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Home My WebLink About2010-00026 - siding , � CITY OF ORONO PERMIT NO.: 2oia00026 ` '� 2750 KELLEY PARKWAY '� ORONO, MN 55356- DATE ISSUED: OU2ll2010 ! 952 249-4600 FAX: 952 249-4616 ADDRESS : 3950 NORTH SHORE DR PIN : 08-117-23-33-0067 LEGAL DESC : HICKORY HILL j : LOT 000 BLOCK 000 PERMIT TYPE � : MINOR ALTERATIONS PROPERTY TYPE II : RESIDENTIAL CONSTRUCTION TYP� : SIDING ACTIVITY j : O/S BUILDING-UNDEFINED VALUATION i : $ 1,500.00 i � I � , APP ICANT pERMIT FEE SCHEDULE 57.50 TURNER,WILL STATE SURCHARGE(VALUATION) 0.75 3950 NORTH SHORE DR I MOLTND,MN 55364 I TOTAL 58.25 PAID WITH CC# 0197 O NER TURNER,WILL 3950 NORTH SHORE DR j MOUND,MN 55364 AGREEMENT AND ORN STATEMENT The work for which this permit is is ueG1 shall be performed according to the approved plans and specificatio ,a�plicable City approvals,and the State Building Code. This permit is or nly the work described and does not grant permission for additional r ated work which requires sepazate permits. All provisions of laws and rdiinances goveming this type of work shali be compied with whether or no sppcified herein.This permit will expire and become null and void if c ction authorized is not commenced within 180 days o�.ifie d te pE issuance,or if construction is suspended r eriod�o �d s a any time after work has commenced. The appl� ant i� ns6 ible for su g all required inspections aze reques d i onform ce wi the S�te Building Code.This permit may be revo d any tim or ue use. I �-E-� � �-� � � � , 2/, zoi� p�cant Permi ee Signature Date ss By Signature Date SEPA ' TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� ; � - - � �� r . :y�' �t � y.. • ' City of Orono -0 � �:. Building Permit Application for Internal Work � � } � �� (windows, doors, siding, re-roof, etc.) �' .� Mailing Address: Permit number: /O � �D�a- i• �.,�,� PO Box 66 ;�;. ' 0 Q Crystal Bay, MN 55323-0066 Date received: � 7/ � � �.� �� '��;, �, StreetAddress: Received by: � � �� '� �ti 2750 Kelley Parkway Plan review fee: �t `�kESKog�� Orono, MN 55356 � � Total Fee: �g, �5 `� 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:,� �; �'�� Job Site Address: ��,'��j N�� ' ��" y � � ��. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No � F r If yes, a special event permit is required with Police 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 will not be allowed. �� CONTRACTOR/APPLI AN �fNFQ$MATION: �.; Name: �it/l�� /vrn,2n/' '�� State License# Expiration Date: �„i Phone: ��S-T�. y�Z j/ (office) (cell) � � �. Mailing Address: �� NCll�c-� S �� j�. Cit � ZIP� t� Contact Person: � ; fiv�'�l Applicant is: Contractor / Homeowner (Circle One) � ��` Email and/or Fax: a ��: �� . �,,� PROPERTY OWNER WFORM. T1�N: � �� .y Name: (/V i �rt�Q,v� �, �� Phone (day): 5- - 5�� ,,, Address: �jG;�� vc��,,, S�-o�,� Cit : ,�i�.. p ZIP: S��j�e� � �;; Email and/or Fax t � � �: � �� PROJECT INFORMATION: Type of Project: Any earth movement may require � � ❑ Door(s) ❑ Remodel MCWD review 8�permits ❑Water Damage ' ❑Window(s) ❑ Re air Minnehaha Creek Watershed District(MCWD) t��, p ❑ Storm Damage 18202 Minnetonka Blvd ` Deephaven, MN 55391 "k" �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) $ � � 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 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 genera�cannot be given to the public but can be given to the subject of the � �� data. Confidential data is information which gene�e y annot be given to either the public or the subject of the data. Our � purpose and intended use of thi,s informatign,js-'fo annvally update our records and records of other governmental agencies ��; re uired b law. If ou refuse to�su I the'` ormation,the a lication ma not be issued. > ,• , � � �r '" �_...� ,»�� fr ApplicanYs Signature: � \ ?i-�"" Date: _� - 2 � ' �v � r.' _� � „ LastUpdated: 05-04-2009 � � �. c� = �� e: I .��:� . ,. _ . _,. .,a r._��R vr c.. . . _ . .. . vuw:� -�n,,�`.tF,.�r.5s_.m,v.,.�,..7ii.k�'�' .x.:gko��,..x-��,.e�l�C. .