HomeMy WebLinkAbout2003-P07079 - windows PERMIT
CITYf OF ORONO Permit Number:
2750 K�elley Parkway - PO Box 66 Po�o�9
Crystial Bay, Minnesota 55323 Permit Type: M�nor alcerarions
(952) 249-4600 Date Issued: 12i23i2oo3
SITE ADDRESS: 1900 Fox Ridge Rd
I.ong Lake,MN 55356
PID: 03-117-23-13-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 26525 Valuation: $ 15,787.00
State Surcharge Fee: $ 8.40
Misc. Fee: $ 1.50
TOTAL FEE: $ 275.15
APPLICANT: Rum River Lumber Co. OWNER: Steven&Ellen Polansky
10141 Woodcrest Dr. 1900 Fox Ridge Rd
Coon Rapids, MN 55433 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEE SIGNAI'URF ISSUED BY S[GNATURE
Copies: 1-File(Signitures Required), 1-Applicant. 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
Octd17-2003 08:44am From—CITY OF ORONO +Q522494616 T-303 P.001/002 F-520
w �'� , Da[e Received:
Total Fee:
` Lntered By: Perm.it#:
CIT'Y OF ORONO - B'[TILDING PERMI��' A�'PT�ICATION
All infarmation must be submitted in full before plan review will be started.
' (please print all inforntatian)
_______�.__.._________..___�___-
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TPlE ApPLYCA.N''r IS: (circle one} OWNER OR O�ITRA�`��
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J'OB SITE ADnRESS: ^ �� �X c�� ' C��x t,l...- ZIP: ��_`>��..�
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N� �� �`��: �� ��, �1�'y� ct � P�Q�'. �101Xl,e�r:���"��(F���-ly�i
(work)
�LAI��NG ADDI2ESS: �`�l;i F(;� �.i�" �.4�- _G`IT`Y: j��t;r-�> _�P: F�5_'>S�,
CONTRA.CTOR: �-li(' , � �vMh`-�. �� � 1'HONE: ID -M.P L'i 3 ZL
CONT.ACT PERSON:_j'd� U,�C�t�C- MQBII`�����R'
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�,�NG ApD�2ESS: l L t`t� � �c;:�t�[ t ;n� _CTT"Y: -
STATE L�C�NSE: #��,1,�(� ��
ARC�ITECTl�NGTNEER: PHONE:
MAILING AUDRESS: CITY: Z��
NAME: REGLST'R.ATION#1 .
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Z.YpE Q��pg�; ���, Add'ztian Accessory Siructure
Move Remodel/Alteration��-"� Land Alteration
P124POSEn WQ�(describe in derai�: (�����(�i�,ll��'--- ��: U)'u'1i,�i��, r�Lt���' ��fi
STORrES: SQ. F�ET OF�AC�T.FLQOR:
NO. OF BED�200MS: GARAGE STALY.S: ATT.• DET•
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ESTIMATED CONSTRUCTION VALUATI4N (excluding la.nd): $. (5� 1' � �C
Y hereby apply for a buia.ding permit and I acknowledge that the iz�formation above is complete and
accura[e; thaC the work will be i.n conformance with the ordinances and cades of the City and witt�
rhe State Building Code; that I understand this is not a germ.it and worlc is not to s�art �vithout a
permit; and thaC the work will be in accordance with the approved plan. :
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APpLICANT'S SYGNATLTRE: ���Ik.�-�.� �`� �,� DA'Y'E: -...�U^�
NOT'Er p�Qf Horr� events require separate permit approval by police llepartment and
Cily Council 60 days prior to the event. Non permitted events will not be allowed.