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Home My WebLink About1998-010050 - tearoff/reroof PERMIT CITY OF ORONO PERMIT TYPE: .2750 Kelley Parkway- P.O. Box 66 E��L��I�w;� ,� '' Crystal Bay, Minnesota 55323 Permit Number. 1;�;��_,�i_f (612) 473-7357 Date Issued: s.�:_;;.�,��•'ry;`; SITE ADDRESS: sj.;7',•�i i r`•.�i i�i E;-j �=1`t{`� Ltti �•j.i �-` i }t,+. i"i��—i �.1—'':=.—�=t—t:yi i�� DESCRIPTION: 1 �'�;(.I_t�'�' i�'i�ilt_di,,,l� i��I �.}�Z11�� `rt'�iil�• i4'f�'� `_;i=—�`-'�}!l..f,'�z'.��'�i_lli;��.... ��:.�� .!,�_,1 i i��°-J tAt�i.,i 1"i, 1 'k`:.r 7_! !1 L»�.�!_,E i,^�i' ��?E?Sl,ES ?:}a};j�' �=�4 S-i�_i . i''.+:..��''t1'!!�%-�1._ REMARKS: FEE SUMMARY: �'�-��„�:i-1� I �_i(`,I �.�„i ; G C,(_7 Y:�•�E_ ��?i; `�`�`a . ?` _�L�t�'`��!�'��' ------ �'�'au.��, 1 ��}L:1 t=��_ �u��_%� . i 7:¢ CONTRACTOR: — t:�,_��.:; i:_.��;t. �- �W; E� . i�;�_ .OWNER: °��t L� %�:�i it=�t�C 1��;�_:_;;��.L, i i;�,�, ;JT i��° .i._�;-;�� _ � ��r rdt�;��`I iv t��'� � �:�;�:�� E�}+�;I�s-i n�°�� Ci�° i�f_','�J�,t��t=�t'!I�,_�`._ �'IsU �.�i�t�)_; irt�;:;��V�I ta;:y C C�_;�.:� •,t��...... �.�.._ _ .'(ii_ �f.r—,,..:.t;�`I _ ._. . __ _ .___ � - - ,. jl�� ;�''.#:;�-�"-.f:�Ys�_i) �-�}-h`i_� �i°-:.if:l-'.-, 3 '. �-` ;�`�' :1�1 ! ! i il t- �;'�f-`:;'31t,: :v��t;� .. : .__ _� _ _.. ._ _.,e�.._ . . . :__. . _-- - ._ _. . t'_. �� _. _ _ _�'v _ fY±+.__ ��": . f'1`t�__ . . . ._ :_... . .... . _`'`��.�C=a�`.L.� H?`�1��. �`��.��-,o.? :� �s_' F��.! '{:v�_'i"`.`��. .R.(� � �i i.t s_� ' _'_��`i'�''1__;'•'.ii ut'r:� :.�i _�i� =Y€__� i;:T... ��-,�� !_tl-s`;_ii`J!_1 't_,!i:;_7�(.ii';:;:;,3y,'.� i�'r:J:.'r M ; ;-y;;� I�I�: ��j,^:;i:IL.�4vf:1 i��`. ��_1 1 __:3�`'�#� iY::�'t't:L_ i;'-{i i �7�.__i°:t��`.i ; - . � � � AP ANT- E ITEE IGNATURE ISSUED BY:SIGN URE Total Fee: � ��. �� DateReceived: � Date Approved: R Entered Bv: Permit#: �0 0 r-�U CITY OF ORONO - BUILDING PERMIT APPLICATION ALL INFORtvIATION�NST BE SUB��ITT'ED IN FULL BEFORE PLAN REVIEtiV WII�L BE STARTED __�____- ------------- THE APPLIC��tT IS: (circle one) O�'VNER CONTRACTOR � , �-� .roB srrE ��xEss: �"7�� % /�� "',�'� z�: � �/ NAME OF OWNER:\JC`��Iv� l� ��6� �HONE: (home) �7� -�G5'% , a�2 ' (work) 5'S'�6 -��l� % MAILING ADDRESS: y 7d G /� � ��'� CITY: ��iV c� ZIP: ��5�� ' ( � �� n �� ` L CONTRACTOR: J F' �� O f�a 7!�-�c� PHO�tE: S�� "�� IOBILE PHO�tE/PAGER: VIAILINGADDRESS: �//G� �X�'e`.S'io/� �/v��TY: Sf �ou�:S=�LIP: �5�/ STATE LICENSE: # /US v ARCHTI'ECT/ENGINEER: PHONE: VIAILINGADDRESS: CITY: ZII': ��y�: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration Land Alteration � '� PROPOSEDWORK(describeindetail): /�i�-� ��z� � ��` �C�C� � �� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: G�RAGE STALLS: ATT. DET. � i - ESTIMATED CONSTRUCTION VALUATION(excluding land): $ y.��• '"� I hereby apply for a buildina 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 accordance with the approved plan. ''� APPLICANT'S SIGNATLTRE:� p�-, �� --� DATE: 3"�`��-�� NOTE! Parade of Homes events require separal�e�permit approval by Police Department and City Council 60 days prior to the event. Non permitted events wi11 not be allowed. PICTURES NEEDED , . � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the reques[ed data within the collecting'state agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to suppty private or confidential data;and(d)the identity of other persons or enddes authorized by state or federal law to receive the data. This requirement shall not apply when an individuai is asked to supply investigarive data, pursuant to seccion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the noace required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public, private or confidential. Upon his further request, an individual who is the subject of s[ored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content and meaning of that data. After an individual has been shown the pnvate data and informed of iu meaning,the data need not be disclosed to hun for six months thereafter unless a dispute or acrion pursuant to this section is pending or additional data on the 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 compiling the copies. The responsible authority shall comply immediately, if possible,with 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 request within that time,he shall so infocm the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate 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 narure of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients 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 statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating 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 departments may require you to fumish certain private or confidential information. You are notified that: 1. The information you fumish 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 pernut or license. 4. If your requested pernut 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. �> 1 (� 'C�\Cn �'� ` �- ,� c`v� c� K � ��1c, � P�1 U�c, First :vliddle ;� ast � �(}U � �LC' � S ;� V l� � v �� / �,1 / Addr�s � � \� � ' 1 � �� I l �� l r. �G V L S Phone City State Z�p I understand my rights as stated above. , � �� Signature �� ..Y a�)d ..+.d i.��i.1yi.�..-; � .