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Home My WebLink About2012-00050 - siding � � CITY OF ORONO PERMIT NO.: 2012-00050 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OU23/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 1695 FOX ST PIN : 03-117-23-44-0003 LEGAL DESC : HANSER ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 39,000.00 NOTE: THIS PERMIT IS FOR RESIDING AND REPLACEMENT OF WINDOWS APPLICANT PERMIT FEE SCHEDULE 563.50 CONTRACTOR CONCEPTS INC. STATE SURCHARGE(VALUATION) 19.50 12022 BLACKFOOT ST COON RAPIDS, MN 55433- MAIL-IN FEE 2.00 (952)473-2290 TOTAL 585.00 Minnesota State License#: BC131647 PAID WITH CC# 4663 OWNER CATHCART, MR. &MRS. RICHARD 1695 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. Thc applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time for du cause. � / �� O � � / / � Applican Permitee Signature Date Issue Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 81/Z3/2 1.8�85�53 ET T0� +952Z494616 FRUM: Z6735B9Z88 �6B1 �"�� JI Z��l 2-- Gity of C�rono Building Permit Application for Maintenance / Renovation (windows, doors, sidin , re-roof, etc,) i : O�`\ Mail�PO Bo�66 . , Permit number �i� 1" �: � Q� �Crystal Bay, MN 55323-Q066 bafe received. / �� „� ;; �,� T" -„ s,I� Streef Address: Received by; � 7" 1 '\�, � �% G�'� 275Q Kelley Parkway Plan review fee: �q g� Orqnn,_L�1N 55356 \ Esxo .. _ �' -.._f ___ _-<�� Total F�e; �CJ.J� Q� I . Main: 952-249-460 ---�""Fax:.952-249-4616 .�hNww:ci.orono:mn.us This application f �st-be-eompte"�ed in:full and all.required.information must be submitted. ! Incomplete applications wiN be returned. (P/ease prinf) j GENE L INFORMATION: . I Job Si e Address: ,/�.,��.`? ,�rt , �_��'f''7� . , Will th s be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If ye ,a speciel event permrt is required with Police Pepa�tment and Ciry Council approva!60 days pnor to the evenf. Shuttle bus servrce will be required unless applicant demonsfrafes suffrcient on-site perking is available. Non-permitted events will not be albwed. CONT CTQR!APPLICANT INFORMATIpN: r � Name: �O r� ``�t�2_4� 4 vr��i��`5 �G r.�ss..v-�c��.'�"c.r `� ��r�r C:e'. �r�..� ; State icense# i?JC � ?� � �,y � Expiration Date: ( �� t°,6� � � f � ;� "�.. Lead ertification Number: ' � �" "^ ' ` Ex iration Date: „��,�p��;;. E ' � "" �� t y:��.�t�•� �!` ,�.., j P� $ � ?c.. ►� (for ork on homes that were cpnsirucied pr/or#o 79T8 ; Phone ' � ��-:�GSn .._��1�-�� c.�f (office) (ceu) Mailin Address: 1�'C�at � /CFC: C , ; .f. :.`�� . CitY ;c>�� 'r .SZIP: S:S- - 3'-� Conta Person: �;�t„} --, - z.J i�rzc�� . �_S Applicant is: ontractor`�/ Homeowner �ci��iBo�e� ' �mail nd/or Fax: F�� -z S �" `�'�, "� �.i i/c�l�,� , C_d.r�r') ` —�– ' PROP RTY OWNER,�NFORMATIO ' Name: r�. ► c.k �c��e.�-��.�- Phone daY): _ Addre • ' ,%�,�'_�, ��X _..�'�ft-.�.c'._:f� City= �'ro.r>� ZIP: S S� �3`�� Email nd/or Fax r_,, t'�c:i r_6;,ec�v .f ; PROJ CT 1NFORMATION: Type o Project: Any earth movement may requi�e MCWD review 8 parmits: r , ❑ Door(s) ❑Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �' ❑ Re- of,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd I ❑ Re- of, cedar ❑Restoratipn ❑Water Damage Deephaven, MN 55391 i Phone: 952-471-0590 � ❑Re- of, ather�apeciry) Siding ❑Other: (specify) Fax: 952-471-0682 Window(s) wvwv minnehahacreek.orq - f)vera Project Description: r��.71<��;zr ��:7tp��.<��.��..1,� ct�r�;��`: f��5 f ��: � i Estim ted Construction Valuation of Pro'ect(ex�#uding land $; ,,� `"' c �� .t ' � , APPLI ANT ACKNOWLEDGEM�NTi` • , Agrees to provide all information required ar requested by the Building pepartment; • Certifies that the information supplied is true and correct to the best of hfslher 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 ibut to reject it until it is complete; �-` • Some or all of the information that you are asked to provide on this application is ciassified by State law as either private or � confidential. Private data is information whfch generally cannot be given to the pubUc but can be given to the subject of the data. Confidential data is information which generally cannot be given to eifh�r fhe'pubbc or the subject of the data. Qur �` purpose and fntended use of this information is to annually update ou�records and:records of other govemmenta! agencies re uired b law: If ou refuse to s l th�. ation,the a li ti n ma not ba issued: ; .� � � . �� , '' ADplic Ys Signature: ' �--f.-'L i��"��.�,z,-�, .y-,-,- -�-� Date: �,. �, ,-., 2..v� '"2._.,. / ..... .,g . Last Upd ted: OS-09-20'I 1 � � . ....., � - i _. __ _ , �...... . _......... �