Laserfiche WebLink
o: MonlCe Fodneca Pogt9 3 uf'19 20'13-0�-'1Z 0�:00:40(a:Ml-) '1952856506'1 From: Joo Bronnen <br /> � � � � <br /> C�� �►$ C�r��� � � �-� <br /> � � �� <br /> l�� <br /> �uilding Permit Appli�ation for Maintenance / Renovation .7D�1 <br /> (windows, doors, siding, re-roof, etc.) <br /> ---- Mailing AddreSs: �'�� >':.;:>.:.: ::.::;.::>::��: l '::;./�� : <br /> ::{x8ffi���}..:.(t1�Y.e.:..: ,r. ,+� :�. <br /> �-', -�_.� i:� r:.�.,. <br /> �I��:>.:.1��. <br /> '� <br /> 'Po Box s6 <br /> � ':' ;w;�,:`•.: :..?;w>%,.:=... ':;;'��;'' <br /> : <br /> .,.:.::::::,:.,.....:::.:::::_..;.:.::::::.:::.:.: <br /> . `>.`-.�:;;-.::;:.:,;;.,::::::..::::::..:::::::.�.. . <br /> � \;. y. Crystal Bay, M N 55323-0066 ,�`ate.�t8c�'I��d:;�:;;:::<:::<:`::;;':: ...::: �..: >,.:;:>��:::=a�<; <br /> , 0 0 � , _ <br /> r', ,..: <br /> •ti y�� <br /> '.`;:r:>::. <br /> :����r:.�. <br /> � <br /> . >r..;....�1�:r�''��'. <br /> :.�``.'"::.y��.j.'r,,�;:.�::i:�`::'((`,4�. <br /> . . , �..:...;.;......., . .......... <br /> � StreetAddress: `:#��Cei�. ,. :����~::'.:::i:l:':;�i::::;:`:';: <br /> ��r� ;��. a,�, _Y.::-::.,::.:::�:;:::.�-.^.�:.a;,.>.,..,:...;,.:,.:...,..,,, <br /> , 'S� 1 ._ f �'t <br /> �� <br /> W <br /> 1 <br /> 2750 Kelle Park a <br /> Y Y <br /> ;:'�?.F..'i����:e'�``':�;. <br /> \d� • :� ?ne�::���:,>.�::.; <br /> i • ]r G ' . <br /> - ` ; � <br /> � <br /> Or o MN 55356 <br /> on <br /> \ , <br /> 4 <br /> �. <br /> � <br /> 0 <br /> / <br /> � <br /> � <br /> � <br /> �-_=- . _ , ;:�,�; <br /> :;{,\. <br /> t�#:�.��e`��:�`:i',s;s::';;,,.:: <br /> �:::::::::::::.::.:.:�.::,:.:.::::::::;:.:: �.::::::::;:::: <br /> '..::;;:�`;:::',:`..:`.;,;;�`>�\.i�\�. <br /> _ ;;::::���.:-�.::-,-........ <br /> Main: 952-249-4600 Fax: 952-249 4616 www.ci.orono.mn.us <br /> ......................................................................................................................... <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: <br /> Job Site Address:p 145 Sm i th Avenue <br /> Will this be a Pa�ade of Homes, Remodelers Showcase Home or other Display Home? Yes No <br /> !f yes, a special eve►rt permif is required w'rfh Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be <br /> required unless applicanf demonstrates s�cient on-sife parking is availab/e. Non-permifted evenEs wiU not be allowed. <br /> �,•GAidgRA6��R l AR�P-LJ�/kNT INFORMATION: z�„ ,;_�2_-������:40 <<;M,-> -�45���.�,ofs, �,-�.n . �;.P..,.,�., <br /> Name: Brennan Pro erties LLC <br /> State License# BG381410 Expiration Date: 03 31/2013 <br /> Lead Certification Number: NAT-119015-1 ',,,r� `1�/ IQ� , r��"�� Expiration Date: 11 24 2016 <br /> (fa work ho s that r�e const�uc,�ed prfor fo�1�878 6,�y, , ,,_ :9.,.� , r , r , <br /> Phone: �t,���C��1�6�5°=���� ,,, ,. .����6u�fi�:►l�of�ic+e) �il��?�1�����1ti , a�.��Gi � ��Il�,)�'�.�I+w�a'1 (cell) <br /> Mailing Address: 15 i s V' »il'd�'1t . �:it�C'S, :���:, 9�1�, !'�-P : CCf ake ZIP: 55 72 <br /> Gontact��rson: oe rennen M.�;,�,; � ,es� pp icant is: ontrac or omeowner �crc�i.or�aj <br /> , _ _ , . --r-r���mber <br /> Emaf��,�j A� _.___..__ _____. _.. . <br /> r �t>., Joe.Brennan�mchs r�.cc�t <br /> �r�"�"'"" �.1i'� _ay ;, a . :.. ., ,,: , �c,,„e <br /> '�. _._ _., ..__._._ <br /> � ---- ------- <br /> PROPL�'E�Y OWNER INFORM�ITION;, ,= E G �y <br /> Na�ie:� � F ;. � Lor i Gherard i'�r,, ss ___ _____ - - , <br /> �' s !�P y ��.M:�eMa� .. . r—,:,F,r=��?. <br /> Pho[��,��a��o-`'�� 612-670-4228 . ,�in� :� , <br /> Address: 2985 WatertoM[n Road City: �.a�o�o ZIP: <br /> „ _ <br /> -Ex�ail-and�ar-�-a'�c-=�ort h d'�`ahoo.com- _.-- _ .. _= _-- - -.--- __ _ ._�.._._ __.__ <br /> �ht5 , _ , „ ,. , , _� . , . „ . .-. .. . , �; .. <br /> �P'1!.O' p :c:�, +P ;�fi�G...��;-rs751�`�1�0 ''Fr+ fCtSA!'fl�'�. � �F�� � ��_ ,f <br /> T N: <br /> ���,eg�f��r��#ess: 145 r�r�i? ,�. ���tt� Any earth movement may requlre <br /> ------_ ._ _— ----- W'��. , �. F.rm <br /> Q�CDd,dh�i(s�e a Farade af •I��m6�dshr,.� ��fire�����e or otli r Ca�� , �� ��f� tts � -�--- <br /> .,I��ineha a_ ee� � i$tnct I�'Np <br /> �' y�s �spec � ven'.perm`� �uQu,,e't rYi �,: r �r �� ��m�i':�np a � . .�n�j �j��ti,j ,�.., i,� <br /> ❑��-f00f, eS���d un e�.s a. tik;�iif�j� «r ... ., ������t�'�m���,s�:✓a;�ak _ l,,on n.. .,�eu fa�rNS '����nk�6i�� <br /> �Re-roof, cedar Restoration ❑Water Damage Dee haven, MN 53 1 <br /> �1'FR�I�TOR ' �F'�a .F�'f INI��.'a°''�.s Phone: 952-:471-0590 <br /> �roof, other(spe�r� ���Si��p�� 4,i__ �� Q Other: (specify) Fax: 952-471-0682 <br /> —---�(�-� ,� ..: :--._ ____.._ --------- . ' , eek:v�a , <br /> � - ,� p�-� 17�Imdow s _—_._ ;__ � T � _---- <br /> ,��r_, � �,,,:p� ,- � ) . -www-a}�e cr <br /> �7��'+`r1J � . �i l.l. . ��.��i r ) L. I i.� <br /> �ie�aEE-�p�et�%De���ion:�t4iftcti��f` remode l<:; bath remode l�; add f i-re��l�ce i%�dd/r �I a' =4.Z��w i ndows <br /> Esftftf�t'�d6r�#t��t�'t��1��bf'Proj�ct'(�Stclo'dingland) $ 15,000 <br /> �� . .... a � �i - r ,, . ,. , �,� <br /> �. <br /> __. ____._____._ ; _ _,�,__ ___._.._ _ _ _----.__� _ _ _ .___ <br /> . . ...� - --.. ._ <br /> /�i�F�L1C`i�'i`�►c _ " �I��lylfi: '� �� � � l_�ke �' ,, `J2 <br /> . _ .,.,. _ --. --- ___ . __ _.. ,�--�--_ <br /> ,._ .. , ._ . .. ... _. . . . . _ . ��.>�":�,. . r If':�slE.;�.Vf18'� i,:i.cte Qn'e) <br /> �_cr ac ��eo providL��tl i � tirf�t�iFi required or re�uested by the B�rpiii�ig�Se�artmerit; <br /> cm,��i �r�c�.��ie§at�iat_xhe�rrtf�at�d���u}�pl��d is'true'�d corcect to the best_nf his/her.knowledge. The applicant.recognize�thatthey <br /> � are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative <br /> P'Ri3 F Et��.��'al�E3rtA���pT���l: <br /> N 31na; C I. ��'1P, '?t f� <br /> : Some or 811 �fq fQ,g,��you are asked #o provide�--tF�i�-applie-atier�-is c�assffied-�+-Sta�e--law-as-e�f�eF-pFivate-or <br /> _ <br /> r hor�e (.�+�tdential._�'�f�d��IktP <br /> ormation_which_generally cannot be given to the public but can be given to the subject of the <br /> A,dclre���data. Confide���d��intor�pption which generally cannot be given to eiCMer tFi�t-pubFic or the su6Je�t of the data. Our <br /> , •_ <br /> r- � �q�yypqse �nd i�t�'��t_�d� �f t��i1�""nformatior�,is to annually upda�e our"�ecords and�ecords of other govemmental ag�ncies <br /> ��„�i�-U . . � `1°�} `� �;�t S �,stifr , <br /> re uired� law: du e o I the information the a lieatisn-r�a not be issued. --- �� ---- - <br /> � , ; , <br /> �' ��V6� ��A;Tt t�N: ._---._. ----- ------_ Date _02__4-13 __ _ ------ <br /> � �� �-__--�-oe.-$rennan ,--._ <br /> r;(�e,(�;f�I'IQ;c�t: ,_ i r - ',r•r ,,`.h In�ve �sE� , rn<a�r ret ,:,r�: <br /> ��t�8���: o�-os�o�.� �,���s.mc���ei ; f , .,. . . . �� t n - �'JU r�vi�.�:� r•�ZEts _ _ <br /> � ....a�� :Ii,;�' � <br /> ._.._, � .. � <br /> , ,. � ,,.. ;»� � �ek W�� � 1.�; ���,r �r viG1N(�) <br />