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2005-P08799 - minor alterations
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PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P08799 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Minor Alterations Date Issued: 6/16/2005 SITE ADDRESS: 1120 Cox Farm Rd Unit# Long Lake,MN 55356 P��� 27-118-23-31-0021 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Siding DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Patch&stucco-Lathe FEE SUMMARY: Pernut Fee: $ 60.10 Valuation: $ 1,700.00 State Surcharge Fee: $ 0.85 TOTAL FEE: $ 60.95 APPLICANT: Donnelly Stucco OWNER: Nicole Sela 2700 Minnehaha Ave. 1120 Cox Farm Rd Minneapolis,MN 55406 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �'�"�____����� APPLICAN ERM[ E S[GNATURE SUED BY S[GNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) pag� � JUN-01-2005 13� 12 DONNELLY DOTSON '� 612 721 2091 P.02iO3 j Z - D1 . a p� C" � Total Fee: $ �Ol� � � �`� Date Received: <o- -OS En[ered By: Permit#: , �79�1 CTi"Y OF ORONO - BUII.,D .]VG PERMIT APPLICATION A11 information mtut be submitted in full before plan review will be started. {please print all information) ___�__ �i� APPLICANT IS: (cfrcle orce) OWNER O ONTRACTOR Jos srrE Ann�ss: ` 2� �' a k ��'�'1 ��� z�: �535� N�iME OF OWNER: N �C_O l� � ('` PHO�1E: (home) (work) NiAIL1NG ADDRESS: I (Z 0 C� ��crrY:.a r o n c� z�: s5 35CQ CpNTRACTOR: �� n e �Cp PHONE: � � . CONTACT PERSON: �� :►. MOBILE/�'AGER: - �nvc�DxEss: a�ov � �,��.t.(����rrY: z�: . STATE LICENSE: # $ y7� ARCHITECT/ENGINEER: P���� A�iAII.ING ADARESS: CI'TY: Z�' NAlIZE: REGIST1tATION#f TYPE OF WOI2�: New Addiaon Accessory Structure Move emo Alreratioa Land Alteration ` �i PROPOSED�VORK(descri6e in detain: � �f- 1� QrCQs d� � � � s' STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROONIS: GARAGE 5TALLS: ATT. DET. ESTni iATED CONSTRUCTION VALUA'i70N(excluding lan�: $�L��' , � I hereby apply for a building permit and I ackaowledge that the i.nformation above is complete and accurate; rhat the wo�k will be in confvrma.nce with the ordinances and codes of the City and with the 5tate Building Cvde; that I understand this is not a perm.it and work is not to start without a permit; and that the work will be in accordance with the approved plaa. �v �-1-� APPLICANT'S SIGNAT`LTRE: J DATE: � NOTE! Parade f Homes events �equire separate permit approval by Pvlice l�epartmerrx and ' City Coccncil 60 days priar to the event. Non permitted evercrs will not be allowed. JUN-01-2005 13� 12 DONNELLY DOTSON 612 721 2091 P.03iO3 I '�`� �' '�`` State of Minnesota Department of Cvmmerce Licensing Division m.�E�•� .,�,De art en• �C ce Te eph (65:d�au29 �9 ,:i��,�, „" ��^ �w :'f',;"�-'.. +;`� !`�� :Y,� � p ", � ; �1 .�,�1.��i.:, �:v,: ��.�,``y`' �',4 �,� +,,�,�s:.:-4 F. �" , �'�9�uL J "A l� -T�` '� . � rr-. _ -' , *� �� �yy. .h..� �.g d ^^„�1 ' �;�:;��'~��5h� 7���'� �� � e•� ; ,'�, E�m dtlr s��llt4r,l.��my cOm�n.�rc��state.r�i �us:.� ,�;K•°��.: x � � .. y. �k `2 `�{�'� . �,', • �~n _ . - �� � `�,,�Y �'� � �i� '1 � k.,'• �"y � y1-. y �., aj �kd i�S�Paul�;�; °��J�� ti � 11� ,��, 1 h^Y.YebSntE!,2�Q�e$$+� COfIl1R1�fR�G',St3�B'�'I'ILI.US'�5`-h��� 5 r" wr.:; i� �;d�i��ky �:��r�"� '<�:'RA " r:��''�� ';�s �,��la'3 9��'.��a 1�,�• �,� �;r., ,; „ .. . ,, . . �. - . �� � :�;�� r �� ��F��es�„- e�l��i' �� 'rl� �,r :A� �. �� ,,_ ,- `� ` � ��� 1 � �--� °� :. ��.�. �A.,� ,, ' � " �e - �� M�.: .� - � ,,.��y ��, - ; ���',{,�� `�� ,:�` - , �L9gaf.�NaEne: �'`��lY, ,�'�LLw ,�'?�' �','I ;'H��". °2�.`� 6� ;,s*5truet•.u!'�b ��� �4�.�; -� .�S�j.,,.. .��� �I.a.il�� i,�'T„�,,� ,�rLul' +.I•�+Y,'� 's,r �' . ,.Lar .� - =DBA�� ., "�DO�I'�1ELLY SN"I��1CCa�O "�.;�� �����,M •���� y�POF��TION'� �,N� ��dd ��' � �° 7qgp; I�NNEH ����� .�•� �,,.•, �: �,� � ,:�;����<;:;,��, :�h� ,�� ;,;��y`_ ,=-��. t':��, y'% �,:c:'r. .f � i�e. �� , �� '�1�,, . ,�„{.; �J',,��, .::i�:t�` �l'S ? .. �al('.�, ej ,� ,� ,�� �R '�'v:��I1�1 �r'r•r.tA�j, '�;�rr,�F�z '"' '+` '�ok;,4 � i�'�' a+' u�� �vF;'4,:,��:r: �9�1. :i� ` . �jy";,�' �� ,�� �i�� , L ,�.. i.f• . ''y"y,+i 9 ,� ?�; �.�;`�� U' . "•.� �.;'� -aii rILQJ ! 7�1 .�MQ � ,}'« 'rA � T� i' w F',ei yy� � ;�1�` �',ri�. y�� �' ' � �� a• �� I �r 1�. , �.•. , ��. �y�� . ��,�p� 9 �i', 'f;r.. v�Y .a��" h d i'�� , ;S;�:' :�@% ,:'i�h. I '�le y'� I�I y'r. w ^ i�.. ' � �t' . L �CM'4• •IP' 11 u�" .,ya7 ird'.,�F y�V: ,� ��• �,� `;�,''��v�.V ��'q�� 7'kf!'i ti �F�.� .U;' .-M="Q' - .. '�„�,'y,� yt,,' ,�r :y 'v r.r.. :::.Y�.., :µ 1 �� ��'i` 1 ."hti T".� 1' �J]I'f �?r L .;�;, � ,: �� ,�i•yy,. �4M lr,��; �F �j , ,�.; r�l„"r ,� Mt;"ir• 4 ' _� ,.���•'� J':% ;;�.. F I ti A � �� �''r ,1�� N i 1 A+,�'� �y�r�;7�'� 1�It?' �� !'4'1�1- "�i,l;'� �,-�Rji'•�'i '',(e� ''t?;�ta4" F � '�_ ^ict,. '.9�� 1 %P -. cr•r i License Identification Number: BC- �(�Z6$�S Quallfying Person: TMOMAB E DON ELLY� I License Exp�ration Date: 3/31/2006 Continuing Education: 7 Hrs CE dUe by 3/31/2006 _ .�.�,-_ ,,.��..,,�. JUN-01-2a05 13�12 DONNELLY DOTSON , 612 721 2091 P.01iO3 ' GENEAATIONS OF GRQFTSMEN � ' � . DONNELLY DOTSON INC. ' Z700 Minnehaha Avenue Minneapolis, MN 55406 Phone: 612-722-4200 �ax: 612-721-2091 Watts: 1-800-846�d200 To: Ci of Orono From: Kim Fax: 612- 952-249-4616 Phone: 612-7Z2-4200 Re: Permit application Fax: 612-721-2091 Date: 6-1-05 Number of a es includin cover: 3 Applicafion for permit for 1�20 Cox Farm Road. Cou/d you please call Kim w/ the cost of permit & when ready for pickup. Thank you, Kim