HomeMy WebLinkAbout2011 - 01261 - siding CITY OF ORONO PERMIT NO.: 2011-01261
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/20/2011
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2065 WEBBER HILLS RD
PIN : 03-117-23-34-0026
LEGAL DESC : WEBBER HILLS
: LOT 009 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 14,800.00
NOTE: RESIDE WITH FIBER CEMENT SIDING.
APPLICANT PERMIT FEE SCHEDULE 265.50
CRAFTSMAN'S CHOICE,INC. STATE SURCHARGE(VALUATION) 7.40
26219 FREMONT DRIVE#105
ZIMMERMAN,MN 55398- MAIL-IN FEE 2.00
(763)633-1390 TOTAL 274.90
Minnesota State License#: 20384780
OWNER
CLAUSEN,PERRY& SARA
2065 WEBBER HILLS 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 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 Issues y ature �Gt' ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
Oct-18-1011 01:55pm From-CITY OF ORONO +9522494616P.002/002 F-671
, ' ' ' • ted)L: n •
City of Orono - In
• Building Permit Application for interna Work .- ' . ..
. (windows, doors, siding, re-roof, etc,)• .
�_y MailiPO B 56 Perfmltrwmber: .ae,'414D
`�� Crystil Bay,MN 55323-0068 Date rs3ceiwn J
4 Street Address; Received by:
14,(7)
R .:� i 2750 Kelley Parkway Rlan revieur firms ' •
.1x‘,.1.. .. Orono,MN 55388
• TotafFee: p2 .. f / ,^'ti
Main: 952249-4600 Fax 952` 249.481E MAN-ci-orono.mn-us
Ibis application form must be completed in full and all required information must be submitted. /f'1 AL
, incomplete applications will be returned. (Please pint)
GENERALINFORMATION:
JOb AIM*Wives: • 3Th S LAIdC lis'
Will this be a Parade of Homes,Remodeiera Showcase Home or other Display Homo? Yee No' , .
rya%especialewtit permit is zequlred with Pollee Department and Cry.Council eppieval 80 days prior to Vie event. Shuttle bus.servi-e wig be
.egnbad unless appllesm demonstrates&Ufic ent On le panting is avertable- Nonpermttted events will not be auowadl
CONTRACTOR/APPLICANT INFORM•TION: '
Name: - %. .a 1-A ! ,
State License# , : --ti ,sr Expiration Date:
Lead Certification Number: NAI- 1051:42, _ _ Expiration Date: its its
(for work an hams that were constructed prior to 1978
Pttgne: 1L -i 4 Q (office) (e - ap_ (cell
Mailing Address: ._Loa - c .,ta., 1i., la' 4111, City: ' ...,, .•4 ZIP: - - •
Contact'Person: ' . ,a ck. q Applicant is: •ntr ccto I Homeowner lCl, to one)
Email end arFaX 'I\ ' 'r , - 1, ' t r 1A• 1 ' .I♦. li 11
PROPERTY OWNER INFORMATION:
Name . . ._ . \>-Ar c lot -- . '
Phone(day): old- '+ �� ' `>! ,
Address:. a 44. g.lr rytr ,`bS c �lnb- zip: 3q'I- __
Email andlor FaX
PROJECT-INPORMATION: . _ ,
Type of Prglect Any earth movement may require
❑Dvor(S) ❑Remodel ❑Water Damage MCWD review&permits:
Mlnnenaha Greek watershed District(MCWD)
D WindOW(s) 0 Repair Q Storm Damage 18202 Minnetonka Blvd
Siding 0 Restoration ❑tither. (specify) Deephaven,Mill 66351Phonrs: 952471-U590
Q Re-roof Q Fire Damage _. - _ Fax 952471-0682
yyuw_rminn baaharreek_arr7
Ovarial(Project Description_ VIS-1116.1.,=i-W -yam Ce wr . <d
Estimated Construction Valuation of Project(excluding land) S M, .
APPUCANT ACKNOWLEDGEMENT: _
• Agrees to provide all information required or requested by the eullding Department;
• Certifies that the information supplied is true and correct to the beat of his/her knowledge. The applicant recognizes that they
are solely responsible far 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 ether gcvemmenlal agencies
-.ulred • law. If ou = .e to
su••I the information the:••Iica on ma not be -su •.
Applicant's Signature: !_b A A Date: _..11.4__ ______ ____
Last Updated: 03-01-2011 '