HomeMy WebLinkAbout2011-00681 - siding � CITY OF ORONO PERMIT NO.: 2011-00681
2750 KELLEY PARKWAY
� ORONO,MN 55356- DATE ISSUED: 07/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1385 REST POINT RD
PIN : 07-117-23-33-0011
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 400.00
NOTE: REPLACE APPROXIMATELY 400 SQUARE FEET OF STORM DAMAGED VINYL SIDING.
APPLICANT pERMIT FEE SCHEDULE 25.00
RAHN,DAVID&JODI STATE SURCHARGE(VALUATION) 0.20
1385 REST POINT RD TOTAL 25.20
MOUND,MN 55364
OWNER
RAHN,DAVID&JODI
1385 REST POINT RD
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 does
not grant permission for additional or related work which requires separate
pertnits. 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�� �✓�' 7 / i 9� / ) ���a�� `7� / � �
Applicant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
.. City of Orono ��� �
Building Permit Application for Internal Work
+ (windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: — � lJ
O�v�,�0 PO Box 66
� Crystal Bay, MN 55323-0066 Date received: 7 /
a �� ;�;�+�g �. StreetAddress: Received by:
�' `��' �titi 2750 Kelley Parkway Plan review fee:
��`9kESHo4'� Orono, MN 55356 �
� Total Fee: �`j, �
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: � ��� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes,a specra!event permrt is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus rvice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-pemtitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��,,f �'/��,�
State License# �' Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: �j 1 �/� �j��7e� (office) (cell)
Mailing Address: �_ � ��, - City���d ZIP:�� ���
Contact Person: ��,�� �'ry�� Applicant is: Contractor / own (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �,s6-��� �� 6��v�'
Phone (day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
�Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.ora J� l
Overall Project Description:,�'�,�,��7 � ,,tdx %>c, �- �,� r, �-f����,��-���:��
Estimated Construction Valuation of Proje t(excluding land) $ ��y o�
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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 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.
. �
�
Applicant's Signature: �� �_ Date: ���� ��
Last Updated: 03-01-2011
� D TIME �/
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. ������ COMPLETED
ADDRESS �� 0-�
OWNER ELEPHONE NO.�� -.5���77�
CONTRACT R
� DESCRIPTION �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING p MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pPHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ IIJSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site-
Inspector.
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