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HomeMy WebLinkAbout2011-01435 - foundation only CITY OF ORONO PERMIT NO.: 2011-01435 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 3710 TOGO RD PIN 17-117-23-31-0027 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 003 BLOCK 010 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FOUNDATION ONLY ACTIVITY 434-RESIDENTIAL VALUATION $ 12,000.00 APPLICANT PERMIT FEE SCHEDULE 221.25 PAINE SAHWN ANTHONY PLAN REVIEW 0.00 8616 KENNEDY MEMORIAL DR ST.BONIFACIUS,MN 55375- STATE SURCHARGE(VALUATION) 6.00 (612)968-9676 TOTAL 227.25 OWNER LINDQUIST,LINDA 3710 TOGO 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 City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work 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 responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. A Applicant Permitee Signature Date Issued By Signature // Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono y Building Permit Application for Maintenance / Renovation,, 2 (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �gv 0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: f.w~�rvo�' 2750 Kelley Parkway Plan review fee: es Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: C) � Will this be a Parade of Homes, Remodelers Showcake ome or other Display Home? ❑ Yes ❑ No /f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFOR ATION: Name: %��2C!/1 State License # Expiration Date: Lead Certification ZmbeF Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ( Z ,� (office) cell Mailing Address: ,2L2Cit '— Contact Person: Zpplicant is: Contractor / Hom wner (circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone (day): 'S _ Address: J City: �fy��j ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: I Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review &permits: —71 P p ❑ Storm Damage Minnehaha18202 Minnetonka Breek Watershed lvd ct(MCWD) ❑ Re-roof, asphalt Re air ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 El Re-roof, other(specify) Phone: 952-471-0590 ( p y) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) w vw.minnehahacreek.org Overall Project Description: -�, ,jl 1WC:-e7z-W !_' _- , -j Estimated Construction Valuation of Projec (excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of Wts information is to annually update our records and records of other governmental agencies required by law. If you refuseto u I the information,theapplication may not be issued. Applicant's Signature: Date: / z -- Last Updated: 08-09-2011 CITY OF ORONO BUILDING P LAN REVIEW MPECTOR NSPE om 1 PERMIT NO. 13 APPRO'IE-0 AS SUMMED El Ap'pFF0'v7--F,-VvMd l"'0FU';,rCTI0NS AS NOTM L cup r �,��o�s ��c r y y C) rebal Gose tIeu eb IA MWA� SPECIAL NOTE rQ-6aV- L kA SEE ATTACHED SHEET , FOR t-,51yx>Me P C3DE RECD UIREMIENTS �_l rkckcL r- (: _r uv� 3710 T,080 rj A EXISTING _Z_vvk©U J PANTRY I l� ! 0 :Tp . EXISTING — — OFFICE UP a EXISTING BASEMENT EXISTING STORAGE 1571 r6 o v,d a lto►1 '� �X y l EXISTING LOWER LEVEL PLAN 1 /4)1 = 1'-0"