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Home My WebLink About2016-00748 - siding- CITYOFORONO * 2016 - 00748 * 2750 KELLEY PARKWAY DATE ISSUED: 06/27/2016 � i ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1670 SHADYWOOD RD PIN : 17-117-23-21-0015 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,196.50 NOTE: INSTALL HOUSEWRAP,REMOVE AND REPLACE SIDING ON 2 GARAGES APPLICANT PERMIT FEE SCHEDULE 216.81 STATE SURCHARGE(VALUATION) 5.10 METRO SIDING TOTAL 221.91 17258 ULYSSES ST Payment(s) ELK RIVER,MN 55330- CREDIT CARD 5492 221.91 (763)557-1808 Minnesota State License#:BUIL-4861 OWNER KIELLEY,DONALD&ARLENE 1670 SHADYWOOD RD 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 Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances 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. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may ba revoked at time for due cause. `�� !�i �7i/!o Appli t Permitee Signa re Date Issue Signature Date ti '" Ci�y of Orono 6uilding Permit Application for Maintenance 1 Replacement/ Remodel— Resider�tial ONLY iJ.�. Otit.�c,�"��, c��u��,s��a��, ,��-u��7, cf.�. - �9��'T��i:�o��=:�� A,. Mailing Address: ; /�; <y PO Box 66 Permit number: 'L%'�t(�"'^- 1 � � Crystaf Bay, N!N 55323-0066 Date received: �-- � � `(`� � I ----' + StreetAddress: Received by: ` 'y � 2750 Ke�ley Parkway Plan review fee: `�t �t'� Orono. MN 55356 R'r�'S ki Q4` Total Fee: � Main: 952-249�800 Fax: 952-249-4616 www.ci.orono.mn.us This application form rr�usi be completed in ful!and ail required information must be submitte . � � Incompfete applications will be retumed. (Please printJ GENERAL INFORMATIQN: ! Job Site Address: f� 7� S�jR�V[,.�� c1 Will this be a Parade of Homes,Remodelers howcase Tme or oiher Display Home? Q Yes �Rto !f yes,a specia!evenf petmrf is required wdh Pof�ce Department and City Counc�7 approva160 days pnor fo the event. ShuRle bus servrce will be required unless applicani demonstrates su!frcient on-sife parking is ava�lable. Non-permitfed events wilJ not be al/owed. CONTRACTOR I QPPLICAIdT INFOF�,MA7101V: Name: /jl l�f'�--.Z/'��' State License# C Up �/�'� � Expiration Date: /-31� �f'/ Lead Certification Number: n/p r-��J��- � Expiration Date: �f� _�g (tor work on homes ihaf were constr�cted prior to 1978 Phone: (ce!#) �f�,'��r-�4,� (oifice}7G -SS 7- J��' Mai�ing Acldress: 7 z,S C�h'� Z�P� .5's3j Contact Person: / Applicant is- o ractor / Homeowner (CircleOne) Emailand/orFax: _S d PRAPEF2TY OWN�R IIVFORMATIOPI: t�ame: �oN f��e /l Y Phone(day): '�- y7l- 70� S„S�9 f Address: 70 S!�,4d�w� c�tyl�!'a+�-U ZI P: Email and/or Fax: PROJECT INFORMATION: Ove�all project description:9�e�+o+'e � � S, Type of Project: Any earth movem t may atso re ire ❑Door(s) ❑Rernodel ❑Fire Damage 'I MCINQ review 8 permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) � 15320 fNinnetonka Blvd ❑Re-roof,cedar ❑Restoration 0 Water Damage Minnetonka,MN 55345 Q Re-roof,other�specify) �Siding ❑Other:(specity} Phone: 852-47'1-0590 _ _ _ . . . Fax� 952-47�-�682 _.. ❑Window{s) vr�nr.v.minnehahacreek.ora Estimatec�Construction Valuation of Project(excluding land) $ A�PLICANT ACKIdOWLEDGEMENT: _ ._ _ • Agrees to provide all inforrnation required or requested by the Building Depattment; . Certifies that the�nformation supplied is true and correct to the best of hislher knowledge. 7he ap�licant recognizes fhat they are solely responsible tor submitting a complete applica6on being aware that upon failure to do so,�he staf€has no aEter�ative bul lo reject it until it is complete; • Some or al9 of the inforrnation that you are asked to provide on this application is classified by State law as either private or confiderrtial. Private data is information which generally cannot be given io the public but can be given ta the sublect of the data. Confidentia�data is in(ormation 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 annuaily update our records and records of ather govemmental agencies required by law. If ou reFuse lo su I the in#orrnatian.the a lication ma not be issued. ApplicanYs Signature:,,�.�� ..�--• __ Date_ v ��7 ~`� Owner's Signature: Date: Last Updated:January 2016 �•d e96�O1 96 LZ unf r �, ��.t�` DATE TIME CI OF ORONO CA�LED IN INSPECTION NO I E (�SCHEDULED � PERMIT NO. � � ��i� coMP�ErEo ADDRESS �' �� '�C�-�'�- ' " � OWNER TELEPHONE NO. J �S7 � � ,. CONTRACTOR � DESCRIPTION JC C�-GL1)CE t~i� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO ( � COMMENTS: �IC f�Z'�=�-�-� C`�'� J I't'� W a 0 _T V_5 d'� �a cs S�u��'�tl d K �Si�� — �. � � I�bF � ��v►1,r��e�C� -e ��4it ��_ W � Q � 2 W � � j ,r�!l�►�•L�' �s.t��r� W ❑WORKSATISFACTORY:PROCEED p�Q�lEG7 COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector.� /►y-� "'� White Copyllnspector's File Canary CopylSite Notice