The URL can be used to link to this page

Home My WebLink About2009-00179 - siding CITY OF ORONO PERMIT NO.: 2009-00179 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 04/27/2009 952 249-4600 FAX: 952 249-4616 ADDRE,A' 1360 VINE PL PIN 4 07-117-23-42-0037 LEGAL DESC SAGA HILL REVISED LOT 000 BLOCK 017 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 18,000.00 APPLICANT PERMIT FEE SCHEDULE 309.75 GREG DAHL CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 9.00 300 WEST POINT ROAD TOTAL 318.75 TONKA BAY,MN 55331- (952)474-7102 Minnesota State License#:20080782 OWNER LINDER,THOMAS&JENNIFER 1360 VINE PL 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' conformance with the S Building Code.This permit may be revoked any time foe cause. '2 -7 - 07 -7eDQ An, `4 q / Z-71 Appli a ee Sknature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application Mailing Address: O�O�O PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: Gti`S 2750 Kelley Parkway Plan review fee: Hogue 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: 'ff Job Site Address: M 0 P 6.14 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Li Yes IgNo 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: Name: / " State License# -Zte12_7 ZF?5_ Expiration Date: 3 3 i zv O Phone: Cf O--l" office ^ - c®II Mailing Address: Ci ZIP: Contact Person: Applicant is: on ractor / Homeowner (cird•one) Email and/or Fax: 1450Clod PROPERTY OWNER INFORMATION: Name: L4)L_)JaR_ Phone(day): Address: 13(„o l/(,(4- a4r. - CityAf(j" ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑Door(s) El Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven,MN 55391 Siding 8 Restoration ❑Other.(specify) Phone: 952-471-0590 Fax: 952-471-0682 8 Re-roof ❑Fire Damage www.minnehahacreek.org Overall Project Description: Estimated Constructkm Valuation-of Project(excluding land} $ ( -f Icon. CIO 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: Date: Reset Form -7- /