HomeMy WebLinkAbout2003 - P05935 - re-roof �► PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P05935
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 1/3/2003
SITE ADDRESS: 4520 West Branch Road
Mound,MN 55364
PID: 06-117-23-34-0004
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Census Code 0/S-Building
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 3,800.00
State Surcharge Fee: $ 2.40
TOTAL FEE: $ 99.65
APPLICANT: Craftsmen Exteriors OWNER: Micheal&Theresa Eastman
7455 France Avenue S. 4520 West Branch Rd
Edina,MN 55435 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
/1417171—
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Entered BY: �.) man,r; i 6�3 c
J.1)cl 'Li Lr--} CITY OF ORONO-BUILDING PERMIT APPLICATION
l Mi information most be subm� ,a fun before
plan review,l be started.
M`i )
THE APPLICANT IS: (circle one) OWNER aRI2STRAC'TO) ....._
JOB SITE ADDRESS:
�5�� ty faaj_j_ P:
NAME OF OWNER:Teie 5i1A 5 Tii ei PHONE: ( ) 9 s - y 7c g 7 3"
(wurk)
-
MAILING ADDRESS: 5 A 7n CTTY: z>p
CONTRACTOR:SRA F 75 me d — 1.4)e.LF./PHONE: a}9 6 G/gyp 5.5 ale b la
'94/-y2 9 a-
CONTACT PERSON' t A Ai_ E p;NA _ SSS 3S
G+ADDRESS: 15_ `R ANG a e_Com;_�
STATE LICENSE: ag22.0111.0. st/9 S/
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ARCHITECT/ENGINEER: PHONE:
MALTING ADDRESS: CTTY
NAME: REGISTRATION#
TYPE OF WORE New Addition Accessory Sttucntrc
Move Remodel/Alteradon�_ Land Alteration
PROPOSED WORE(describe in dem: Re - /Loo
STORIES: SQ.Fir OF EACH FLOOR:
NO.OF BEDROOMS: GARAGE STALLS:S: ATT. DET.,_._ c o
ESTIMATED coNSTRucITON vALTJATION(arming land): $ 3, g o
I hereby apply fora building permit and I acknowledge that the information above is complete anti
accurate;that the work will be in canfoaaance with the ordinances and codes of the City and with
the State Building Code;that I understand Hui la not a permit and work 1a not to start without a
permit;and that ea;work will be in accordance with the approved plan_
APPLICANT'S SIGNATURE:
' 0,......419 ' - DATE: - 3
NOTE! Eticadedifilotet events requde separate permit approval by Police Deparsment and
C2ty Council ISO days prior to the e1. No,-pernrined events will not be allowed.
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seCOrtnane with M.S.13.44,Subd.2,"RiIi)ua of aubjeco of data",we would like t1[atom.vou mat ycruc rar:esr
for a pe.-DSit or license Irmo t5C Qty of QaoDO or ray of its ckpormonnici=ay retlasna you en 911n10,certain pt_vate Or
0O denial 1rtrOtta* Oh.
You pre mottled Ow:
1. II=tuforaamom you forniohwill be uaad to determine your muila.cotlQIl for the permit or it:ante rerzursted.
2. You a ,tefuSt to sum*data.but refusal r..4 attache that IAD Cid deny STe pezmit or license.
3.
The information taay be bh>red'Int other local,sate or federal egelsles:o the ex>ma occoaary o proeeea
the permit or license.
4. if your revereted peffilt or tissue requires Council =non:o approve, Some Iaformettnn tow become
suDl1C. s evallablz-gray vasa to:cr_eet private data on ycuxti if,
5. you tam=al+�tt>t uaLa M.S. 13.G ( req
S. 'Your tuu name io rc4ralta4 to process visit application or perarmT.
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