My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2012-00259 - roofing
Orono
>
Property Files
>
Street Address
>
T
>
Tonkawa Road
>
1180 Tonkawa Road - 08-117-23-13-0006
>
Permits/Inspections
>
2012-00259 - roofing
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/22/2023 5:41:32 PM
Creation date
6/25/2019 11:55:44 AM
Metadata
Fields
Template:
x Address Old
House Number
1180
Street Name
Tonkawa
Street Type
Road
Address
1180 Tonkawa Rd
Document Type
Permits/Inspections
PIN
0811723130006
Supplemental fields
ProcessedPID
Updated
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
04-0 -12; 12: 37 2494616 # 1/ 1 <br /> City of Orono <br /> Building Permit Application for Maintenance / Renovation <br /> (windows, doors, siding, re-roof, etc,) <br /> Mailing Address: <br /> PO Box 66 P..ermit niiinbpr: <br /> Q o Crystal Bay,MN 55323-0066 •Date received:: <br /> Street Address: Received by: <br /> 2750 Kelley Parkway <br /> $ Orono,MN 55356 Plan r.,avww fee: <br /> Main: 952 249-4800 Fax; 952-249-4616 Totat•.Fee: <br /> no.m s <br /> This application form must be completed in full and all required information must be submitted. <br /> GENE INFORMATION: Incomplete applications will be returned. (Please print) <br /> Job Sibs dress: i k a LOn LAKf- nl $S 3 5b <br /> Will this a Parade of Homes,Remodelers Showcase Home or oth r Display Home? yeS <br /> If y�ss, clal event permit is required with Police Department and City Council approval 60 de NO <br /> requhvd unless applicant dermnstrates surftant on-site parking is avallable. Non-pend d events nl not be n we mice will be <br /> d. <br /> CONTRA TOR/APPLICANT INFORMATION: <br /> Name::.. <br /> _ . CO✓� �'i't,t.C��o h .SerVi C <br /> State Licrse# Expiration Date: <br /> Lead Cer ication Number: <br /> Expiration Date: <br /> (foron homes that were constructed prior to 9978 <br /> Phone: (office) <br /> Mailing ress: O p (P (cell) <br /> Contact P rson: City: Zlp: <br /> q Applicant is: Contractor / Homeowner <br /> Email and/ Fax: (Circle one) <br /> PROPER OWNER INFORMATION: <br /> Name: <br /> Phone(day): <br /> Adairland/ r Fax l IonK0.tJCL City: Lake ZIP: <br /> PROJE INFORM ATION: <br /> i Type of Project; <br /> Ani►earth movement may requlre <br /> ❑ Door(s) , ❑Remodel ❑ Fire Damage MCWD review 8,permits: <br /> ❑Re-roof, []Repair Minnehaha Creek Watershed District(MCWD) <br /> ❑Storm Damage 18202 Minnetonka Blvd <br /> Re-roof, solar <br /> ❑ Restoration ❑Water Damage Deephaven, MN 55391 <br /> ❑Re-roof,Ipther(specify) ❑Siding ❑Other: Phone: 952-471-0590 <br /> (specify) Fax: 952-471-0682 <br /> I El Window(s) www.minnehahac ek ori <br /> I <br /> Overall Pro ect Description; C <br /> eAAAe- <br /> Estimated JConstruction Valuation of Pro' excluding land) 1�', �w. 00 <br /> APPLICAT ACKNOWLEDGEMENT: <br /> • Agrees to provide all information required or requested by the Building Department; i <br /> . t ' <br /> Certpes that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they <br /> are Solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative <br /> but to reject it until it is complete; <br /> • Some or all of the information that you are asked to provide on this application is classified by State law as either private or <br /> confidential. Private data Is information which generally cannot be given to the public but can be given to the subject of the <br /> data. Confidential data is Information which generally cannot be given to either the public or the subject of the data. Our <br /> purpose and intended use of this information Is to annually update our records and records of other governmental agencies I <br /> ulred by law Ifyou retwo4equpply the Information,the application ma not be issued. <br /> I Applicant's 4ignature: i <br /> Date: � R 12, <br /> LFwj I Indatwi• np—na-,2ni q <br />
The URL can be used to link to this page
Your browser does not support the video tag.