HomeMy WebLinkAbout2007-P11006 - re-roof PERMIT
CITY OF ORONO
, 2750 Kelley Parkway- PO Box 66 Permit Number: p11006
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 5/24/2007
SITE ADDRESS: 3495 Livingston Ave Unit#
Wayzata,MN 55391
PID: 17-117-23-43-0070
DESCRIPTION:
Proposed Use: Residential
Census Code O/S-Building
Permit Ciass: Building
Pemrit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,996.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 142.75
APPLICANT: The Home Depot A.H.S. OWNER: Vera Teetzel
Home Depot Installed Sales 3495 Livingston Ave
3200 Cobb Galleria Pkwy Wayzata MN 55391
Suite 200
Atlanta,GA 30339
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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C PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSepric, 1-Septic) Page 1
From:ELDER JONES INC 952 854 4909 05I16I2007 11:10 #242 P.002I002
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Total Fee: $ Date Re�eived: ( ��
Entered Sy: Permit#:
CITY O��1201�'O-B�C7YLDING PERMIT APPLICATION
All information muat be submitted in full before plan review wiXl be started.
(please print all inforr,�ation) .
THE APPLICANT IS: (c�rcle one) OWNER O CONTRACTO
JOS STTE ADDRESS: 3�q i �.1 V l 11 Qi sy � Y� ZII': '�S 3 q �
Will this be a Par$de of Homes,Remodelere S�owcase�ome or ot�er Display�ome?
❑Y89 Q^�O' Ifyes,a special event permi�is reguired with Police Department and City Counsil approval
60 daysprior to the event. Shuttle bus service wtll be requlred xnless applicanr dernonsrrares
suffccient on�ite parking is avatlable. N'on permttted events wlll not be allowed
NAM�OF OWNER: Va r a T t�Z G/ p�ONE: (�aome) q�a 1-0,3 a q
�Wv��>
MAII�ING ADDRESS: CITX: ZIP:
CONT�.2ACTOR: T�D At-Home Services, Inc. p�0�: q,s� 5'-(,Ok7
CONTACT PERSON: Dba Tha 1Tome bepoc At-Home Services AGER: ,J ed� m �td r r Ja�S
MAILINGADDRESS:— 3200 Cobb Galleria, Suite#200 .. �:
STATE LICENSE: # ^ Atlanta, GA 30339 ,��T�:
� License#20268257 -763-542-8826
ARCffiTECT/ENGINEER: PHONE:
MAILING ADDRESS: C�TY: 7�:
NAME: REGISTRA'�'ION: #
TYPE OF WORK: New Home Addition A.ccessory 5tzuctuz�e
Move Home RemodeUAlteration(ie: Siding,Windows) �-
Any earth movement may requi MCWD review and permite:
PROPOSED WORK descr�be�e d ac��: 0 D RC(�1 ^1' �
� � � 0•�•
STORIES: SQ.FEET OF E.A,CH FLOOR:
NO.OF BEDROOMS: G.AR.A►GE STALLS: ATTACHED DETACAED
ESTIlVIATED CONSTRUC'�TON'�ALUATTON(exclading land): S L• R � �
I hereby apply for a building pe�it and I ac�,owledge that the information above is complete and accurate;
that the work will be in conforma.nce with the ordinances and codes of the Ciiy and with the Stata Bui�d'uag
Code;that I understand this is not a perntit a�ad work is nvt to start withvut a permit;and that the work will be
in accordance with the approved plan.
/�AF'PY�TC.ANT'S SIGNATURE: ��' DATE: � �b' b7
31
From:ELDER JONES INC 952 85� 4909 05I16I2007 15:07 #245 P.002I002
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Ses13.Os RICiiTB OF�Y7g1'ECTS OF DA'PA
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7bo responsblo wtboritiy sha�!oomoply momadiawlY�if�ooenblq wi+h a�roqiwssmodo p�aeu�to 4l�a eubdirieioq orw141�n9ve daya ef
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' concots�himselL To exencies thi�right,an mdividuel ehaU notify mwritingtlu reapam�ble emhotity deacnbingthe naAmo ofdu dise�emmenc.The
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• ma�ulaLe�mwmple0e ds�,6�eludmg sacipicros asm��by�a iedi�id�l;or(b)natify!6e individuel dtecho bd�vos dw domto bo ooatwt Dam m
di�tme shsll be disclosed o¢ily if ths in�viduel'a ete�tamant o1f dies�eameiok is't.aalud�d wit6lbe discloled A&i&
Tho aetoc�a;papon o,Feba rwpw�sibl��l+ar;h�Y��P�+rt����ons of ttro odmw;svouw pi+ouoa�ao oos rolosi�so
con09stod Ca,9os. •
. . . . � DATA PRiVACY AD'VYS�A'!�'
' In e�ecordence with M.S.13.04.Subd.2,"�ts ofsubjects o�data",'we wotilQ 19ke to UnSD�R►you th8t YOWc xequeet
for a permit or lic�se from the City of Ororlo or SLIY of i18 deDBtl'meIIte m�y ceQUire You to�urrlish certain yrivate or
conSdential inibrmatfon. ' .
You acc noSifiod chat:
1. '�'he iafermaticm you fumiah w911 be used to detamine your qualificatioa for the pexionit or license
requested.
• 2. You may refilse m suppt3t data.bu[retUsal m4Y requif�e that ihe Ciry derry ihe permit or license.
3. Thc informatioa may bv shared with vther lo�al, atate or federal ageacies to tha axtcirt ncocssary to
proccse thc pctmit or lic�osa . ,
4. If your rec�ueeted permit or lic�se requires Counoil sation to approve,some iafornnation may beeome
publia ' ,
5. '8'ou have certain rig'F►fs under M.S_l3_Od(aveilable upos�requeat)w review privete data an yowrself
6. Xowr full name is cequSreQ W pxoCes9 this applicati0�tlt or De�.ilt • . .
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�e /�ao �' �o h $�-� Su�e �//
Address ' •
B/oc��n�� � � �'�'�l�0 4s�l3�ls-Gayo
Gh, 8bte Z+p 1Pk�ope ' .
Y underatand my rlghts as statod a .
S;�narnn
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