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2014-00647 (minor alter. - roofing)
Orono
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3704 Casco Avenue - 20-117-23-31-0039
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2014-00647 (minor alter. - roofing)
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Last modified
8/22/2023 3:56:11 PM
Creation date
2/22/2016 12:42:24 PM
Metadata
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Template:
x Address Old
House Number
3704
Street Name
Casco
Street Type
Avenue
Address
3704 Casco Avenue
Document Type
Permits/Inspections
PIN
2011723310039
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Updated
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Jun 241408:11a p.1 <br /> ' ' City of Orono <br /> Building Permit appfication for Maintenance 1 Rep�acement ! Renovation <br /> (No structural expansion. Only windows, doors, siding, re-roof, etc.) <br /> � r Mailing Address: Permit number. �� (/(/� 7 <br /> �O�YO PO Box 66 <br /> I 1, Crystal Bay, Il9N 55323-0066 Date received: -q7 <br /> f <br /> � � y� Streef Addiess: Received by: <br /> �y�. � 2750 Keiley Parkway <br /> �qkFSKt�.��'�' Orono, MN 55356 P�an review fae: <br /> Totai Fee� l�3• � <br /> Main: 952-2G9�fi00 Fax: 952-249�616 v�r�nnv ci.orono mn us <br /> This application form must be completed in full and all required information must be s�bmitted. <br /> Incompiete applications will be returned. (Please pnntJ <br /> GENERAL INF�RMATION: <br /> Job Site Address: ,� 7d �f �c�S`� �(f�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o <br /> lfyes. a specral eveniper,nit;s requrred wifh Police Depariment and City Counal app�ovaJ 60 days pnorto the event. 5huttJe bus service�vill be <br /> 2qurred unJess apA6cant demonstrafes sutficrent on-site parking is availa6Je. lJon-pe�mifted events tvill not be allowed. <br /> CONTRACTOR 1 APPLICANT INFORMATION: <br /> Name: �z4� �'��,,.: o �f <br /> State License# lSC ��9 �yf� Expiration Date: ���--�6 � <br /> Lead Certification Number: �J/j-T-t�� !e o� �/ Expiration Date: �� --/�- <br /> (!or work on homes that were constructed prior to 1978 <br /> Phone: (cell) ��� - �,� 9 -j-7 ff�, (offce) <br /> �6��—���"�—d� �c� <br /> Mailing Address: � y� 3 S ,����� r-y ,.vr;.� Cify: -. �Co.•�.- ZIP: S`S'-3 � � <br /> Contact Person: t�f--„•� Applicant is• Contracto / Homeowner (CircleOne) <br /> Emaiiand/orFax: _ �c.�lc ,F f-�.,.-�e� J' G�C ���c . co.� <br /> PROPERTY OWNER INFORMATION: <br /> Name� �.> � .��� .���.�� <br /> PF�one (day): `�S^�� Y?( - g'is�Cj <br /> Address: o�-�/ C 2 c m ✓�`�� City: Qn�� ZIP: S�.S'_'3� <br /> Ernail and/or Fax: <br /> PROJECT lNFORMATION: Overall roject descri #ion: <br /> Type of Project: Any earth movement may also require <br /> ❑ Door(s; Q Remodel ❑ Fire Damage MCWD review8� permits: <br /> � Q Re-roof,asphalt ❑ Repair ❑Storm Damage Minnefiafta Creek Watershed Dis#rict(MCVWD) <br /> ❑ Re-roof,cedar ❑ Restoration 18202 MinnetcnKa Blvd <br /> ❑Water Damage Deeohaven, MIV 55391 <br /> ❑ Re-roof, other(specffy) ❑ Sidfng ❑Other. jspecify} Pho,�e: 952-47'J-059� <br /> �Window s �ax: 952-471-0682 <br /> � � wtivw.minneFahacree'i orq <br /> Estimated Construction Valuation of Project(excluding land) $ 7�0�, �� <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Ag�ees to provide all nformation required or requested by the Buiiding Department, <br /> • Certifies that th2 i�forrr�.ation supplied is true and correct to the best of his/her knowledge The applicant recognizes thatthey are <br /> solely responsible for submitting a complete application being aware tnat upon failure t� do so, the staff has no altemative but to <br /> reject it until it is complete; <br /> i • Some or all cf tne information that you are asked to provide on this applicatio� is classi�red by State iaw as either private or <br /> confdentfal. Private aata is infarmation which generally cannot be given to the public but can be gfven to the subject of the data. <br /> Ccnfidenbal data is information which generally cannot be given to eitner;he public or the subject of the data. �ur purpose and <br /> intended use of this informafion is to annually uadate our records and records of other governmental agencies required by law. If <br /> ou r2fuse to su I ihe iniormation the a lication ma not be issued. <br /> Appficant's Signature: �^�- .l� ��v ,--�---- Date: 6 `��� <br /> Owne�'s Signature� Date� <br />
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