HomeMy WebLinkAbout1989 - 001896 - building PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd.South•P.O. BOX 66 Permit Number:
Crystal Bay, Minnesota 55323 Date Issued:
(612)473-7357 'ja-i `:-NG
SITE ADDRESS:
- 'i WOODHAVEN
P . 1 . N . , 33-118-2 3-41-0005
-Ti -000
DESCRIPTION:
Building Permit type SF-LAND ALT
Building Work Type 101+ CUBIC YOS
REMARKS:
LANDSCAPE PLAN TO BE SUBMITTED BY S-21-89.
FEE SUMMARY:
, ,.:i Vii,. _i _ - - ,
vA rI _ $1 , 000 -0
,
Base Fee . �i ,Vit; _Surcharge C(
InYes•F.iqation +'•'v,i,.tt_0
Total Fee $100 .50
CONTRACTOR: OWNER:
-- Applicant --
EDWARDS K I M
2450 WOODHAVENbb
LONG LAKE MN 5535F,
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
PROVEMENTS
L_ SPECIFIED AND AGREES TO DO ALL WORK: I N STRICT
STFI TCOMPLIANCE
OMFL I ANCEWITH AL
CITY OF
EO -_ JR_ INAN-E: A'J" STATE OFMINNESOTA BUILDING CODE REQUIREMENTS
,
itte./ , de—tg-4
APPLICA ITEE SIGNATURE ISSU D Y:SIGNATURE
INSPECTION RECORD
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd.South•P.O.BOX 66 Permit Number: BUILDING
Crystal Bay, Minnesota 55323 Date Issued: ```-'i=1`
(612)473-7357 OS/11/83
SITE ADDRESS: APPLICANT:
2450 iii-1_'DHA'i3_N DR EDWARDS
KIM
476-3473
r_
PERMIT SUBTYPE: TYPE OF WORK:
Sr LAND ALT 101+ CUBIC YDS
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR
FINAL
REMARKS :. LANDSCAPE PLAN i€` i ;-1 BE SUBMITTED t•. i S-21-89.
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: f
Permit#:
j , 0- (0 3
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: 2./g51) L,C iiJ tv ! /MC 1J ZIP: 55-.5t51,
J1
(work)
NAME OF OWNER: kffY\ Elk:x-12_6 U PHONE: (home)475-54 72-
MAILING
475-5472-
MAILING ADDRESS: )/* a (* Jl CITY: .1A4t-k ZIP15;z7
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : / L IALE- !S T/ 6L-�-
ityf n y;)c.i fiadt,„ 1.(7.-_ 44) &/
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 informat
above is complete and accurate; that the work will be in conformance with
ordinances and codes of the City and with the State Building Code; tha
understand this is not a permit and work is not to start without a permit;
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: / 1: )at-/ �G DATE: \-V6//t
(Ples ill out the reverse side of this form)
4
= :; - :: CITY of ORONO
Qom.. Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
• ammo On the North Shore of Lake Minnetonka
DATA_PRIVACY ADVISORY
In accordance with M.S. 15.165,
a permit or license
would like to inform you that your request for
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.
First Middle
Last
Address
---- .•--------- ..---------- _ ...---
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
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