HomeMy WebLinkAbout1994-006309 - reside PERMIT
4- CI •Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815Permit Number: ' I DING
Orono, Minnesota 55356-0815 00630
(612) 473-7357 Date Issued: 08/09/q4.
SITE ADDRESS:
480 ORCHARD PK RD
CH
P . N. . 32-118-23-33-0007
DESCRIPTION:
RFS I DE
Building Permit Type SF-FDD/REMODEL
Buildina Work Type RF-SIDE
CITY OF rii`viiw
REMARKS: FINANCE OFFICE
131J.LV000
_ (( ..& CR126. 00
•
1222200000
FEE SUMMARY: .ULIj !t T-Y
TJ
VA!_UATION $10, 370 RECEIPT-i Ni YOU
#311070 COOL of f 1
i•?,8
BasP Fee $126 .00 roirio/01,
Surcharge 1'�!
Total Fee $131 . 19
CONTRACTOR: - Applicant - ST . L I C: . OWNER:
NORTH CENTRAL E:t-i I LL ERS ANDREW=_; DEXTER
7401 42ND AVE N 480 ORCHARD PK RD
NEW HOPE slay! _, ;4:_: ORONO MN cS3S6
(61'2) S33-6168 475-9076
TMS FEW( REQUESTS, PERMISSION- k1A E THE Eta. " IMPROVEMENTS
- SPEC IP MO' TO D. €' ..L WORD N STRICTCOMPLIANCE WITH ,ALL CITY O="
L ORONO ° I NAN A S � DM= M I NNE I BU LM M G' CODE REQUIREMENTS
{
APPLICANT/PE ITEE SIG TURE ISSUED BY:SIGNATUREy
CITY OF ORONO -- BOYIDI27G PERMIT APPLICATION
•
,�,; ;� Date Received:
Total Fee: $ - .
Date Approved:
Erste=ed By: ,[Lv Permit i:J 5 .-
ALL INFORMATION MUST BE SUBMITTED IN DULL BEFORE PLAN REVI1 W WILL BE STARTED
(See Check-ofd List Enclosed)
THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR
480 Orchard Park Road ZIP: 55356
JOB SITE ADDRESS:
(work) -----
NAME OF OWNER: Dexter & Jennifer Andrews_
PIIOITE: {homE),_A25907h-
480 Orchard Park Road Clgy; Long Lake ZIP: 55r 356 _
MAILING ADDRESS: __
NORTH CENTRAL BUILDERSPHONE: 533-6168
CONTRACTOR:
7401-42nd Ave. N.
55427
�Tt- New Hope ZXP:
MAILING ADDRESS:
STATE LICENSE: 763
PHONE:
ARCHITECT/ENGINEER: ______ —�'-
CITY: ZIP:_
MAILING ADDRESS:
REGISTRATION Y -
NAME:
Accessory Structure Move
TYPE OF WORK: New Addition
Demo Remodel/Alteration Remel/AlterationLand Alteration_Renovate x
PROPOSED WORK (describe in detail) : Reside home with vinyl siding , Cover all
soffit and fascia in aluminum. Clad all doors and windows in aluminum.
STORZES: • SQ. r.F.El' OF EACH FLOOR:_
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET._
ESTIMATED CONSTRUCTION VALUATION (excluding
land) : $ 10 370 . 00 --
I hereby apply for a building permit and I acknowledge that the infOnnation
P and accurate; that the work will be in conformance dew' that
the
above is completepermit; andI
undestaand s codes
of permit the ya d w work ishn-t to start without a P
understand this
that the work will be in accordaztce with the ,onravpd plan.
____ __ •
DATE: L- 21
APPLICANT'S SIGNATURE: �. - -
A.,
,I=.:-:-.—...1r...- _.:,:ztf•t- CITY of ORONO
,--„,._,:___.3.-_,:,,,:: Post Office Box 66 Crystal Ba ,Minnesota 55323•Municipal Offices
=
ON ~` On the North Shore of Lake Minnetonka
1.431:6
DATA PRIVACY ADVISORY
Subd. 2, "Rights of subjects of
In accordance with M.S. 13.04 , our request for a permit or
license from the City of
data" , we would like to inform you thatono or any its departments may require
to furnish certain private or confidential information.
you
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 opermir
to
federal agencies to the extent necessary process
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.
First
Middle Last
74m— 4z- Acs U .
Address
U- �� .k
State Zip
City
Phone
I understand my rights as stated above.
Signature N w •
3UILDING Sc ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS —473-7359
ASSESSING
CITY OF ORONO - BUILDING PERMIT APPLICATION
Date Received:
Total Fee: $
Date Approved:
Entered Bv: Permiti:
ALL INFORMATION MUST BE SUBMITTED IN FOIL BEFORE PLAN REVIEW WILL BE SY`ARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
ZIP:
JOB SITE ADDRESS:
(work)
PHONE: (home)
NAME OF OWNER:
CITY: ZIP:
MAILING ADDRESS:
PHONE:
CONTRACTOR: ZIP:
MAILING ADDRESS CITY
STATE LICENSE: #
PHONE
ARCHITECT/ENGINEER:
CITY: ZIP:
MATTING ADDRESS
REGISTRATION 4
NAME:
TYPE OF WORK: New Addition
Accessory Structure Move__-___
Land Alteration
Demo Remodel/AlterationRenovate
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS:
GARAGE STALLS: ATT.
land) :
$
ESTIMATED CONSTRUCTION VALUATION (excluding a that the information
I hereby apply for a building permit and I acknowledg
that the work will be in conformance with bathe
abovee
ris complete and accurate; the permit; and
understand and codes of ermit=and work ishn t to start. without a P
understand this is not p
that the work will be in accordance with the approved plan.
.
DATE:
APPLICANT'S SSGNATORL:
.
•
th
""""" STATE OF MINNESOTA
tw_.p pp.•,., A DEPARTMENT OF COMMERCE
�.` Seventh East 8eSt
8tPaul 11 N55101
(612)296.6319
: BUILDING CONTRACTOR
111#3763
BUILDER
INDIVIDUAL PROPRIETOR
Expires: 03/31/1993
ROBERT O NORCROSS
7 Ho CE ibie by 3/31195
DBA:NO CENTRAL BLDRS
7401 42ND AVE N
NEW HOPE MN 33427-0000