HomeMy WebLinkAbout2009-00220 - siding CITY OF ORONO PERMIT NO.: 2009-00220
� 2750 KELLEY PARKWAY
' • ORONO, MN 55356- �ATE IssuEn: OS/14/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 4109 HIGHWOOD RD
PIN : 07-117-23-44-0015
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,624.00
NOTF,: RESIDING
APPLICANT PERMIT FEE SCHEDULE 147.50
THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 3.31
3200 COBB GALLERIA PKWY
SUITE 200 MA[L-IN FEE 2.00
GA 30339- TOTAL 152.81
(763)542-8826
Minnesota State License#: 20268257
OWNER
APPLEBAUM, G&J
4109 HIGHWOOD RD
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 Buiiding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. AII provisions of laws and ordinances governing this type of work
shall be compied with whether or no[specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period ot�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.
�C. / / ������� / /
Applicant Permitee Signature Date Issued By S� nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E.
From�ELDER JONES INC 952 854 4909 05I11I2009 14:08 #136 P.002I003
� RECEIVEC�
� MAY 1 2 2009
CITY OF ORONO
' 1�/ 9
Total �'co: $ �-�� �' Date Rceeived: � v
Entered By: _ �7vt,.c�1 Pet�pa:�t#: 0,�0o y- O!� �>
CXTY OF ORONO - BUILDING PERMIT APPLICATION
,Aa��n.�or�ation must be submittec�in full before plsn re�vfew nvYll be staxted.
(pleose pr�t�TJ�,t�,fvrr,aat�oh)
THE APPLICANT IS: (circle one) OWNER OR ONTRACTO
JOB SITE A,DDRE55: `� I ° 4 l-�t�h C.�o o�l �o Ct C� ��: SS v L y
Will thia be a parade of Homes,I2emodelers Showcase T�ome or other Di�play Honae?
❑Yes �'NO �f'yes,a special evertt permil is required x�itl�Pol+ce Departmcnf ond City Councrl approval
60 day�sprior lo ths svanl. ShuffJs bus service weJl be required un[ess appllca�7t de�oaorrsYratey
su�cient on-sita parking is avaiTabla. Non-parmitrad avrents wi/!not be allowed.
NAME OF OWNER:
G Q o�q.� ��P j.G �4 v!� PHONE: (ho e) � � s"tl O�q
.I r (�'�)
MAII�ING ADDYtESS: �� �4 �rr h fl Lo 0 o cl crrY: �Oul� Z�: �6'3 L
THD At-Hame Services, Inc.
cozvrx,A,c�roR� �ro�: 4 S�J 3 y S'-L o l/7
CON�'ACT PERSON• Aba z�e�zozzxe�oepot,�,t-�c�[ozne se�rv�ces �,�R. p�� d f. l��r Jor�>>
MAILYN'G AbDRESS:— 3200 Cobb Galleria, Suite#200 Z�.
5TATELTCENSE: # - Atlsnts, GA30339 D��:
— Liccnsc #20266257- 763-542-8�26
ARCHITECT/E�TG�ER: PHONE:
MA,�I.�TG.A,DARE5 S: CITX: ZII':
ri1ANi�: R.�GISTRA.TIUN: #
TYPE OF WORK: New Home Addition Accessory Struoture
Movc Homc Rcmodcl/Altcration(ic: Siding,'�Vindows) �
. Aay earth mavemenc may raquire MCwD review and permitA!
PROPOSED WORK(descrtbe dn detal�:_ RL �5 t C1�i �1 Q , l'��f"10 U!J 1 0�
Qy� i�f'IGIr�-
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDR001VI5: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CO�TSTRUCT�O�T V,A1,U,A,TION(exc�rtd�n.g�aud): $ b.G a �
I hereby spply for a building permit and,I ackz�owledge that the in�orm�ation above is complete and aeeurate:
thai ttle work will be in eonformance with the ordinances and codes of the Ci�anfl with the State Building
Code:that I understand this is noi a permit anfl work is not tio sran wiihou2 a pennit;and that the work will be
in accorda�ce wAth the a�proved plan.
APPI,YCAl�'T'5 SIGNA � DAT�C• �l'r l�� �l
31
F�om:ELDER JONES INC 952 854 4909 05I11I2009 14:08 #136 P.003I003
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ConstfuCGvn � 6uilding ��lectncity�Plumbl�g�Boilers/HPP� ResldAnzial se�rch for
Codea Codea Confractors
Lic�nse/Certi�icate �7etail
Here are the detail�for the license/cer'tlilcate you a�e Ct11'I'enily looking,for:
Llcense name: THD A7 HOME SERVICES INC
License doing business as: HOME DEP�7 AT HOM� SERvICEs THE
L,icense address: 2690 CUMBERLAND PKWY, SUITE 3�0
Cily state zip: A7LANTA, GA 30339
License number: 20268257
License type: RESIDEN7IAL REMODELER
Company�tructurs: CORPORA710N
License status: . ISSUED - �
Llcense ori8inal issu� date: � 3/3012001
L.Icense expiretion datc: 3/31/Z010
Llcense print date: To prinUmail on Monday
Quallfy{ng person: BOYD A. LIPHAM
Gontlnuing edu�atlon hours requlrcd to ren�w Ila�ns�: 7
Contractor's phone numbet': 770-7791423
Enfocc@ment s�ction: No
� Another Lookup?
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https://secure.doli.state.inn.us/licensing/licensing.as�x 4/G/2009
From:ELDER JONES INC 952 854 4909 05I11I2009 14:08 #136 P.001I003
1120 Eeat 80°i 3troet,3te.#211;Bloomington,MN 5b420 � _ � - � �
952-345BOd7—DIr�c4 962.B15d-49D9-Faz
ro: �rono,Clty of Attn: 61dg. Dept. From:
Ra�u 952-2d9-4B16 Pag�s�
p�„« g5a-a4g-asoo o�*A: .
�: Building PeRnit(s) cc:
❑ Yrgent ❑ For Rwi�w ❑ Ploa90 Cornment X Plsas�R,�ply ❑Ploase R�acycls
• Gon�mena: ,
Plesae call when the permit fee(s) have been figures. So I can cut a check�nd come tn the clty t�pick
up the permit(s).
Thank You,
�O�I
952-3�0.5�047
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