HomeMy WebLinkAbout2009-00314 - addn/remodel/repair � ��. CITY OF ORONO PERMIT NO.: 200�-003�4
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 06/15/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1770 SHADYWOOD RD
PIN : 17-117-23-21-0023
LEGAL DESC : SHADY-WOOD
: LOT 018 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 52,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLiTMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
REMOVE AND REPLACE DORMER,SOFFIT&FASCIA,SIDING,REPLACE SHINGLES,DECKING,RAILING AND GUTTERS.
PER LYLE-NO PLAN WAS REQUIRED.
APPLICANT pERMIT FEE SCHEDULE 696.75
SPRINGER EXTERIORS LLC STATE SURCHARGE(VALUATION) 26.00
BOX 668 TOTAL 722.75
PRIOR LAKE,MN 55372
Minnesota State License#:20402154
OWNER
O'DONOGHUE,DANIEL&SUE
1770 SHADYWOOD RD
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of wo�k
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is respon 'ble for assuring al1 required inspections aze
requested in c fo e with the State Building Code.This permit may be
revok ti due cause.
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Applicant Permitee Signature Date Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. —►,
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: � 7 7 D 5�f-7�, y w po� �D ZIP: SS 39/
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �1 NO Ifyes, a special event permit is required with Police Department and City Council approval
� 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates
sufficient on-site parking is available. Non-permitted events will not be allawed.
NAME OF OWNER: �aja(�L D (70,.��'�� PHONE: (home) '
(work)
MAILING ADDRESS: �j-�r7/ CITY: ZIP:
CONTRACTOR: SP(Z�w tr�R �ix�.R,,va•5 LL t. PHONE: qs-L-�/�!o-�`3'3 7
CONTACT PERSON: �'Y1��-E ��lA� S MOBILE/PAGER: 9S z-9/3-Z 8�5
MAILINGADDRESS: (?p. (3oX (o(oS CITY: PQ�o(LL� ZIP: s5 7Z
STATE LICENSE: # Zoyo Z�SY EXPIRATION DATE: ' 3�/v
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) �
Any earth movement may require MCWD review and perm' its!
PROPOSED WORK(describe in detai�:�,�.��vr i�ol�inc(L _ ��i�+c.� 5 y`/-� sid...�� �
S/�7.��-[.�S �S a�fL�a[�� (Z-fh e.i-v�-� !-F+�7 Cs H.77L�1L3 •
STORIES: �� /z-. SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ SZ�fl o 0
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 ardinances 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
in accordance with the approved plan.
APPLICANT'SSIGNATURE: DATE: G�a�b�
31
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❑STOP ORDER POSTED.GALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. / ',
White Copy/lnspector's File Canary Copy/Site Notice
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—DATE TIME
CITY OF ORONO CALLED IN -�o
INSPECTION NOTICE ,/� SCHEDULED � �
PERMIT NO.a04�--d0 3i`�' COMPLETED
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OWNER CONTR.�-��'�G�I�.P.Gt
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_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ( i � f
White Copyllnspector's File Canary Copy/Site Notice
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CITY OF ORONO ��� CALLED IN � �/
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Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
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= 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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INSPECTOR WILL RERIRN ❑CITATION ISSUED
O STOP OROER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor s' e:
Inspector.
White Copyllnspector's Flle Canary Copy/Site Notice