Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total 'Fee: $ /�� C� Date Received: <br /> Date Approved: <br /> Entered By: � <br /> Permit#: 3 SPP <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------- ---------- ------------------------ <br /> THE APPLICANT IS: (circle one ) OWNER o ONTRACTOR <br /> JOB SITE ADDRESS: 2165 Watertown Road ZIP: 55356 <br /> (work) <br /> NAME OF OWNER: ROBERT W. AND MONIQUE L. KANTOR PHONE: (home) 591-0437 <br /> MAILING ADDRESS: 2013 FLAG AVE NO CITY:GOLDEN VALLEY ZIP: 55427 <br /> CONTRACTOR: MARK JOHNSON CONSTRUCTION PHONE: 890-2242 <br /> MAILING ADDRESS: 1614 East Cliff Road CITY:Burnsvi.11e MN ZIP:55337 <br /> TYPE OF WORK: New X Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : &)CAIP 0an,"14 Qc..,r�1i:r <br /> STORIES: c SQ. FEET OF EACH FLOOR:_ j S} 1�-7a <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT.S DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /3`3f?00.0 O <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: l' DATE: <br /> i <br />