HomeMy WebLinkAbout2009-00073 - adv plan review * +
CITY OF ORONO PERMIT NO.: 2009-00073
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUE�: 02/18/2009
952 249-4600 FAX: 952 249-4616
REYRINTED ON 3/18/2009
ADDRESS : 4355 CHIPPEWA LA
PIN : 31-118-23-42-0020
LEGAL DESC : N/A
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE E_�ADVANCED PLAN REVIEW ,
NO'I'E: PERMIT#2009-00 1 1 0 FOR E3UILDING PERMIT
APPLICANT ADVANCED PLAN REV(EW 1,271.89
YOUNG,JOHN & LYNN TOTAL 1,271.89
4355 CHIPPEWA LA
MAPLE PLAIN, MN 55359-
OWNER
YOUNG,JOHN & LYNN
4355 CHIPPEWA LA
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
thc 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 compicd 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 wark 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.
/ / / /
Applicant Permitec Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. ��--�....�, ♦
Oct-30-2008 04:47pm From-CITY OF ORONO + - -
' � I .�
� �f a.� ��v��e� `�d. , a� f �
C�� i �,a� t
Total Fee: $ Date Received: �� D
Entered By: ermit#: __�_,�� _ 6QQ
CITY OF ORONO - BUILDYNG PERMYT APPY,ICATYON �� -� �� ��,c' �
All ,nformation muat be submitted in full before plan review will 1►e started. ���� � '��
(please prrnt all.irrformation) 2�(� —� C
------�-_---------------------------_____---_---------------------------------------�------- _ � ( `],
THE APPL�CANT IS: (eircle vne OWNER OR CONTRACTOR � `� �V
)
JOB SITE ADDRESS: �/��� C-�^��'�'�'�✓Y� C-�yJ�C ZI P: ����S`�
Will this be a Parade of�Iomes,Remodelers Showcase Home or othcr Dis��lay�Tome?
❑ Yes �No /f yes, a s�ecial event permit is required wrrh Police Departmen[an�l Ciry Counci!apprnval
60 days priorlo[he eveni. Shultle bus service will be req�ired un/es.��upp/ican�damonstra�es
sufflcient on-sile parking is available. Nori-permitted events�wi!!n��t be aJlowed
(o5I- �Oy�• Z2��
NAMC OF OWNEY2: _�sJ �fi �y"r✓� ��c,��� PHONE: (h��me) ��L—'�r,�--'_ �y`��,
� (work)
MAT�.YIVG ADDRESS: `��S� ��r✓'��C'k��� CITY: '� i. .--ZIP: S-.�`
CONTI2ACTOR: " p�p�:
CONTACT PERSON: MOBILE/1'AGER:
� MATLING ADDRESS: CIT'Y: � ZIP:
STATE LICENS�': # CXPIRATYQN DATE: �
ARCHYTECT/ENGINEE�2: �o..��„�,� ���i�„-r,� PAONE: _._ / � 5�.-S�yvJ
MAILING ADDY2ESS:��'L>t� `'L���✓�a L� CYT'i':���r�.`.. ZIP: SSs ;Y
NAME: ��,��-��; REGISTRATION: 1� � ��.
TYPE OF WORK: New Home X Addition Accesso,-y Structure
Move 1Tome .E�emodel/A]teration (ie: Siding, Wind�ws)
Any earLh movement may require MCWD review ar�c� pexmits l.
PROPOSEl�VVORK(describe in detar�:������ �,_ � �/ -
STORYES: � SQ.FEET OF EACH FLODR: Z cf� �
NO. OF BEDROOMS: GARAGE STAY.Y.S: ATTACHED �t)�TACHEll
ESTIMATED CONSTRUCTION VA►LUATtON(e�ccluding 1$nd): $ ���. i �v
•- �
I her�by apply for a building permit and T acknowledge that the information above is cc,��tplete and Accurate;
that the work will be in conformance with the ordinances and eodes of the Ciry and wirl�the State Building
Code;that I understand this is not a permit and work is noz to start without a permit;and t:hat the work will be
in accordanee with the approved plan.
APPLICANT'S SIGNATYJ�: � � DATL�: �� I���� +�
31
�e.� � v�� �� ��, c�� Oc-. 30, 3 ; 24PM�