HomeMy WebLinkAbout1995 - 006756 - window/bookcase PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 = '
Permit Number:
Crystal Bay, Minnesota 55323 _;:_ ,:�:t,
(612) 473-7357 Date Issued: 01/1;�;;_->_:.
SITE ADDRESS:
13I WILOHURST TR
. I . l2 . : 07-117-23-24-0043
DESCRIPTION:
Building it`i.•. tFL
Ruilding Work lr .r;
REMARKS: • ; •.JdTLi
=EE SUMMARY: _- _
.00
VALUATrON $4,000
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ToW
QNT CTOR: _ _ , V_'._ .. _ . _=__.I=• • CANNER
JOHN2211 VA EV VI EW Pi 1131 Wii DHUR.::;T TR
ST PAUL .5S11C; ORONO MN
THE UN_F = I EpNE__ HEREBY REQUESTS PE"M I -=:i . TO MAKE THE RFAL -IMF OVEMEN _
SPECIFIED
AND AGREES TO DO ALL WORK IN =rR It_T COMPLIANCE NCE 4ITH ALL CITY o
ORONO E.ERD I N NC ES AND STATE OF MINNESOTA BUILDINGCODE ODE REQUIREMENTS .
4._ 40
APPI Ir AAIT/PCDAAITC CI!_nIATI IDC �'- ICCI ICII DV.CI(_AIATI
CITY OF ORONO - BUILDING PERMIT APPLICATION
Date Received:
Total Fee: $
Date Approved:
Entered By: Permit n: '
ALL INFORMATION MUST BESCheck-off
UBI SUBMITTED
L BEEFFOORREESPLLA)N REVIEW WILL BE STARTED
(See
TEE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: //3/ lit/i/lie..//" S /per 7 ZIP:
(work)
/ / 6'/,////0/7
NAME OF OWNER: /
MAILING ADDRESS: SA/7) e-
CITY: ZIP:
//�� f ��e- 74l h l PHONE: 7J 3 a -
CONTRACTOR: �Z�n e A �CJ�'O-S� `-'U dl U -�//J�G;,
/ (/( , CITY: Sid9/-1Gt.4 ZIP:
MAILING ADDRESS: [J
��// ���p�/ /�
STATE LICENSE: # 40003, -A- /
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New
Addition Accessory Structure Move
Demo Remodel/Alteration j/ Renovate Land Alteration
�,L
PROPOSED WORK (describe in detail) : �Sl��/D1c�art/ Ze4,4Gt./ / as C 4?`se
/ 4 la2ii
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
I
h
ordinances and codes of the City and with the State Building Code;
that and
understand this is not a permit and work is not to start without a permit;
that the work will be in - r nce with the ap oved plan.
/s
APPLICANT'S SIGNATURE: / d' //f< ,(Az DATE:
deZ9
CITY of ORONO
_ _ _
Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
OF
oaaNcs 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 like to inform you that your request for a permit or
license from the City of
Orono or any of its or confidential departments
rmationmay require
you to furnish certain private
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.
�QJ� no �
-2c7S .4(
Middle Last
Firstrst
, moi/ d /4c (� ' ��/92
Address /
/1/ State �P//
City
23d- 5
Phone
I unde -•tand my rights as stated a ove.
4000"
Signature
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING