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Home My WebLink About2011-00456 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00456 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 06/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 4635 TONKAVIEW LA PIN 07-117-23-32-0027 - LEGAL DESC REG. LAND SURVEY NO. 1036 LOT 000 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION $ 3,000.00 NOTE: REPAIR WATER DAMAGE REMOVE&REPLACE PLASTER ON SOUTH CEILING OF LIVING ROOM i APPLICANT PERMIT FEE SCHEDULE 88.50 HUBBS CONSTRUCTION,INC. STATE SURCHARGE(VALUATION) 1.50 13419 FENWAY BLVD.N. TOTAL 90.00 HUGO,MN 55038- (651)426-4918 PAID WITH CC# 7640 Minnesota State License#:20218620 OWNER MARKNAM,ALENA 4635 TONKAVIEW LA MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the 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 compied 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 work 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 Permitee Signature Date Issued By S' ature SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AA40 E. ti Jun 1311.,12:29p Hubbs Construction 651-653-3234 R,2 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) -- �r0 Mailing Address: . , �; PO Box 66 Permit number. o?D 1 Qy�S 10 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by. 2750 Kelley Parkway Orono, MN 55356 Plan review fee: Total Fee: I D, 0 U Main: 952-24911600 Fax: 952-249-4616 ro ci.on .mn us I This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: 3-5 ToNka - w L-m n Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes VXNG H yes,a special event permit is required with Police Department and City Council approval 80 days prior to the event Shuttle bus se ice will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events wdl not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: - CO Y� • G (/� State License# a Cl)a 1 Expiration Date: a Lead Certification Number: W PCT_ �� _ Expiration Date: a aL4 I {for work on homes thatwere constructed prior to 1978 Phone: - -t_ (office) j CkvA Co (a- - aFa (cell) Mailing Address: JE�tjwavalvd N CRY; ZIP Contact Person: ) • Applicant is: o rao / Homeowner (circle one) Email and/o j Fa3ax (,,5' 1 — Ll.-Z(0 —i]31 1 _ PROPERTY OWNER INFORMATION: Name: i til rk- Phone(day): _8is - -7 - Address: c c C-pnp ZIP: - Email and/or Fax - PROJECT INFORMATION: Type of Project: WeAny earth movement may require i h� [IDoor(s) ❑Remodel Nater Damage 1& MCWD review&permits: ❑Window(s) ❑Repair Minnehaha Creek Watershed District(MCWD) p ❑Storm Damage S. 18202 Minnetonka Blvd ❑ Siding ❑Restoration ❑Other. (specify) Deephaven, MN 55391 ❑ Phone: 952471-0590 Re-roof ❑Fire Damage Fax: 952-471-0682 loww.minnehahacreek.orall Overall Project Description: e f a c rti•'t Estimated Construction Valuation of Project excluding land) $ C1f Cc: 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 are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative 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 information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information the application may not be issued. Applicant's Signature: J Date: tp 10 1-J I I-J-L-J, M M MAA Oct 01 12 0°:18a Hubbs Construction 6514264921 p.1 r _7-7777=' Hubbs Construction, Inc 13414 Fenway Blvd N. Suite 103 Hugo, MN 55038 651.$76.4918 O V, Date: �v To: r @ Fax# 95Z- Phone: From: 1 ` CAffiice Phone_ 651-426-4918 Oi ice Fax : 651-426-4921 Message: i�l.�►� -' -K h r- 1 46 T 1 15t IS no rr- I n v` i (S ro I ec Oct 01 1209:18a Hubbs Construction 6514264921 p.2 CITY OF ORONO PERMIT NO.: 2011-00456 l� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/13/2011 (M)2494600 FAX: 952 2494616 ADDRESS : 4635 TONKAVMW LA PIN : 07-117-23-32-0027 LEGAL DESC : REG.LAND SURVEY NO. 1036 : LOT 000 BLOCK 000 -r' \ PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION $3,000.00 NOTE: REPAIR WATER DAMAGE "REMOVE&REPLACE PLASTER ON SOUTH CEILING OF LIVING ROOM t " APPLICANT PERMIT FEE SCHEDULE 88.50 HUBBS CONSTRUCTION,INC. STATE SURCHARGE(VALUATION) 1.50 13419 FENWAY BLVD.N. TOTAL 90.00 HUGO,MN 55038- (651}426-4918 PAID WITH CC# 7640 Minnesota State License t#:20218620 OWNER MARKNAM,ALENA 4635 TONKAVIEW LA MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to 'the approved plans and specifications,applicable City approvals,and the State Building Coda 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 ofwork shall be compied 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 fora period of lgo days at any time after work has commenced The applicant is responsible for assuring all required inspections are requested in cwnforr wma with the Stale Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued B gnaturc Oct 0112 09:18a Hubbs Construction 6514264921 p.3 'I OKONESKI LAW FIRM, LLC Office Thomas J. Okonesld 2223 Ariel St N Maplewood,MN 55109 Tel: (651-260-3524) Mail Fax: (651-779-7785) P.O.Box 9069 &mail:okolaw@q.com North St.Paul,MN 55109 September 20,2012 Hubbs Construction,Inc. 13419 Fenway Blvd N,#103 Hugo,MN 55038 Attn: Kris Hubbs Re: Alena Markham Dear Kris: Enclosed is a check drawn on my firm's trust account in the amount of$4,664.73 and made payable to Hubbs Construction,Inc. This represents Ms.Markham's full and final payment to Hubbs for its involvement in the insured storm damage repair contract between Ms.Markham and Hubbs. This letter also confirms that Hubbs and Ms.Markham have no further obligations to each other and have no claims against each other for any matter arising out the contract referred to herein. If Hubbs does not agree with this general release,it should return the check to me and we will discuss any objection Hubbs may have. Best regards, a - Thomas J.Okoneski,Esq. Enclosure Cc: Ms.Alena Marham(w/copy of check and Hubbs' accounting)