dispute or acdon pursuant to [his secdon is pending or addiaonal dara on[he individual has been collecced or crea�d. Tne responsiblz authoriry shall providz copies of che privam or public data upon request by ch:individual subjecc of che dara. Thz responsible authoriry may require the requesdng person to pay the actual costs of makine,cerrifying,and compiling the copies. The responsible auchoriry shall comply immediacely, if possible, wi�h any request made pursuant to this subdivision,or wi[hin five days of the date of�he request,excluding Saeurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the requesc wichin rhat rime,he shall so inform che individual,and may have an addidonal five days within which co comply with che request,exduding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest cha accuracy or completeness of public or pri�•ate dara concerning himseif. To exercise�his right,an individual shall noafy in wriang che responsible auchoriry dzscribing the nature of thz disagreement. The responsible authoriry shall wi[hin 30 days either: (a)correcc the data found to be inaccurate or incomplece and attempt to nodfy past recipienu of inaccurate or incomple�e data, including recipiencs namcd by the individual; or(b)notify the individual thac he believes[he data to be correcc. Data in dispuce shail be disclosed orily if the individuai's sta[ement of disagreement is included wi[h the disclosed data. The decerminadon of the responsible authoriry may be appealed pursuanc to the provisions of thz administraave procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would like to inform you tha[your request for a permit or license from the City of Orono or any of its deparcments may require you to furnish certain private or confidential information. You are 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, buc refusal may require that the City deny the permit or license. 3. The information may be shared wich ocher local, stace or federal agencies to the ettent necessary to process the pernut or license. 4. If your requested perm.it or license requires Council action to approve, some information may become public. j. You have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this applica�ion or permit. .�� Firsc �tiddla Lasc Address Ciry Srem Zip Phone I understand my ri�hcs as stated above. � n C�-��- � s��a�,«