HomeMy WebLinkAbout2001-P04671 - re-roof F R NO PERMIT
CITY O O O
�750 Kelley Parkway - PO Box 66 Permit Number: Po46�1
Crystal Bay, Minnesota 55323 Per'mit Type: Minor Alterations
(952) 249-4600 Date Issued: I1i29�2oot
SITE ADDRESS: 1856 Shadywood Rd
Wayzata,MN 55391
PID: t7-117-23-24-0017
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Buildin Census Code O/S- Building
Permit Class: g
Permit Type: Minor Alterations Permit Sub-rype(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 167.25 Valuation: $ 9,000.00
State Surcharge Fee: $ 4.50
TOTAL FEE: $ 171.75
APPLICANT: Twin City Roofing OWNER: Milton Seifert
768 Rice Street 1856 Shadywood Rd
St. Paul, MN 55117 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIv1ENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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� A�PERMITEE SIGNATURE ISSUEDBYSIGNATURE
Copies: 1-File(Sienitures Reauired). 1-Aoplicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
NOV-28-01 10:33 AM TWIN CITY ROOFIMG T669016 P.01
�� Tocal �ee: � ��/ 7vr,� Date Received:,�__ ---_..__.._.....�
E�iterecl BY: . ��. peruut�: ..,,r_
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<<��" C�'�''Y OF UR�NO - BTJII.,DING T A�'�'LICA'rt
PER�.Vi� ON
All inPormation must be submitted in full before plan review rvill be started.
� (please pri�tt ull infornurtion)
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TH� APPLTCANT IS: (circle one) OVSfiiER O CONTRACTOR
Jos sxTE annx�;ss: 1 $5(� �� �!2 � zrn: —`�3�._�_
NA..ME OF O'WI��:R: __�.�� -�.�w_._ PHO\�: (home)�� I;SOZ
� (work)
`r.�,u�'c�.nia�ss: ��r�r��: �_�z�:_�.:�1
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CO�"k'F�►CTpR: ��l__�� .�_ _ PHO�IL: �.�b
CO�I'1'ACT�E�tSO�i:L�I�G.__,._... iO�YL,E/PAG��: _
��nr,u���nD�ss: �1 lag �►� � �.. ..___--c��r�: ��� z�:�1�
STAT� tICk:NSE: fi��C� 3
A�tCT�IT�4T/ENGLti�E�t: � ,._� ._. _PHO`'E: �
1��iILI.�rG A.DD �'SS: .__.._._..__.._._—.___... CITF: ZII': __
Nr1,:VrF',: __..__,,,__._..____.�� ..._._�REGISIYRAT'I4�`�,______ _.�.. �
T'YPE 4�' '�vOR�i; New Addition Accessory Structure�___.�.
Move __.;__._ Rornodel/Altzration� Land Alteration __.
PROY4S�'-D ti'VO�i(describe in detain�,��,p�,�i ,���.� ��„�Q'� ___
^ 2 Cc+�.�x. .aC�.��----.____..._.__.,....�_ __ ..�.._.. .... _._�.-
S'�0�2IES: SQ.F�k:T U�'�ACH F7,�04Yt: _.___
NO. 4F BEDRad�ZS: ._. GAR.�GE S'�'AY,Y,S: ATT. , � D�7.�:_ � . - .
EST�IA.'I'ED C0�"STRUC�'ION VALUAT'10�,' (excluding land): $ q U�Q
I hereby apply for a building permit and 7 aclalo�vledge that the information above is Complete And
accurate; that the work will be it1 confvrmance with the ordinances and codes of the Ciry and with
�he St�te Buitding Code; that T understand this is not a permit and work is not to star�t without a
permit; and that the work will be i.n accordance with the approved plan. .
AFP�ICr11\T'S SiG\'aT�: DATk-: _� � a 1_,�
1�'QTE! Parade o Hr�mes events require separate permit approval by Police Department and
City Caunc�160 days prior to the event, Non permitted events will not be adlowed.