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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> --------------------------------------------------------------------------------------- ------------------------------- <br /> THE APPLICANT IS: q(circle one) OWNER R CONTRACTO <br /> JOB SITE ADDRESS: I `� �� 4 ZIP: , y <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. r, <br /> NAME OF OWNER: r �Q PHONE: (home) q5 % 0 ' VJ <br /> (work) <br /> MAILING ADDRESS: 1 CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACT PERSON: Roseville, MN 55113 AGER: <br /> MAILING ADDRESS: _ License #20130983 ZIP: <br /> STATE LICENSE: # 651-264-4777 DATE: <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 /> Any earth movemet may require MCWD review and permits ! <br /> PROPOSED WORK(describe,in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ \ d, <br /> I <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: AE; <br /> 31 <br />