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HomeMy WebLinkAbout2011-00479 - siding F CITY OF ORONO PERMIT NO.: 2011-00479 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2320 SHADOWOOD DR PIIv : 27-118-23-32-0014 LEGAL DESC : SHADOWOOD FARM : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 9,000.00 NOTE: TEAR OFF AND RESIDE HOUSE AND GARAGE APPLICANT pERMIT FEE SCHEDULE 177.00 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.50 6541 SYCAMORE CT N MAPLE GROVE,MN 55369- TOTAL 181.50 (763)427-9696 Minnesota State License#:20637010 OWNER REHBEIN,RONALD&DAWN 2320 SHADOWOOD DR LONG LAKE,MN 55356 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 retated 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 i conformance with the State Building Code.This permit may be revo at a ti for due cause. /'/ !� / � ` a% �Sl ! ( Applicant Permitee Signature Date / � Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono ' ' Building Permit Application for Internal Wnrk (windows, doors, siding, re-roof, etc.) MailingAddress: Permitnumber: O//— `�7 O�,D,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: ���''' Received by: ,� � .��;-� �, Street Address: �'�,c, �' ;r �r.�' 2750 Kelley Parkway Plan review fee� t�kESH�4'� Orono, MN 55356 Total Fee: � ��, 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 ' e submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION• /� j Job Site Address: � � v�� �`����G� �✓ti�/ �f� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a specia!event permit is required with Police Department and City Council approva160 days prior to the eve�nt. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events w�ill not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: f'�'Jj�;,�t'S f State License# ��(� � � � Expiration Date: �� - �/�- (� Lead Certification Number: Expiration Date;: (for work on homes that were constructed prior to 1978 Phone: �ci 3 !-�,,� 7 ��{!L-, (office) (cell) Mailing Address: S'( S -�r�,.t�,.-� f_ City:r�f>'�e� � �,�.� ZIP: �-c s�' .S�.� Contact Person: ' ,��f%� Applicant is: ntrac / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �/t�I c! �'���,�',/l � Phone (day): Address: � �: �c Cc..� G•��tr`icl �/� City:�J�'-?C� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth m�ovement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Siding ❑ Restoration ❑ Other: (specify) Deeph�aven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: %��„� c;�f��- �'��-.5;��' � �� c.,�c� `�" _y����y� Estimated Construction Valuation of Project(excluding land) $ �7�U 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 dc� 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 t>y 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. ApplicanYs Signature: — Date: ���-r� Last Updated: 03-01-2011 � — ` DAT TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NO I �,/7q SCHEDULED PERMIT NO. `t� � COMPLETED ADDRESS OWNER TELEPHONE NO. 3 �Z� " �Z CONTRACTO . � � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EX AV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ KESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FiNAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ 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 c�., COMMENTS: � W a � � O � � O � W � Q � 2 W � W � j � ❑WORKSATISFACTORY:PROCEED D�PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANOITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. J White Copyllnspector's File Canary CopylSite Notice