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Home My WebLink About1998-010810 - tear-off/re-roof PERMIT CITY OF ORONO PERM{T TYPE: 275�'P�Iley Parkway- P.O. Box 66 �::�:��.��_ � '�rystal Bay, Minnesota 55323 Permit Number: �,,= t_,�_��{; (612) 473-7357 Date Issued: - - -r��j�_.,��f:_.;::. SITE ADDRESS: __ _ ----- ------ --_ _ __-- -- --- ----------- DESCRIPTION: }��.��;—t��i��=;��;�=_.�;;-; . �.;,�i �;�i}-�_� r=°r:r r�i i�. i��u �%t i i i i�,�E��.7 SU i_}i�S�. t Jr`—�f'.: 7:�—.j i_I I,,,i i' REMARKS: FEE SUMMARY: �.'F'L...�_. � ... .. . _ . ... .. . �i.�f'jY {—:--,�+_ �'.'1 . ... .. ��i.�i'_�S i 7�s eJ i� .�''p•1 . . .. .��i�f tY�T.1°�i T.I f_f�� i .'. . ___��...�� `x.'_�:sa�_:.. r � � — :. ' CONTRACTOR: _ F:;�,�,� ;;�,�-,t, _ �_;j . i_�i_: .OWNER: �J�:=�T�!r;t�i s=�i.j=�t� =:��s'F`�`r` 1��.�.��:_�. �i:�ii3�.�.�t=:�i f=��;�t�•i 7t_i:�, e,� !—j#�3't` i "r_`,`� �`:s i ii i:;s_s:; ; �-: _;-ii�ir•�:�.� ...- `•t's t��• :i��°�is.`ai s j�}iy �c:: - _.�i'i'• I._1�F`� : t.� _�4�1 _ _ _ _ _ _ _ i�t-. 1 -' 1 '_.i: t —{_l:-�i_}.f`.,. ;�.��{—_ :�:_ � ��-.::-- �.:�-.:— -..r—.� : : — � . - - • _ -_. .�«-.-..> u+ �;_:_,.. , ��J�#,�E�Ft..��j(,t'•{t-L3 =",+`i'?w::�Y �.._ :'�m,,�'_ '-`�;-i�i � w '_3�,i i 1 s !*(��',`_ :�€� �.�i-��.., !.. #�`z` i �{: . ._ _ . ,,.._ :__ _ �` �� . . ._ _. ..._. . _ , >> ' —,:-'r'� ' ' �.�i 'T;�� ' _ }'" 3 ; i �j`'E-::. �e':3 _ _' :} � . . .. .. '��"'�`S.:�i" i e �: i•;�vt,.`• �`>;-: i { .}�4' :�:9 .. a;7_#•:. . _. . ��#;, i�. 3 _.{_ii':f L_i?-.. .__._ .. _ . �'? . .L,,'... �F� =`3,'" . . ____. � �__` _{ .: f_�`,.�..:`•�. .:?. ._ ._._ . �ai�� ` :�i_`..�. ..- �°�_.�. ._-`�_'•€'� _ _s��. �.t=� _ _�_i` .,�.:�t _. ...,_. ,,.. . •�� . ` � t = , , �� APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE G Tptal Fee: $ f 7 �'r �- � Date Received: _ ' Entered By: ,� Permit#: ��f�� CITY OF ORONO - BUILDING PERNIIT 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 ONTRACTO JOB SITE ADDRESS: 3�/(� �tJOk�,`�'�/p,P� �R. ZIP: NAME OF OWNER: f�-/(J ��19'� PHONE: (home) '�7�'93/� (work) S�7S~l�fa � MAILING ADDRESS: �� N 0�l�'�JQ,e,� �. CITY: j��pl(f 4 ZIP: CONTRACTOR: (�f�.S7l�� D�,e �/� PHONE: ��t-a3a � CONTACT PERSO :�I 'f MO E/PAGER: MAILING ADDRESS: 7ps'�t/, �� l Cn c1 CITY: ��1� ZIP: ,�,�� STATE LICENSE: # 20 0��1�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: ,CO�� --�/�c7/j$ZJ� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��Zs�a� 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 work will be in ac ordance with the approved plan. APPLICANT'S SIGNATURE: • � 7� NOTE! Parade of 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 DATA Subd. 1. Type of data. The right�of individ�al on whom the data is storod or to be stored s6a11 be as set focth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply privau or confidenaal data concerning himself shall be informed of: (a)the purpose and intended use of rhe cequesud data within the collecdng State agency,polidcal subdivision,or stauwide rysum; (b)whether he may nfuse oY is legally required to supply the requested data;(c)any�own coase4uence arising from his supplying or refusing to supply private or confidential data:and(d)the idenrity of ocher persons or enddes authorized by state or federal law to receive the data. This requirement s6a11 not apply when an individual is asked to supply invesrigadve data,pursuant to secdon 13.82,subdivision 5,co a law enforcement o�cer. The commissioner of revenue mav place the nodce rewired under this subdivision in the individual income tax or oroDertv ta�c refund instcuctions inscead of on those forms. , ' , . ' Subd. 3. Access to data by individual. Upon requesc to a responsible aurhoriry,an individuat shall be informed whether he is the subject of stored data on individuals,and whe[he�it is classified as pubtic,private or confidenaal. Upon his fur[her request,an individual who is the subject of stored private or public data on individuals shall be shown the data without aay charge W him and;if he desires,shall be informed of the content and meaniag of that data. Afur an individuai has been shown the private dara and'informed of its meaning,[he data need not be disclosed to him for six months thereafrer unless'a dispute or acaon pursuant to�his secdon is pending or addidonal data on the individual has been collected or created. The responsible authority shall provide copies of•the private or public dat�upon request by.the individual subject of the data. The responsible authoriry may require rhe roquesting person to pay the actual costs of making,cerufying.`and cbmpiling the copies. The responsible au[horiry shall comply immediately,if possible,with any request made pursuant to this subdivision,or widiin 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 roquest within that ame,he shall so infotm the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and lega(hotidays. ` ' Subd.4. Procedure when data is not accurate or complete. An individaaF inay contest the accurecy or completeness of pubiic or private dara concemiclg himself. To exereise this right,an individual shall noafy in wtidn8 ct�e respoasible authoricy describing[he nature of the disagreement. The responsible authoriry shall wi�in 30 days either: (a)correct the da[a found ro be inaccurate or}ncomplete and aaempt to nodfy pasc recipienu of inaccurate or incomplete data, including recipienrs named by the individual;or(b)nodfy the intiividual that he believes the data to be correct. Data in dispute shall be disclosed oniy if the individual's statemenc of disagreement is included with the disclosed data. The determinaaon of the responsible authority tnay be appealed pursuant to the provisions of the adminisaative procedure act relating to wntested 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 ue 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, 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 permit or license requires Council action to approve, some information may become public. g. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. First �fiddle �� Addnss City State Zip Phone > i nn rstand m}�rigfits as stated above. � , . � Signacure