HomeMy WebLinkAbout2000-P02037 - re-side . � ,
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PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P02037
Crystal Bay, Minnesota 55323 Pefl111t Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 2iisioo
SITE ADDRESS: 2825 Casco Point 1td
WAYZATA,MN 55391
PID: 20-1 i�-23-�2-000s
DESCRIPTION:
Proposed Use:
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Building Re-Side
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 573.05 Valuation: $ 42,500.00
State Surcharge Fee: $ 21.25
TOTAL FEE: $ 594.30
APPLICANT: D°""elly EXter;ors OWNER: DAv�D� voxKs& wiFE
2519 E 25th St 2825 CASCO POINT RD
Minneapolis, MN 55406 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-� REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDTNG CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATU I �D BY SIGNATURE ; z�,��
Copies: City,�Applicant,Assessor, Finance Page 1
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CITY OF ORONO - BUIZDING PER�IIT APPLICATION
Total Fee: $
ti:-<���. 3�, Date Received:
Date Approved:
Entered By:�,(r permit tt: ,���.�.� L� -
AT•T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI+AN REVIE�1 �� B$ STARTED
t See Check-off List Encl.osed)
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THE APPLICANT IS: (circle one) OWNER o CONTRACTOR
JOB SITE ADDRSSS: v� D �� C�CfSC-U 1 ��h � �. ZIP: ��� /
(work)
NAM}3 OF OWNER: � 1/( 'f- I Q \ n r PHONE: (home)
MATLING ADDRESS:;,;Z�v�.7 CuS�-O ��Ih�� CI�'= ZIP: S ? /
CONTRACTOR: �'Jh � f"(�' Y' PHONE: -
�- �,� CITY: 5 ZIP: �S
MAILING ADDRESS: 'oZ �^ �S S
STATE LICENSE: # a�o9 a9 '��
ARCHITECT/ENGINEER: PH��
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTR�TION T
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED WORR (describe in detail) : `y't-b
STORIES: SQ. FEET OF EACH FLO�R=
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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�STIMATF.D CONSTRTCTION VALIIATION (excludi.ng Iand) : $ � � ��-/�
I hereby apply for a building permit and I acknowledge that the informatic.�
above is complete and accurate; that the work will be in conformance with t�.��-
ordinances and codes of the City and with the State Building Code; that �`
understand this is not a permit and work is not to start without a permit; anc.
that the work wil 1 be in accordance with the app roved plan. •
�yf \ DATE: pC -I�'Ga D
APPLICANT'S SIGNATIIRE: /C.LZ��C
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r- CI'��' O� O
L C�i Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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s _ � o On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of
data", we would like to inform you that your request for a permit or
license from the City of Orono or any of its departments may require
you to furnish certain private or confidentia3. information.
You are notified that:
1. The information you furnish will be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other local , s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or 3.icense requires Councii ac��o%
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this app3-ication or
permit.
First
Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
2��"�
Signature � �
BUiLD[NG&ZONING—473-7357
• ADMINISTRATION&FINANCE --373-7358 • PUBLIC WORKS —473-7359
ASSESSIN G