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Home My WebLink About2012-00002 - siding � CITY OF ORONO PERMIT NO.: 201�00002 ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OUO3/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 2180 NORTH SHORE DR PIN : 10-117-23-31-0098 LEGAL DESC : MARKVILLE : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 21,000.00 NOTE: REPLACE SIDING ON FRONT HALF OF BUILDING APPLICANT pERMIT FEE SCHEDULE 354.00 RONCOR CONSTRUCTION STATE SURCHARGE(VALUATION) 10.50 10740 LYNDALE AVE S- 11 E BLOOMINGTON,MN 5542a TOTAL 364.50 (952)888-5578 PAID WITH CC# 1755 Minnesota State License#:2337 OWNER Creative Kids Academy Orono 2180 NORTH SHORE 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 percnit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming 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 are requested in conformance with the State Building Code.This permit may be rev e t any time fo ue cause. � ( � � � � i i Applicant Perm�ee Signature Date Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABO . +�'�:N i ."�R, . . .. , .� . . ..,. , _. ;. . ... . , .,.. . ,.. .. . k . n,. :..�. � ,. � " �i�y� O�� ro�Q : � Buil�ing Permit �,ppiica�io� for NEainte�ance / F�enova�ion �� . � (windows, doors, siding, re-roof, efc.) Mailing Address: Permit numbec / �v 0,� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �� 9 � �a �a��:� �, Street Address: Received by: �'�,L a,,;;�„a„ �ti 2750 Kelley Parkway Plan review fee: 9g f�4� Orono, MN 55356 ESHD Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us - This appfication form must be completed in full and all required information must be submitted. .x fncompiete appficafions will be returned. (Please print) GENERAL INFORMATION: _ p � Job Site Address: �j.�� /v�C1^�L �)l�t 0''� l� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes,a specral event permit is required with Pofice Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wif/not be allowed. : .� CONTRACTOR/APPLICANT INFORMATION: � Name: R�V4�-� � i< State License# a Expiration Qate: `� ---� ` �- � �� Lead Cer�ification Number: � '� ?� �� (,�Ot- � Expiration Date: L� - Q$ - aU(� (for work on homes fhaf were consfrucfed�rior to 1978 ' Phone: � � a-�� 15�7� (office) cell � ) Maifin Address: � 9 ((S7�(C� (��L ,u City. `,fl,vt 1 � , ZIP: `-1 � Contact Person: j�� Applicant is: �c br / Homeowner (Circle One) Email and/or Fax: !v w� q� R 6 i nG o r � C�v� PROPERTY OWNER IN ORMATION: Name: ` � " a v� , Phone (day): �P� �- �7 - �7� x° Address: i-� (J�v.��( i� f � City: ��.� (�t�''� ZIP: �j'� � �� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Bivd ❑ Re-roof, cedar ❑ Restorafion ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 �" ❑ Re-roof, other(specify) �iding ❑ Other. (specify) Fax: 952-471-0682 '�`'' ❑Window(s) www.minnehahacreek.orq '' � Overall Project Description: ,�c.� Cj, � Q'j� � � . � r� � Estimated Construction Valuation of Froject(excluciing land) � a� dOT APPLICANT A�KNOWLEDGEMENT: • Agrees to provide all informafion required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowiedge. The appficant recognizes that they are solely responsible for submitting a complete appiication being aware that upon failure to do so, the staff has no alternafive but to reject it until it is complete; �°:? • Some or all of the information that you are asked to provide on this appfication is cfassified 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 generall canno e �ven to either the pubiic or the subject of the data. Our purpose and intended use of this information is to �ually d � our records and records of other govemmental agencies �� re uired b law. If vou refuse to I the inform i the li 4ion mav not be issued. ApplicanYs Signature: � //``- Date: U`� �� - G� '- �� Last Updated: 08-09-2011 �k