HomeMy WebLinkAbout1988-000637 - siding & trim PERMIT
CITY OF ORONO PERMIT TYPE: �'`-'��-`'I���
1335 Brown Rd. South • P.O. Box 66 ;}��{'}'�"'��"'�
Permit Number: �ki,�i ���,�;
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: �.1;_s r.i��� ��E ��
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CONTRACTOR: -- €���F.� ic�,-�t. --- OWNER: '
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A P ICANT/PERMITEE SIGNATURE ISSUED B . SIGNATURE
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CITY OF ORONO - B�ILDING PffitMIT APPLICATIOIi
Total Fee: $ Date Received:
Date Approved:
Permit�: Project#:
Building Permit Application Requirements:
1. Building permit application - to be filled out completely and signed
2. 2 sets of construction plans to include the following:
a) Floor plans;
b) Footing and foundation plan;
c) Elevations (of all sides) ;
d) Wall sections and cross sections;
e) Details - stairs and any special connections.
3. Certificate of survey with location of existing and proposed
structures including hardcover calculations and grading and drainage
plans as required.
4. Energy calculations - form provided.
5. Septic report and design if required.
'��dE INFORMATION 1rIOST BE SOBMITT� IP FULL BEFOR$ PLAN REVI$W WILL BE STARTSD
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APPLICA�iT IS: (circle one) OWNER or CONTRACTOR
�OB SITS ADDRBSS: ��g,s ���vP ,� ZIP:
PROPffitTY IDffiiTIFICATIO�i 110. :
work
NAME OF O�1NBR: /3r ►�a h �, r,�s L� PHONE: (home)���;- a D o
1�1AILING ADDRBSS: �/ � � ,�� �v P_ /v� CITY: �O n �p ZIP:
CONTRACTOR: ��` P ,�P��t�,t` C � r P� PHONE: � ,3G '�� �� �
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"� ILING ADDRESS: �v��` (/U. CO, 1�� /� CITY:�(���� (/t�1� ZIP: �c��/�
ARCHITECT: �1f ��.rQy �� PAONE: �"�lo - ��p `? �
MAILING ADDRESS: CITY: ZIP:
TYP$ OF i�IORK: New Addition Accessory Structure Move
Demo Remodel/Alteration�� Renovate Land Alteration
P?ROPOSBD �SB (describe in detail) : ~ J i^ rj � �
STORI&S: SQ. F�'i' OF BACH FLOOR:
NO. OF B�ROOMS t GPIRAG$ S?ALLS: ATT. DET.
g � L �, � o
BSTI1r1ATSD CONSTROCTI0�1 DALQATIOP (esclndin land) : $
I hereby apply for a building permit and I acknowledge that the information
bove is complete and accurate; that the work will be in conformance with the
rdinances and codes of the City and with the State Building Code; that I
nderstand this is not a permit and work is not to start without a permit; and
hat the work will be in acc � dance with the approved plan.
PLICANT'S SIGNA�RB: . �--�� ` � �
_ ��� DATS.
(Please i out the reverse side of this form)
�
• �,
�� �#���� CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55.'i23•Municipal Offices
•
• _ � o On the North Shore of Lake Minnetonka
D�1��l...�R�Y_.1_�CY �V�S9��
In accordance with M.S. 15.165, "Rights of subjects of data", we
would like to inform you that your request for a permit or license '
from the City of Orono or any of its departments may require you to
furnish certain private or confidential information.
You are notified that:
1. The information you furnish will 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 local , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit. �
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First Middle Last
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Address
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City State Zip
Phone
I understand my rights as stated above.
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Signature
BUILD�NG�ZONING-473-7357 • ADMINISTRATION�.FiNANCE-473-7358 • PUBLIC WORKS-473-7359
A�SESSING