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Home My WebLink About2009-00362 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00362 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/10/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3740 TOGO RD PIN : 17-117-23-31-0023 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 010 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,000.00 NOTE: FRONT PORCH REMODEL-REMOVE SCREENS AND INSTALL WINDOWS APPLICANT PERMIT FEE SCHEDULE 88.50 GLASSCO,GEORGE&JUANITA 3740 TOGO RD STATE SURCHARGE(VALUATION) 1.50 WAYZATA,MN 55391 TOTAL 90.00 OWNER GLASSCO,GEORGE&JUANITA 3740 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 requeste in conformance with the State Building Code.This permit may be revok at any ' for due cause. / d / O Ap lic Permi ee Signatur Date 1"d By Signature Date AR ATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Jun 29 09 06:35a Straub Design 952-546-3056 p.1 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc) Mailing Address: 0 Permit number: (� - ¢, PO Box 66 0 0� Crystal Bay,MN 55323-OD66 Date received: lv b ++ "''�"'' 4� Street Address: Received by:i 2750 Kelley Parkway Plan review fee: Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 vn,vw ci.orono.mn.us Total Fee: This application form musi;be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 1.? y /O Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes X No ff yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttie bus service will be required unless applicant demonstrates sufficient on-site parking is available. Nor-permitted events will not be allowed. CONTRACTOR /APPLICANT INFORMATION: Name: 401440(_ Omex5/ State License# Expiration Date: Phone: (office) _ (0/Z--3j0— SZcr�/ (cell) Mailing Address: ,AQ CRY: ZI 9 Contact Person: 4¢,G"4 Applicant is: Contractor / Homeo (circia one) Email and/or Fax: ? tIZe PROPERTY OWNER INFORMATION: r Name: Phone(day): r Address: —4 IWO_7 SPD City: AZO_13�_ ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8 permits 19 Door(s) Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) [ Window(s) C] Repair (]Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Re-roof ❑Fire Damage ..ww.minnehahacreek.orq Overall Project Description: pL F.�'1« lO-t► _ 124cMove. $C/`sQNs fttv5r►w�1 i1.Iw,Anwf Estimated Construction Valuation of Project(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, i • 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 this information i to annually update our records and records of other governmental agencies required by law. If you refuse to supply the in mation.the application may not be issued. Applicant's Signa e: Date: 09 9 Last Updated: 05-04-2009 I^ " .e Cv-L.9 -0 y �. C.�_ �� ,.v S t i=r.v A c-..