HomeMy WebLinkAbout1996-10-14 Permit, New Residence #008466PERMIT
CITY OF ORONO
2750 Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323
(612)473-7357
SITE ADDRESS:
PERMIT TYPE:
Permit Number: ��•�,l,LR NG
Date Issued: I c_i I 1 n /,:I
1101 FERNDALE RD W
DESCRIPTION:
NEW RE'_, I DE NC:F
Building Permit. Type ':,GI_ FAMILY -NEW
Building Work: Typir. RE'::I[)FNC.F
UBC Occupancy R
(':on_t•rIuct•ion Type VN
Zoning LR-lA
Census Code 7 C) 1 1 - F AM . Dr TAC:H
REMARKS:
FEE
FOUNDATIONS/ALL DEMO DE►3RIS T! i FEE REMf IVED FROM GROUND AND DISPOSED OF OFF
SITE PER PC:A REGULATIONS. WELL{, Mll'=:T BE ABANDONED. I N:::F'E 1=.T I CIN BEFfIRE
Ease Fee
Plan Review
';urchai,ge
Tc,t.al Fee
VALUiiT I ON
$1,6:37.25
$1 , 06-4.2.1
--------*124- ::
$2,826.14
CONTRACTOR: - Applicant - ST . L I C: OWNEn:
LUNDGREN BROS CONSTRUCTION 147:312:31 141:3 LUNDGREN BROTHERS CONST
9:?S WAYZATA BLVD E _=i S E: WAYZATA BL.VD
WAYZATA MN 55:391 WAYZATA MN S5:391
(612) 4_T_-1231 (612)A7: -12::1
I
THE UNDERSIGNED HEREBY RE(I' 1ES TS PE RM I':::3 I ON T►3 MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGRE E: TC1 DCi ALL. WORK I N STRICT COMPLIANCE WITH ALL CITY (IF
ORONO IRDINaNCES AND STATE OF MINNFSOTA BUILDING CODE REQUIREMENTS.
APPUCANT,'PERMITEESIGNATURL C# ISSUEDSY S*NATU�RE��
Total Fee: $ 6 , /V Date Received:
Entered By: -(%u' Permit #: A,
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OIZ ONTRACTOR f
JOB SITE ADDRESS: l /0 / f 1-1 ; /1(/G k',d d 141,01J ZIP:
NAME OF OWNER:
MAHMG ADDRESS:
CITY:
PHONE: (home)
(work)
ZIP:
CONTRACTOR: Ll,( ,j •' ?.: PHONE: z�7
CONTACT PERSON: MOBILE(PAW: 1- -7
MAILING ADDRESS: " ' t " CITY: . ZIP:
STATE LICENSE: P
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE:
CITY:
NAME: - REGISTRATION N
ZIP..
TYPE OF WORK: New —j-- Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detail): LJ C-�L, 1 Dc-AI` L, Gd/I y-14C aw./
STORIES: SQ. FEET OF EACH FLOOR: llqu
NO. OF BEDROOMS:. GARAGE STALLS: ATT. DET.
ES`I MATED 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
permit; and that the work will be with the approved plan.
in
APPLICANT'S SIGNATURE: rdance DATE: c j - 3L'l %:
NOTEI Agra& itf Mann events rWrin sepwor prt appr"W by ft&e DeparftwW card
City Corwg"dgs prior to Ae event. Nox-perasitiA d evemb will cot be allowed.
9