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2017-00190 (Windows)
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Abingdon Way
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2240 Abingdon Way - 03-117-23-23-0009
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Permits/Inspections
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2017-00190 (Windows)
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Last modified
8/22/2023 4:35:18 PM
Creation date
3/6/2017 8:53:07 AM
Metadata
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Template:
x Address Old
House Number
2240
Street Name
Abingdon
Street Type
Way
Address
2240 Abingdon Way
Document Type
Permits/Inspections
PIN
0311723230009
Supplemental fields
ProcessedPID
Updated
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City of Orono <br /> Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY <br /> r ' (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) <br /> �O� Mailing Address: Permit number. __ �� / "�'� '�/ � <br /> O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: > "j J� � <br /> Sfreet Address: Received by: <br /> � � 2750 Kelley Parkway Plan review fee: <br /> `� �' Orono, MN 55356 <br /> �� <br /> qKFSHo Total Fee: � (� � � ; (l� � <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us " � <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: � � "' <br /> Job Site Address: „ � '� ��� ��3.S1l�° <br /> Will this be a Parade of Homes, Remodeler Showcase ome other Display Home? ❑ Yes No <br /> If yes, a special event permit is required with Police epartment and ity Council approval 60 days prior to the event. Shuttle bus s rvice will be <br /> required unless applicant demonstrates su�cient on-site parking is available. Non-permitted evenfs will not be allowed. <br /> CONTRACTOR/APPLICANT INFOR ATION: <br /> n , n. <br /> Name: � �- � <br /> State License# , '7� Expiration Date: '�-�' <br /> Lead Certification Number: `�I`7 ���� - Z, Expiration Date: ,2-Z <br /> (for work on homes that were constructed�ior to 1978 <br /> Phone: (cell) �, °` , ��i'7 � `�'��1�� (office) 7, - � �� <br /> Mailing Address: jy� �j,� . �,� City: - �5 Z�P: S5 5 7 <br /> Contact Person: ' � '1 . Applicant is: ontra r / Homeowner (Circ e One) <br /> Email and/or Fax: � � � <br /> PROPERTY OWNER INFORMATIO •, <br /> Name: <br /> Phone (day): - � � <br /> Address: " � + ; " City:�,��' ���, ZIP: ,j� <br /> Email and/or Fax: , <br /> PROJECT INFORMATION: Overall project description: <br /> Type of Project: Any earth movement may also require <br /> ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: <br /> ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) <br /> 15320 Minnetonka Blvd <br /> ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 <br /> ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 <br /> N� k%.'J'/�.�v✓`� Window(s) �'/�.� �U� j��� Fax: 952-471-0682 <br /> www.minnehahacreek.orq <br /> Estimated Construction Valuation of Project (excluding land) $ r <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Agrees to provide all information required or requested by the Building Department; <br /> • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are <br /> solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to <br /> reject it until it is complete; <br /> • Some or all of the information that you are asked to provide on this application is classified by State law as either private or <br /> confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. <br /> Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and <br /> intended use of this information is to annually update our records and records of other governmental agencies required by law. If <br /> ou refuse to su I �- formation,t e a lication ma not - issued. <br /> , �,... � <br /> _ �, _�r-�" _ '-' � % <br /> ApplicanYs Signatur�: �����dy Date: � ' � � <br /> Owner's Signature: Date: <br /> Last Updated:January 2016 <br />
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