HomeMy WebLinkAbout2010-00983 - siding { �-�' CITY OF ORONO PERMIT NO.: 2oiaoo9s3
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 10/12/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 680 MINNETONKA HGLD LA
PIN : 06-117-23-44-0004
LEGAL DESC : MINNETONKA HIGHLANDS ESTATES
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 10,000.00
NOTE: THIS PERMIT INCLUDES REPLACEMENT OF FRONT WINDOWS,ENTRY DOOR AND RESIDING
APPLICANT pERMIT FEE SCHEDULE 191.75
SOBERG,PAUL STATE SURCHARGE(VALUATION) 5.00
680 MINNETONKA HIGHL,AND LANE TOTAL 196.75
ORONO,MN 5535Cr
OWNER
SOBERG,PAUL
680 MINNETONKA HIGHLAND LANE
ORONO,MN 55356-
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 aze
requested in conformance with the State Building Code.This permit may be
r e any time f due cause.
� � 2 � /D �/oZi /D
Applicant Pe t Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
,
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City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: L���
O�,D,�.O PO Box 66
� Crystal Bay, MN 55323-0066 Date received: D .Z.i p
� -�;;, a, Streef Address: Received by:
��s, ° `� �ti�' 2750 Kelley Parkway Plan review fee:
'�9g�Kog� Orono,MN 55356
Total Fee: �9����
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: . 'I
JobSiteAddress: �o�� /�//if��'�pndC� t-r�y�( �(�v��(s lc�r�e ro�o ��SS3S�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Ho e? Yes No
lf yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required un/ess applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMAT ON:
Name: �G�u � �SD�f.�q
State License# Expiration Date:
Phone: 6 f YO- 3 6 office cell
Mailing Address: 6 8a i�o h e K ` Hc�s C Cit : yt ZIP: SS S�
Contact Person: Applicant is: Contractor / Homeowner �c�►�ie o�e>
Email and/or Fax: -
PROPERTY OWNER INFORMATION:
Name: �Q(.t( sOb� _
Phone(day): � (2- ��/D- � '7S
Address `g0 rv1„nr1 e -foH K� ��G, (aK�s CH City: Q�o�1 D ZIP: SS�S�
Email and/or Fax pS� ���rr)_�
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review 8 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: ('e Ala C e � � � n��WS, P� aPon/ d" a'�cP,k�
Estimated Construction Valuation of Project(excluding land) $ /D,DOO. �V
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 altemative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classifled 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 information,the a lication ma not be issued.
ApplicanYs Signature: , " Date: ��— �� �v
Last Updated: 05-04-2009