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' J , <br /> , .. r <br /> �EC�11��'[:� <br /> JA N 9 2009 <br /> Total Fee: $ ������ llate Received:�/'�/ 0� <br /> Entered By: Permit#: �j�J�-Qd�(�t.� �N� <br /> CITY OF ORONO - BUILDING PERMIT APPLICAT[ON <br /> All information must be submitted in full before plan review will be started. <br /> (please print al!information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> _ _._ _ ._._ _._. <br /> THE APPLICANT IS: (circle one) OWNER O� CONTRACTORL <br /> / _.._------ <br /> JO�SITE ADDRESS: 5��9 Ferndale Rd N ZjP: �5391 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO /f yes, a specral eren!permil is i�eyuired 1rilh Police Depai7ment and C'rty C'oio�cil a��proral <br /> 60 days prioi�to the ere�al. Shi�t!le hus sei��ice tii�ill he reqi�ired rr��less applicn��!demonslrule.r <br /> si{�cient on-srie parking is ai�ailable. Non-peivnrtted erents u�ill no�be a/lou�ed. <br /> NAME OF OWNER: �'�°`��&Kathy s"rto" PHONE: (home) (9s2>4�3-��6s <br /> (work) <br /> MAILING ADDRESS: 509 Ferndalc Rd N �jTY: wayzata Zjp: 55391 <br /> CONTRACTOR: Schercr►3ros PHONE: (`�52)277-t600 <br /> CONTACT PERSON: ��cn Ru�p��k� MOBILE/PAGER: <br /> MAILING ADDRESS: �o�s� �,X�eiS��or�i�a CITY: H�pk�r,� ZIp; ss3a3 <br /> STATE LICENSE: # 'oz39369 EXPIRATION DATE: o3i3�io9 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) _�__ <br /> PROPOSED WORK(describe in detai�: R`pi`'�"'g 4 W'°`ioWs <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 10���y�b� <br /> 1 hereby apply for a building permit and 1 acknow(edge that the information above is complete and accurate; <br /> that the wock will be in conformance with the ordinances and codes of the City and with the State Quilding <br /> Code;that 1 understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ,1�u�-�.,C�.���,r.,ya.�� DATE: /— �� - G T <br /> >> <br /> �I��� V��, i �L�,.t� � �S <br /> �''�csz���.l j <br />