HomeMy WebLinkAboutRequest for Property Info U City of Orono FOR CITY USE ONLY
O o P.O.Box 66
,;.Y 2750 Kelley Parkway Date Received:A10/0 Time:
y�''' Crystal Bay,MN 55323
952 249-4600
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REQUEST FOR PROPERTY INFORMATION `�f
Internal, City Use Only
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Property Information:
Type: 15a Residential ❑ Commercial
Address: V V Q T�./ '�w� 1�!/� WU(Z'J�
Requestor:
Name: 6► :0� 4v� l�C1 �V �`� ,_
Company(if applicable):
Address:
City: Zip:
Home Phone: Alternate Phone:
Questions regarding the above noted property: WI — _ —' r-6 P\
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v:\chris mattson\request for property information form.doc �
Last Updated: August 28,2007
FROM PHONE NO. Oct. 22 2008 02:26PM P1
Building Permit Application # 6ZL
DENIED
'for w - �o� �se�' teRee ived: /D -22- -O F�
nterec y: Permit#: a-weS - D03g2a2,
ING PERMIT APPLICATION
Staff 't Date: e
All information most be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) O OR CONTRACTOR
.TOB SITE ADDRESS: 3765 Watertown Road OronoZIp, _ 55359
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑Yes Q No If yes,a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shrdtle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: David and Christina Chute PHONE: (home)_(112'473-9791
(�rpk) (612)3664685
MAILING ADDRESS' 3765 Watertown Road C1TY: pipno 22[p: 55359
CONTRACTOR: David Chute PHONE: (612)366-46&5
CONTACTPERSON: MOBILEJPAGER:
MAILINGADDRESS: CITY: ZIP:
STATE LICENSE: # . EXPIRATION DATE'
ARCHITECTIENGINEER: Minnetonka Design PHONE: 952-934-7440
MAILING ADDRESS: 90 roost 78th St Cly': Chanhassen ZIP: 55317
NAME: REGISTRATION: #
TYPE OF WORK: New Horne Addition Accessory Structure
Move Home Remodel/Alteradon(ie: Siding,Windows) Of
Any earth movement may require MCWD review and permital
PROPOSED WORK(describe in detail): guild covered connection between house and garage.
Frost footings,new doors to front and buck and steps out to back , ,-vl y i S• f�
STORIES: 1 SQ.FEET OF EACH FLOOR: 1500
NO.OF BEDROOMS: 6 GARAGE STALLS: ATTACHED DETACHED ✓
ESTIMATED CONSTRUCTION VALUATION(excluding land): S %ls 41Spd
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 Statc Building
Code;that I tmdet%tand this is not a permit and work is not to start without a permit;and that the work will be
in accordance with the approved plan_
APPLICANT'S SIGNATURE: �� DATE,• /o —2 2 —o g
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