HomeMy WebLinkAbout2010-00234 - siding , .,� CITY OF ORONO PERMIT NO.: Zoiaoo23a
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 04/20/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1437 NORTH ARM DR
PIN : 07-117-23-44-0072
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 15,000.00
NOTE: REPLACE WINDOWS-SIDING-INSULATION
APPLICANT pERMIT FEE SCHEDULE 265.50
ETAL,W BENNETT STATE SURCHARGE(VALUATION) 7.50
1437 NORTH ARM DR TOTAL 273.00
MOLJND,MN 55364
OWNER
ETAL,W BENNETT
1437 NORTH ARM DR
MOLJND,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 Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This pertnit will
expire and become null and void if conswction 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.
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Applicant Permitee Signature Date Issued B gnature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB
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Building �Permit Appli'cation �far Internal Work
(windo,ws, doors,�sidin , re-roof, etc.)
MaJling Addriiesar a ' ', ,: Psrmit number: ��-�
//���� PO BOx 66
��/Q` � Crys[ai BaY� MN"393Z3-0066 ; ," I�ate r�oeived: _� �� ..�GYD
� � ..,,1' �a SbAet Ac�dress: � Received by: .�i��r�
2750 kell9y Paf�(way; , �J'�...
- - E' I lan re�iew fec: ,
'�i� p9.�; , Orono,MN 55366 , �� - •••
� � Total Fee: 5�� /�
Main: 952-248-4900 Fax: 952-248-4616�, �nrww�i;�Y0ilo.mn_us� ���i vv
This application fvrm must be completed in,full and`all requtred Informa[ion must be submitted. � ��
Ihcvmplete eppllcations wfll 6��;�urr���!'. (P/c��se printJ
GENERAL INFORMATION: - `
Job Sit9 Address: ��� /'(f0�1���Ll� f(� � • �/ /l7✓'(� GG
Will this be a Parade of Homes, Remodelers ShowCase Horrj'e'or othet Di lay Nome? Yes No
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11 y�s,a spqClA/CVCnt p6nnit ie requfrod with Rolice;pe�uarhi�vntppd Cky Counyil epprbv�eil bU doy�prfer M thc ew>nl. shuftle Dus StiIWc;9 Wlll DB
rr+quired unkra�ar epplir,�nt dmmo►kstiqtee!6Gf17CICr�COnc�N{i9 ptrlltlilp/S;mVa11a01e. NOA�efmitted events will nol be allowod.
CpN'1'FZACTOR/AI'PLICANT IN�QRM74'ryONI ` `� �
Nams: .s��r �V i��j'k��GY �� � .,s,
5tate�icenee# ;T Expirat�on Date:
Phone: , ••. (�cc� ��— —•. ...-
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Malting Address� �� 'City: � ��p:
Contact Person: ,� _.�_,qpplicant is, Contr�ctor / Homeowner �cir�ie one���
Email andlor FSX: ,
PROPERTY OWNER INFO l TI�1: , . �
Name: � 5 � �/I�j1/� �
t�hane (day): - • •�••- .
Address: O !/� � City:,JY1ddN/� ZIP: '✓�t��Gf
kmail and/pr�ax � ,�
PROJECT INFORMATION: , ,
Type o ro ect: �� �� � �1 �Any earkh movoment may roquir��
❑ boor(s) ❑ Romodel � -" C;;IlWatdr 17amego Y '� , � . MCWD revlew 1�perrflits
�Window(s) �]Repair � � ' f, � Minnehah2 Creek Watershed District(MCWD)
, C.l Sfomi DamaB� { � 18202 Minnetonka BIvC
" Deeph�vsn, MN b5391
��iding [7 RestorattQh K ; ' I. �other:(spe�ify) . Phone: 952-a71.0500
CJ Ra-roof , � FaX; 952-471-OBa2
❑Fire�ema�e�'� /�(S'U,li•1�J'�i.�/✓ uiww,minn h�„s ralla�oroAk.orn
Overall project Descripllon: � �fJ
�Estimated Conalruction Valuatlon�or'� Pro)ect(ezcluding land)' ls^OdFI ' �—
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APPLICANT ACKNOWI.EDG�MENT: � � - �
-�� Agrees�to provide al��nlbtmation fequireq or requested by the Building Departme��:" ' "�—�
. Certifios that the infonnation supplivd is vue and correct to tne best af hielh�r knowltdge. The�pplicant reco�n�e�tnai they
are solely nesponeiDle Por submitting a Complete application being aW�re that upoll failure to do eo, 4he ataff has no alternativo
but to rejeot it until it is complete; ,
• Some or all of th� information tha�you are aSked [o provide on this applic:ation �e classifietl by S�[c� 18W as either p�ivate or
confident�al. Private data is iniormstion whioh gcnerally cannot De piven to,the public but cen be giv�n to the sub)ecn or tne
data, Co��fldential data is intbrmation which generally cannot be.givep ln,eithe�the.public or the subject of the data. Our
puroose and intendod use of this information 18 to annually update ouc record�qrid r�coinlg of other Qovel'nmentAl agdnciee
._ _�uirep bV law. 1i ypu refuse to au I the information,th�a Iicatl�on_md�_not be issued. _ _ _
AppllCeht's Signature: -
. ; _epate: ��.
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