Laserfiche WebLink
Total Fee: $ /38. 7/ Date Received: 6"��� p <br /> Entered By: Permit#: b <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 4495 North Shore Drive, Orono ZIP. 55364 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ®No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Michael Ryan PHONE: (home) 952-495-9123 <br /> (work) <br /> MAILING ADDRESS: 4495 North Shore Drive CITY. Orono ZIP: 55364 <br /> CONTRACTOR: Great River Builders PHONE: 612-619-7080 <br /> CONTACTPERSON: Tim Robb MOBILE/PAGER: <br /> MAILING ADDRESS: 6221 Hillside Rd. CITY: Edina ZIP: 55436 <br /> STATE LICENSE: # 20573172 EXPIRATION DATE: 3/31/0 7 <br /> ARCHITECT/ENGINEER: N/A 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) x <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): Extend deck out approximately 11 feet, <br /> keep existing width. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2700.00 <br /> I hereby apply for a building permit and I acknowledge 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 not to start without a permit;and that the work will be <br /> in accordance with the approved plan. / <br /> APPLICANT'S SIGNATURE• DATE: <br /> 31 <br />