HomeMy WebLinkAbout2006-10620 - doors PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10620
Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterations
(95' 1249-4600 Date Issued:
12/12/2006
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SIT �DDR�SS: 2171 Shadywood Rd Unit#
Wayzata,MN 55391
P��� 17-117-23-42-0022
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterarions Pernut Sub-type(s): Doors
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 83.25 Valuation: $ 2,235.00
State Surcharge Fee: $ 1.15
TOTAL FEE: $ $4.40
APPLICANT: Minnesota Rusco,Inc. OWNER: Jacquelyn Robertson
5558 Smetna Drive 2171 Shadywood Rd
Minnetonka,MN 55343 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATLJRE IS UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
12/96/2006 12:42 952-935-9544 MINNESOTA RUSCO PAGE 02/02
Total Fee: Uate Received:
Entered By: Permit�: �
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������ C�TY OF QRON'O - B�LDIlVG PER�VXIT APPLICATTON �
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j\1 1U� All information rnust be submitted in full before plan review w�iU be started.
�J ��� (please print all informatic�n) �
THE APPLICANT IS_ (circle one) OWNE�t OR NTRAC 12 ^^
�os srrE �a►nnxEss: l7/ � o� . z�e:, 5�`
NA.14� OF OWNER: . PHONE: (home) �Z'�� ' . �
(work)
MATT,nvc��,nnxEEss: •� - r� crr�r:_ z�: /
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CQNTRACTOR: � PHON�:
CONTACT PERSON: MOBILE/PAGEXt: !�!Z• Z$a• g005
MA�L�NC ADDRESS: 55'�'8 c�. ��� CYT'Y: l��XP: S6z;yC3
STATE LXCENSE: #��/��3
ARCHI'X'ECT/EriTGII�TEER: � P�ONE: � � �
1�IAILAYG ADDRESS: C��'Y: ZIP: �
NAME= � REGiSTXtA'1'YON#
. TYPE O�"i%VORS: IVew Addition Accessory Struciure
Move Remodel/Alteration Land Alteration ��.�
P�.tQ SED WOR.K .scribe in detai�: /
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STOR7ES: SQ.FE,ET OF EACH F,I,OOR:
NO. OF BEDROOMS: � � GAI�AGE STALLS: A1"'Z'. DET.
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ES'I'IlYIATF� CONSTRUCTION YALUA�'XON'(excIudi�ng lancn: $��� �
�hereby apply for a buildiag permit and I acknovu�ledge that the infornaation above is complete and
accurate; that the work wi�tl be in confortnance with the o�rdi�taa.nces and codes of the City and with
the State Building Code; that Y understand this is not a penmit: and. work is noc to start�w�ithout a
perm.it; and that the work will be in accor e w' the approved plan.
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APPLICAN'�''S SIGNA'Z'UR�: � D�,�:
N(�TE! Parade of Home� events requare eparate penn�t ar�proval by Police Departrit�nt and
City Council 60 days prior to the event. Non p@rntitted events will rwt be alYowed,
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