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Home My WebLink About2010-00918 - siding : - CITY OF ORONO PERMIT NO.: 2010-00918 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 09/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1620 SHADYWOOD RD PIN : 17-117-23-21-0012 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 24,000.00 NOTE: REROOF AND RESIDE � APPLICANT pERMIT FEE SCHEDULE 398.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 12.00 5145 INDUSTRIAL ST TOTAL 410.25 SUITE 103 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 20631575 OWNER ERICSON,JOHN C&BARBARA E 4736 ARM DR W SPRING PARK,MN 55384 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit wiil expire and become null and void if construction authorized is not commenced within I80 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 reque ted in conform ce with the State Building Code.This permit may be revo d�, t� o ue cause. `C � �� '��D ��v Applicant Permitee Signature Date Issu 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: O��' dG ql �,�,�. PO Box 66 Q .�\ O Crystal Bay, MN 55323-0066 Date received: � �0 l j) �� ,� t� ��,.,�:,�, �,� Street Address: Received by: �'�.n� � '�,�� 2750 Kelley Parkway Plan reviewfee: `�kEsxoti`'� Orono, MN 55356 � � Total Fee: �Q, p� 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: (�`Z.t� S�-l/��`�u�� . Will this be a Parade o�Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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/APPLICANT INFORMATION: Name: �<l,'�.�- �r� - State License# `� i S j Expiration Date: Phone: � - �� s`� office " cell Mailing Address: � q J � �, �c�3 Cit : � ZIP: S3� Contact Person: Applicant is: on rac � / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNE INFO MATION� Name: G� Phone (daY)� y, Z- �71 - �6 �_ S S 3 �`� Address: � 6 � Sr{�-,'u,p City: �J'�/�v ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 �Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq verall Project Description: 9LL�."�?uv� (Lt,rS,Y/t� Estimated Construction Valuation of Project(excluding land) $ c�� 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 a�ternative 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 informa �on,the a lication ma not be issued. �. ApplicanYs Signature: Date: � ^ 3d — � � Last Updated: 05-04-2009 �� p TIME � CITY OF ORONO CALLED IN `t" I �t �� INSPECTION NOTICE SCHEDULED � '� PERMIT NO. �r,1.�� COMPLETED a��REss 1 W Z� S��- �1 � � ,��`C� � '� OWNER TELEPHONE NO. �� —� �C/�7C� CONTRACTOR � � a DESCRIPTION � ! G G� I �C�C' � , (�'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA /GRADING/FIL ING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED ' ROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTfON RE�UIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: �— _� Inspector_ White Copyllnspector's File Canary CopylSite Notice r , �►� � �� C � `-'�'� I �-'�I I r � TI M E TY OF ORONO ALLED IN /� + INSPECTION NOTICEn C SCHEDULED PERMIT NO. �'�(,%I l�' `L��Y�I�CI COMPLETED ADDRESS u,�ZG �Y��u_1,�;c X��I � OWNER TELEPHONE NO. ��'� 4� �� CONTRACTOR f t � � S� C�r � �`Y S�- >; DESCRIPTION ��`"�--� `'►� � ' � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ 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 FINA� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � � � Q�WORK SATISFACTORY:PROGEED ❑ PROJECT COMPLETE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTNIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 24J-46�� Owner/Contractor on site: Inspector. �l ��.S White Copyllnspector's File Canary Copy/Site Notice