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HomeMy WebLinkAbout1990-003399 - re-roof 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 � �:`"`'%'�i-' �" �r+,r9��t�•>Y. I �——'�.� ������� Fi`i� 1 .n , I L_„ €'�'�. � . t�. t f"J. � �—�,;�.�:—_�i�--i it_)�. �. DESCRIPTION: i c_r'=li=i ���F��:�i�-_ F;�_►i�� L=u;. 1�.9 i i-;�� r=`�i�rr�i t. `f yq=�� _;�—�i�;�:�:�.`i�1��i1��L t�� • } • s. -�-. r.�- -�i�i i_t c�i.�f3 .Lii i f}�^.i �{,+�:�}'•r:. k ;+'j-`�' nt_—R �' i-.�-_ --,:!ijit L�3 : f� l!!� L'i!VlTL' . . r �'', .i�li!�t` •���f � � . !1 it�P.�lL�W. 1.J7 ! i4L � 1wl.f.G.l.Vl'S'YV 1�! �7 /�6� Y'' 'hk 1�1. fAt 1d..i«�+VL' ' f REMARKS: i`'"':':'```"" " 't i i Ckl E' rfi `v.a �wn .t�v ;.`�,���9 �L �,°:.t a�;; It!�4L1�I��:�lfll�il t•LL' FEE SUMMARY: �+�` -Lr-`� + "'' "t' `���-y �. 7711 :'L`t.� L"V\1 lIV./. t.Y�l'Jif ? f .'e J�-fiY! S.L:\��!:tV '}�:s;_��}y�T.i�i��� ��. i , '�'�{7 S�i{�t..' �Yr' �1 i�� . �_��_� �W���!1'l�)tt t':�� _.r._.__._ __�'.xi'.�'.m.=.L}`. !��.i L•G'1 d r '�''"Le ��._i� . �lt_i CONTRACTOR: __ ��,�,� i�L,.�� __ OWNER: .n,��,� ; �:� �.-�•-����- �.:--e-r-r: t t�-r ���_� !')U;.� ��": �'i�_��_i� �ft�-l� �4?._ � :�� v:`Ij!CF'. �"jlY►-lf�3 } t y,�'�;'�i �.t i i'.�F ;�=i� ���r+:� t�=i�`r�1 s�1� i�;Y'� w s � f:;.� !" 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L_ � i �; I 4= ` ` , , � _ : , ;����C�-� :- � "�" <�,T',�"C _ _ ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ Date Received: 1 � Date Approved: ; Entered .By: ' Permit#: I � ' ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED ' ------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER or ONTRACT �.�`� -� A1 a1�U fl' JOB SITE ADDRESS: L � � YZLS� ZIP: (work) � L NAME OF OWNER: 0 ��� QykU'��, �I' � PHONE: (h ome ) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: ���I���ODT�i�lO PHONE: ��7 3-3 39 7 MAILING ADDRESS: ���j Z.S C(�,N� � �Y CITY: J ZIP: S S�y] TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORR (describe in detail) : f���vl,�lJ2 Q� }jU,(���,/J ��1C�U2Q!"p��•.�lS� U�S�I�i�-,�oci.�. �cc-��I°Dl►� ��cr II/I,�h�'Yi� 1�� ,���, ���.�, STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRIICTION VALUATION (excluding land) : $ l �i �� I hereby apply for a building permit and I acknowledge that the informatic above is complete and accurate; that the work will be in conformance with t� ordinances and codes of the City and with the State Building Code; that understand this is not a Fermit and work i not to start without a permit; ar that the work will b i \c nce with he ap v plan. APPLICANT'S SIGNATORE: DATE: ' �- Sf'� � (Please ill out th rev se side of this form) i �. ��� :�: # �'��''t r"t�`�i`,�(i' , �s��� .� ;,+1' ,? � �,. y� h���� C ITY of O�iON� ,�f _.��Yv� ��:� Y)�F 1l':,� �.S „ : �F�^;.�.`f '� ; `��� `�`�"��.,'� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offic� 't'��S` �r�,.'r �i'��7 �, y.� �,vi t� �,� _ � e �; On the North Shore of Lake Minnetonka DATA_ PRIVACY ADVISORY In accordance with M.S. 15.165, "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 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 Iicense requested. 2. You may r�fuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other Iocal , 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 Midd e Last �� 5 � � l�e�� �-�-'� - ----_ _ _- - — ddress � ^ � � 1 v �.-- . _ ----_-�----- - -r'L,--.- _ ..._ . .-- - � . ---- -- -- - �-- - - - -. .._. -----.._ _.- - City State Zip �� -� � _.I �---------- _-- --- Phone I understand my rights as sta ed� a ve. � ; --- - - - -- - Sig BUfLIIING&ZONING—473•7357 � ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING