HomeMy WebLinkAbout1992-004317 - stucco garage _ _ _ TT�
PERMIT
CITY OF ORONO � �� PERMIT TYPE: �;
1335 Brown Rd. South • P.O. Box 66 � Permit Number: �''fj�.�����
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 �;)�%t)L:/'�:i
SITE ADDRESS:
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F. I .N. : i 7—f 17—��:,-4�—c�c:��:�_;
DESCRIPTION:
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FEE SUMMARY: '��"� j•
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��T � — Appl ica�it• — OWNER:
��FtL���F.'EC1NG L:TL1C:�:�i i 4t�=��1:�:�. F'A�;I�H M I�::E
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cF1'.�7 d'�:'�3—�?1,34 �:�#:�)471-7t��r;
__.._ __---- __..__ ___ . ---- __'_ . _ __ _ __._ _ . ______ ___ _- --- _ ___ __ . .
THE l�hfG�.R'��I�F�E�:� f-IE�iFE:Y �iEi.�t��_T=: F EFiM I•_�•_.I t���1 T�=� �1(}F�::E TNE �EAL I!�F'Fi�:�VEME(�T'�:
'�i='EC:I F I ED Ah�D �1��hEE'� Ti�r p�_t fiiLL W��kk:: I td '-TFi I C:T C����h1F'L I At�tC:� W I TH ALL. ��I TY L�F
i_i�;�:i�i� ��a�C}I h��hlC.:E'�� At�CJ '��TATE: �:3� M I t�P�l�'r:�:iT� �ct J����I h�C� i.:+�FDE ��t:�l�I�;FMEt�IT'=:.
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE C..�L�II'
CITY OF ORONO - BD". LDING PERMIT APPLICATION
Total Fee: $ q���d;1' C� ! � � • � � Date Received: � � �`Z
�'`
Date Approved:
Entered By: �
Permit#: � � % ��
AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII,L BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLIGANT IS: (circle one) O��TNER or CONTRACTOR
JOB SITE ADDR$SS: `�"�� i( `S hctc�y 1^'�'C� ZIP:
(work)
NAME OF OWNER:/ �� �'�� �°L f � S� PHONE: (h ome) �I 7/- ��� S �
MAILING ADDRESS: �2.a� �( Sh�c��� i�✓„ c'c� CITY: ZIP:
CONTRACTOR: ��i 1�'n I'��T� PHONE: L/a � - � l� `/
MAILING ADDRRSS: � �/�J��' �o � ' � �V�" �'- CITY: �Uc�e i� ZIP: ��7�/
STATE LICENSE: #
ARCHITECT/ENGINEER: Pg��=
MAILING ADDRESS: CITY: ZIP:
N�g: REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration � Renovate Land Alteration
PROPOSED WORR (describe in detail) : �'7 k C�u ���-1��Z�}-�
STORIES: 1 SQ. FEBT OF EACS FLOOR: 3 St�,j I G a�� q�
NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ���� �" ��� � �
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City and with the State Building Code; that I
understand this is not a permit and work is not to start without a permit; and
that the work wil 1 be in accordance with the approved plan. �
�_
APPLICANT'S SIGNATORL�: C�C-�� DATE:
J _ �
�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� . � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would 3ike to inform you that your request for a permit or
license f rom the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. The information you furnish wil.l be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other l.ocal, s�ate or
federal agencies to the extent necessary to process the permit or
. license.
4. If your requested permit or Iicense requires Council act�on
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
�� ��h Gla rehc I' re�1�?� —
First Middle Last
��1 �o� ld��''� �- /li
Address
�C�or ea� ./`�Y�- ��3 7�/
City State Zlp
y� �-a i ��J
Phone
I understand my rights as stated above.
C.
Signature .
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING