Laserfiche WebLink
Total Fee: $ y' (( • Date Received: 6 1 I <br /> I <br /> n3 <br /> Entered By: / J2 <br /> K � Permit#: r _-11 <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 •R CONTRACTOR <br /> JOB SITE ADDRESS: George Funk ZIP: <br /> 540 Old Crystal Bay Rd So <br /> Long Lake Mn,55356 <br /> NAME OF OWNER: George Funk PHONE: (home)9S? (/-7 5-35 <br /> 540 Old Crystal Bay Rd So (work) 'S Z - - - 2.7/- 3 0 k S <br /> MAILING ADDRESS: Long Lake Mn, 55356 CITY: ZIP: <br /> CONTRACTOR: 54 I -r PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 5,2 1 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> 041-ccbevi <br /> TYPE OF WORK: New j/ Addition Accessory Structure Ga v-1, t <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 2 x3 6 64 r41C._ Alva"'k si cr-C <br /> 0 A Of s/sw,--e <br /> STORIES: I �'Z SQ. FEET OF EACH FLOOR: / ( S 9 k Q f A-44 ?2-u hir C <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. L - <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ UOO -� S,D OO <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in acc• r'ance with e app,oved plan. <br /> APPLICANT'S SIGNATURE: DATE: 7 ,6 3 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />