HomeMy WebLinkAbout2014-00021 - siding � CITY OF ORONO � 0 1 4 - 0 PJ 0 2 1 *
, 2750 KELLEY PARKWAY DATE ISSUED: O1/17/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3683 NORTH SHORE DR
PIN : 08-117-23-34-0053
LEGAL DESC : CRYSTAL BEACH
: LOT 005 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 28,000.00
NOTE: SIDING AND WINDOWS
APPLICANT PERMIT FEE SCHEDULE 445.25
STATE SURCHARGE(VALUATION) 14.00
ALL PRO XTERIORS, INC. TOTAL 459.25
11292 86TH AVE N #]OS Payment(s)
MAPLE GROVE, MN 55311- CHECK 5361 459.25
(952)486-7834
Minnesota State License#: BUIL-BC385228
OWNER
RESSLER, REX
3683 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 E3uilding 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 ordinanccs 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.
I�he applicant is responsible Yor assuring all required inspections are
requcsted in conformance with the State Building Code.This permit may bc
revoked at any time Y'or due cause.
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Applicant Permitee Signature � �ate Issued By i nature Date
01/07/2014 �7:40 19529555171 ALL PRO XTERIORS INC PAGE /0
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� City of Orono /- �^ ��
Building ermit Application fQr Maintenance / Repiacement / Renovation
(No ructural expansion, Only windows, doors, siding, re-raof, etc.)
��� Mailing Address� Permit�umber: o�rj/ '"1-Y�J�/
PO Box 66
Crystal Bay, MN 55323-0066 Date received: /� �"/'S�
St�eet Address: R����by:
��, 2750 Kelley Parkway Ptan review fee:
G Orono,MN 55356
�CFsrto�� 7otal Fee,
Mair1" 952-249-4d00 Fa�c: 952-249-4616 www.ci.orono.mn.us 2 �'
Thi�application form must be completed in full and all required information must be submitt . � �L�✓
Incomplete applications will be retumed. (Please print)
GEN�RAL INFO TION:
�ob s�t�aad �b83 l�er�h. S�rt � � �tyza�� M�u 5�39 �
Will this be a Pa de of Homes,Remodelers 5howcase Mome or other Display Home? �Yes No
If ye�a specia!e �rtpeR7fit rs r�qui�d w�th PORr,9 DepanmerM antl Cfly Councll approval6o Uays prfor to tne evem. Shutt/e bus ServlCe wlll bQ
iequir urtless applicant demonshates suAScient on-siCe parldrag is available. Non-permmed events will not,be allawed.
CONTRACTOR/ , PPI.ICANT INFpRMATION:
Name: � � ��o�S �C,
State License# �, � Z$ Expiration Date: ��3�-J�
Lead Certification umber: N AT -F ID�1 Kq�-� Expiration Date: �p_►$.�r7
(fpr wprk on ho ss that were constructed prior fo 1978
Phone: (ce�q b 12 - h w'7 _Z�n5 (office) 95Z •yab�'7�3 4
Mailing Address: «Zgt S�b'� v il? �ik ►og ��y� �+ �e b�ovr Z�P' S536`�
Contact Person: ,,,,�, (�o��` Applicant is: on ractor / Homeowner �c��c�eone)
Em�il and/or FaX: qk �� vo �Ierio� ��u� ,t�'1'r
PROPERTY OWN R INFORMATION:
Name: Re� e �+�
Phone(day):
Address: 3 bK 3 +�S S�►a+� �3� C��y� �raa a� ZIP: /4l�' Sa 3� l
Email and/or Fax:
PROJECT lNFO MATION: Overall pro ect description:
Type of Project: Any earth movement may also r�quirs
❑Door(s) ❑Remodel ❑Fire Damage MCWD review B�permits:
Minnehaha Creek Watershed District(MCWD)
p Re-roof,asphalt � ❑Repair ❑Storm Damage �g202 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55381
Phone: 952�79-0590
❑Re-roof,other(s � I[y� [�$i �ng �Other.(SpeCify) Fax: 952-471-0682
L�V�indow(s) www,minnehahacreek.ora
Estimated Constru tion Valu�tion of Project(excluding land) $ 2 ,O�'
APPLICANT ACK OWLEDGEMENT:
• Agrees to provid, all informa�ion required or requested by the Building Department;
. Certifies that the infnrmation supplied is true and corred to the best of hisTher knawledge. The apDficant recogniies that they are
solely responsib i�or submitting a comple#e application being�ware that upon failure to do so, the staff has no altemative but to
reject it until it is mplets;
• Some or all of e information that you are asked to provide on this application is classified by State law as either p�ivate or
cronfidential. Pri te data is information whieh generally cannot be given to.the public but can be given to the subjeck of the data,
confiaentia�data�is information wnicn genera��y cannot be given to either the public or the subject af the data. Dur purpose and
intended use of is information is to annually update aur records and records of other gavemmeMal agencies required by law. If
ou re{use to su I the information,the a licatipm m �ot be issued,
ApplicanYs Signature: G� Date: �� ���
Owner's Signature: ^ Date: �"�`)y
Last Updated:03106l2013 '
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