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2017-00727 - foundation only
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1318 Spruce Place - 08-117-23-32-0018
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2017-00727 - foundation only
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Last modified
8/22/2023 5:43:53 PM
Creation date
3/13/2019 10:06:18 AM
Metadata
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x Address Old
House Number
1318
Street Name
Spruce
Street Type
Place
Address
1318 Spruce Pl
Document Type
Permits/Inspections
PIN
0811723320018
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Updated
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Jun. 28. 2017 1 ; 56PM No, 3319 P. 2/5 <br /> City of Orona <br /> Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY <br /> (i�e. windows, doors, siding, re-roo�, etc.— NO STRUCTURA�, �XPANSION) <br /> ���� MallrngAddress; � Permitnumber� /�—�(� <br /> PO Box 66 <br /> Crystal B�y,MN 55323-0066 ^ Date recelved: 8 / <br /> � Recefved 6 <br /> �, y 5treetAddr�sS: �5� Y� <br /> y�, � 2750 Kelfey Parkway � Plan r�view iee:� <br /> �'�kESH��'�G Orono,MN 55356 Q' <br /> Total Fee: � �2 u <br /> Main� 952-249-4600 Fax: 952-249�616 www,ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete appll�atlons wlll be reEu�ned. (Please printJ <br /> GENERAL iNFORMA710N: <br /> Job Site Address: `�j�$ �j p��� p�, <br /> Will this be a parade of Homes,Remodelers Showcase Home or pthar Plsplay Home? Yes o <br /> !1 yes,a specla!avent pemril is required wrth Police Depanmenf and C!(y Councll approva160 days prior to the event. Shuttle bus servlce wfl!ba <br /> Ieguired un(ess app!lcant damonslrates suHlclenY on-Sife parlking rs available. Non-permltfed evanls wlll not be aflaWad, <br /> CpNTRAGTOR/APPLICANT INFORMATION: <br /> Name: �_ - k i J� e � 5 S�-e <br /> State�icense� -� c�ay7�� Expiration Date: p � �p� <br /> Lead Certification Number: '�b _ Expiration Date: 0311$ aotiq <br /> (for work on homes that wena constructed prior to 1978 <br /> Phone: (cell) (office)'?ja,v-- � c�c�� <br /> Mailing Address: �bp � City: '��. ZIF �Cj(�f�,'�j <br /> Contact Person: � � Applicanf is: ntract ! Homeowner �c�r��a ona� <br /> Emaif and/or Fax: ��������� �s� �� <br /> pFtOPERTY pWN�R INFORMATION: <br /> Name: r <br /> Phone(day)� � ��_� � <br /> Address: 1�1$ 5�r.,1�,� 1��, City: �`�,nC� ZIP: �� _�m_ <br /> Ernail and/or Fax: <br /> PROJECT IN�ORMA710N: Qverall project descri tion: <br /> Type oP Profect: Any earth movement may also requSre <br /> ❑Door(s) ❑Remodel ❑Fire Damage <br /> MCWD raview&permlts: <br /> ❑Re-roof,asphalt �Repair ❑5torm Damage Minnehaha Creek Watsrshed District(MCWD) <br /> 15320 Mlnnetonka Blvd <br /> ❑Re-roof,cedar ❑Restoration ❑Water Damage MinnetonKa,MN 55345 <br /> ❑Re-roof, other(speclty� ❑Siding []Other: (speclfy) phone: 952-471-0590 <br /> Fax: 952-471-0662 <br /> ❑Window(s) www.minnehaF�acreek.orq <br /> Estlmated Construction Valuation of Project(excluding land) $_. 5,QOO <br /> APPLICANT ACKNOWLEbGEMENT: <br /> . Agrees to provide all information required or requested by the Buflding Department; <br /> . Certifies that the information suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they are � <br /> solely responsible tor submitting a compfete applicatlon being aware that upon failure to do so, the stafF has no afternative but to <br /> reject it until it Is complete; <br /> • Some or all of the information that you are asked co provide on this application is classified by State law as either private or <br /> canfidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. <br /> Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and <br /> intended use of this infnrmation is to annually update our records and records of ather governmental agencies required by law_ IF <br /> ou refuse to su 1 the information, the a lication ma not be issued, <br /> ..-�� <br /> ApplicanYs Signature: �_ � Date: �v �9 �7 <br /> Owner's Signature: Date: <br /> Last Updated:January 2016 <br />
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