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HomeMy WebLinkAbout1993-005787 - reroof Ir PERMIT CITY OF ORONO PERMIT TYPE: 27_ Kelley Parkway - P.O. Box 815 Permit Number: 'E-' ;Z Orok, Minnesota 55356-0815 Date Issued: (612) 473-7357 11.130193 SITE ADDRESS: 460 T13NKAWA RD CH P. I .N. ' 0. 117-223-2,2-000,2., DESCRIPTION: RFROOF OF Building Permit Tvpe SF-ADD/REMODEL Building Wart-.: RE-R00F REMARKS: DVANLE OFFICE 131310440€' A 01 LEN 6 .00 ff-12_ FEE SUMMARY: 01 LEN ,83 VALUATION $3,C-69 CHECK TL 3 .83 NEGEIPT—THANK You Base F $6,-, . i;i '914;' C001 L441 k01 1 b:3f Surcharge --------- �m� 11 f3419� Total Fee $6.4 . .7-3 CONTRACTOR: - Applicant - OWNER: EARL_OCK FRECH ROOFING CO 17227129 GAGE SKIP 2:309 SNELL I NG AVE 460 T13NKAWA RD MINNEAPOLIS MN 55404 i jRONO MN S- 5235 . (h 12) 722-71 X19- 473-58122 Uhlt `�I T} H :`�` .:� ` S w; FSM i - a T�C� i�A�E��T#� ' t h. �� P � �` ,NT � SC<1Iit . N# ACRS TG I_ " M ;S %CT `CvMP�Tt4NCIM STH G ; Y OF IP CIR x t�R[I 11 � �f � ; SIE TA.,;SC,I Lb I CEQ RtJ IE�I�ITS. APPLICANT/PERMITEE SIGNATUR ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ �� c� Date Received: Date Approved: Entered By: fL' Permit-4: ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) ------------------------------------- - THE APPLICANT IS: (circle one) �IC;TNER or CONTRACTOR JOB SITE ADDRESS: C� Tom �`a yjdz- ZIP: (work) NAME OF OWNER: K + ly-c� a �' PHONE: (home) MAILING ADDRESS: `76� �o u waw CITYZIP: S—S 3S CONTRACTOR: V- / K - PHONE: 22-��2 MAILING ADDRESS: S ( � a A U.CITY: P 1 (S. ZIP: STATE LICENSE: # �� © /L/ Z•� ARCHITECT/ENGINEER: U `� e PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration_ l Renovate Land Alteration PROPOSED WORK (describe in detail) : 2 V'0,0 V 2 �V, 64 L u�S e CcJ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding 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 permt; and that the work will be in accordance with the approved plan. DATE: 4- 30- 73 APPLICANT'S SIGNATURE: CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF On the North Shore of Lake Minnetonka GRON DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "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. 13.04 to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip ,) : Phone I understand my rights as stated above. i Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING