Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ f 6J 05 Date Received: �' ',�'- / 5 <br /> Date Approved: <br /> Entered By: C, Permit : ') `S b 1 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR) <br /> JOB SITE ADDRESS: Lot 1, Block 2, Rolling Meadows Third Additittp: <br /> (work) <br /> NAME OF OWNER: Mark and Sharon Supalla PHONE: (home) 475-2078 <br /> MAILING ADDRESS: 55 Golden View Drive CITY: Long Lake ZIP: 55356 <br /> CONTRACTOR: Vintage Builders, Inc. PHONE: 535-5225 <br /> MAILING ADDRESS: 8401 73rd Ave. N. Suite 90 CITY: Brooklyn Park ZIP: 55428 <br /> STATE LICENSE: # 2275 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New X Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Construction of New House and Garage. <br /> STORIES: 3 SQ. FEET OF EACH FLOOR: 1st Floor 1242, 2nd Floor 952, Attic 578. <br /> NO. OF BEDROOMS: 5 GARAGE STALLS: ATT. x DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 165,000.00 <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 approve- plan. <br /> APPLICANT'S SI •414. • - / �� r� DATE: i.3 <br />