HomeMy WebLinkAbout2009-00440 - siding " � - CITY OF ORONO PERMIT NO.: 2009-00440
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 07/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1950 HERITAGE DR
PIN : 10-117-23-42-0019
LEGAL DESC : REG. LAND SURVEY NO. 0096
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 18,450.00
NOTF,: RGSIDING
APPL[CANT PERMIT FEE SCHEDULE 324.50
CHARLIES ANGLES STATE SURCHARGE(VALUATION) 9.23
145 HAWTHORNE RD TOTAL 333.73
HOPKINS, MN 55343-
(612)920-8334 4 PA[D W[TH CC# 2067
Minnesota State License#: 20259739
OWNER
COWARD,GREGORY& KATHERINE
1950 HERITAGE DR
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 Yor 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 construetion is
suspended for a period of 180 days at any[ime atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance h the S[ate$uilding Code.This permit may be
revoked at a time for d c uSe.
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li t Permitee Signatu e Date gy Signature Date
SEPARATE P RMITS REQUIRED FOR WO OTHER THAN DESCRIBED ABOVE.
' '� • City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailin Address: D 9_ � �t�C
�_�� g Permit number:
��,�� PO Box 66
/,� , �, Crystal Bay, MN 55323-0066 Date received: 7����U�
l,'
!, ��,, �'i Received by:
�a �,,��.,>. a I; Streef Address:
\'�'\�� ��,y�,�, �j- 2750 Kelley Parkway � Plan review fee:
�s.k�04� Orono, MN 55356
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Total Fee: ���3. 7�
Main: 952-249-4G�• Fax: 952-249-4G1G www.ci.�r�n�.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications vwll be returned. (Please print)
GENERAL INFORMATION: -; _ ��
Job Site Address: �I��� �7�-���' ���-�-�- ,`
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
/f yes. a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION•
Name: � �G� �,_f ( , .r- S ,� r'` 4) T'S
State License# t�c.;-� � '>) ��y Expiration Date: ,%��; ��`/�'�
Phone: - �- i (office) c� cell
Mailing Address: �J �f Cit : < �„ ZIP: ��_�
Contact Person: _-� � ; Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: � �.ti �_ ,`�,�
PROPERTY OWNER INFORMATIC,?N:
�
Name: - �c�� °c_-�c
Phone (day): � � � �
Address: _ ��jSG r � ��� ��� City: ����-� ZI P: ���j�
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review& permits
❑ Door(s) ❑ Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
�Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof � ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ J, ; /��`: «c'
APPLICANT 7�CKNOWLEDGEMENT:
• 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
re uired b law. If ou refuse to su I the infor ation, the a lication ma not be issued.
� '� '� �
Ap licant's Si nature: �� ���`�-�� �� — Date: � � �� �
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Last Updated: 05-04-2009