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4 ' ' � <br /> V {/_'' O <br /> r,'��� <br /> J <br /> Total Fee: S Da�e Received: � O <br /> Ent�ered By: Permit#: / D <br /> CITY OF OR NO - BUILDING PERMIT APPLICATION <br /> All informallon must be submitted in full before plan review will be stai-ted. <br /> (�ile�rse pri»t�rll iri fi�rnt�rtion) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: 315 Hollander Road ZIp� 55391 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes Q✓ T10 If j•rs.a speci<rl ere�1�pc�rmit is reql�ircd�ri�h Policc Dc perr•hnent anc!(:'i!�•<:'ornrcil rrppr<>1•crl <br /> 60 dms prior to the event Shritlle b�is service mi11 be regnired rnrless applicnnt dc nron,sn•nte,s <br /> sr�icient on-si�e parking is mailable. \on per�nitjed events irill not he aAolved. <br /> NAME OF OWNER• Connie and Nathan Eagre PHONE: �lOTrie� �952)745-7022 <br /> (work) <br /> MAILING ADDRESS: 315 Hollander Roed C�.Y� Orono Z�� 55391 <br /> CQj1j'rj�C'j'Qjt: Jaybit Enteiprises,LLC dba Archadeck of Hennepin County pgp�• (612)861-3325 <br /> CONTACT PERSON: John Buenneke MOBILFJPAGER: (612)232-so38 " <br /> MAILING ADDRESS: 5625 Dupont Ave South CITY: M»apo�,MN ZIP: 55419 <br /> STATE LICENSE: # 20630�79 EXPIItATION DATE• o3io9ioa <br /> ARCHITECT/ENGINEER: u.s.Strucwres,inc_ PHONE: g�-353-6999 ezt.410 <br /> MAILING ADDRESS: 2924 Emeryw°°d Pk�'y �.'jTY: �b��VA ZIP' 23294 <br /> NAME: Nick Small,Manager ofCanstruction and Ihafting REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) ✓ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(d�seribe in detait)• Replacement of large deck,inciuding footings,framing and staircase; : <br /> re-decking of existing small deck <br /> STORIES: SQ.FEET OF EACH FIAOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(eaduding land): S �.114.98 <br /> I hereby apply for a building permit and I acknawledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is n t without a permit;and that the work will be <br /> in accordance with the approved plan. /' <br /> APPLICANT'S SIGNATURE: DATE: °sn3ios <br /> 31 <br />