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Home My WebLink About2011-00920 - siding f �' CITY OF ORONO PERMIT NO.: 2011-00920 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUEn: 08/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 765 SPRING HILL RD PIN : 36-118-23-22-0002 LEGAL DESC : LJNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 2,500.00 NOTE: REMOVE LOWER 2'OF SIDING-ADD WATERTABLE AND METAL FLASHING - RESIDE APPLICANT pERMIT FEE SCHEDULE 88.50 KOOTENA BUILDERS INC STATE SURCHARGE(VALUATION) 1.25 14 RIDGE ROAD TOTAL 89.75 NORTH OAKS, MN 55127- (651)248-4665 Minnesota State License#: 1007 OWNER WINSTON, FREDERICK&ELANOR 765 SPRING HILL 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 specifica[ions,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[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 permi[will expire and become nul(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 assur equired inspections are requested in nforman�c -�'t i t t e u ding Code.This permit may be revoked y time f,cfr d u . 8/ �� / � �� `� Applicant r ' ee ignature Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - - City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �� . 'iy O�,�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Z � a ,�, ;r� �, Street Address: Received by: � �'�L t a`� �ti�' 2750 Kelley Parkway Plan review fee: �� kESHOg'� Orono, MN 55356 '; Total Fee: ��,� '' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: , ' Job Site Address: �� /L/�/� y�il� �U�-� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No ,s If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: x� Name: _ KoUr�n9�r� ��r1cQ21''S , ��.. �' State License# �o� Expiration Date: � Lead Certification Number: �.,' �- Expiration Date: (for work on homes that were constructed prior to 1978 ;�� Phone: �5)- Z¢ - �� (office) (cell) �� Mailing Address: � �,p�,E a� City: • ZIP: �� ,�t+ � k5 S S Z7 . Contact Person: (��-C� ��-E��E2 Applicant is: nntrac� / Homeowner (Circle One) `'�; ��: Email and/or Fax: ��,�� PROPERTY OWNER INFORMATION: � Y, Name: ��L� �A��vrS.� � Phone (day): �jSZ- ¢73 � "7Z�d 1 �� Address: -7(�� 5�p�I�� (-�-, �� a,�.p City: F'-j�p,�}p ZIP: SS�L� '� Email and/or Fax �f� PROJECT INFORMATION: " Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel MCWD review&permits: "� ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) ``� ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ❑ Re-roof, cedar ❑ Restoration Deephaven, MN 55391 ';-� ❑Water Damage ;,;� Phone: 952-471-0590 � ❑ Re-roof,other(specify) �Siding ❑ Other: (specify) Fax: 952-471-0682 :� ❑Window(s) www.minnehahacreek.orq -� ,� � Overall Project Description: " � Z � S,p,K- �,��cN"{-�le. 1= �ilh a Estimated Construction Valuation of Project(excluding land) �E.; RE-5,�(�, �� 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 5`� are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative '-� but to reject it until it is complete; �� • 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 inform tion is to annually u our records and records of other governmental agencies re uired b law. If ou refuse to su I e inform ' ca on ma not be issued. � ApplicanYs Signature: Date: �Z�ZOI� '� Last Updated: 08-09-2011 ;�� '4�