HomeMy WebLinkAbout2017-00609 - siding �` CITY OF ORONO * Z 0 1 7 - 0 0 6 0 9 *
/� 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1910 SHADYWOOD RD
PIN : 17-117-23-24-0020
LEGAL DESC : SHADY-WOOD
: LOT 031 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIV[TY : O/S BUILDING-UNDEFINED
VALLJATION : $ 27,800.00
APPLICANT PERMIT FEE SCHEDULE 467.54
STATE SURCHARGE(VALUATION) 13.90
ALL AROUND ROOFING& RENOVATIONS MAIL-IN FEE 2.00
701 DECATUR AVE W
#201 TOTAL 483.44
GOLDEN VALLEY,MN 55427- Payment(s)
(763)219-7181 CREDIT CARD 9783 483.44
Minnesota State License#: BUIL-BC635665
OWNER
MCMANUS,JAMES&MEGAN
1910 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 does
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 be
revoked at any time for due cause. �
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Applicant Permitee Signaturert Date Issued By Signature Date
Jun 05 17,07:40a p,1
' City of Orono
uilding Permit Application for Maintenance 1 Replacement I Rem�del — Residential �NLY
(i.e.wi�dows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSlQN}
�O A T Mailing Address Permit number: ��'/ 7 �- (��� >C'�j
iya P09ox66
/ Crystaf Bay,MN 55323-0066 Date recetved: ������/ 7
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; Received by: �
Sfreet Address:
1 ti � 2750 Keiley Parkway Plan review fee:
`�� �,�' Orono,MN 55356
�kES H 04` r.�
i otal Fee: t�'L�
Main: 952249-4500 Fax: 952-249�616 www.ci.orano.mn.us ���,�
This application form must be completed in full and aIl required inf�rmation must be submitted,
fncomple#e applicatiuns will be returned. (Please print)
G N�RAL INFORMATION:
J b Site Address: d�(t�j '�h'�r�L 2x�--�� '�7,�-� (.,L���7�}Z �►i� �',�''U 1
ill this be a Parade of Homes,Remod ers Showcase Home or her Display Home? �Yes No
!f yes,a specia!evenf permit is�equired wrth Poiice Depanment and City Counci!approval 6D days prior to ihe event. Shunle bus serv�ce wk!6e
required unless applresnt demonsbates su�cient on-sife paiking is available. Norr yermrtted even[s wilJ not be allowed.
C NTRACTQR f APPLICANT INFORMATION_
N me: � �iG�1
S ate Li�ense# �L�����c� Expiration Date:
L ad Certification Number. �- ; �T��+�u��
,��'r�'7��_,,�;-.� Expiration Date: Cj�_���,'X,�
(for work on homes thaf were constructed prior to 19T8
P one: (cell) (office) '�r�—y47—�.�.}t�
iling Address: ti � �, f' City� �j ZIP: �'�
C ntact Person: Applicant is: ontractor l Ho eowner (Circle One)
E ail andlor Fax: �n.c� �}���..`��-�•�� ' 4_ �?�`c:�Ct- �4,� , .`
P OPERTY OWNER INFORMA7lON:
I�t me: { h , t.,� �
P one(day�: - ;_
A dress _1R1C1 ���1�-C�' �� CitY:�l j�#.�.�_'��. ZIP: h�•��_I
E ail and;or Fax: �� , �.���� r�� �
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P OJECT INFORMA7IQN: Overall projeci description: - � e�C� � �- }��
` T pe of Project: Any earth mo�ement m also require
boor(s) ❑ Remodei ❑Fire Damage
MCYVD review&permits:
Re-roof,as hak Minnehaha Creek Watershed Qistrict MCWD
p ❑ Repair ❑Storm Damage � �
Re-roof,cedar 15320 Minnetonka BNd
❑ Restoration Q 4VaYer Damage Minnetonka,MN 55345
Re-roaf,other(specify) � Siding ❑ Other;(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.rninnehahacreek.orq �
E titnated Construction Valuation of Praject{excluding Eand) $
A PLfCAfVT ACKNOWLEDG�MENT:
Agrees to provide all information required or requested by the Buiiding Department;
Certifies that the information supplied is irue and correct to the best of his/Mer knowledge. The applicani recognizes that they are
solely respansible for submitting a complete applicatlon being aware that upon faiiure lo do so, the staff has no alternative but to
reject it until it is complete;
Some or al{ ef the infoRnation that you are asked to provide on this applicatipn is classifred by State iaw as eit�er 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.
Gonfidential data is information which generally cannot be given to either the pualic or the subject of the data. Our purpose and
iniended use of this irrfotmation is to annually updaie our records and records of other govemmental agencies requined by law. If
ou refuse to su I inFormation,the� lication rna not be issued.
App icant's Signatu . `� Date: (�;—�—c��,�1
O e�'s Sigha�ture: . Date:
Las[ pdated:January 2016
�-� �
���� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N �� SCHEDULED � D:
PERMIT NO. �V► �" � 1 COMPL �
ADDRESS
O'INNER TELEPHO NO.lpf�^?3� ���{f
CONTRACTOR J�L! ��-
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�1 DESCRIPTION
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z dWNFRICOKTRACTOR TO MEET V�U:_YES_NO
� COMMENTS: T a t,�`r,•�,�' S:�1�a S � r.Ot i n S
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� �WOIiKSATISFACTORY:PROCEED �'PR�ECTCOMPLEfE
W p CORRECT WORK 3 Pi10CEED O ISSUE CERTIFlCATE OF OCCUPANCY
O ❑CpqqECT WppK,CALL FOR REINSPECTION TEMPORARY
V BEFORE(�VERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pF{OTO TAKEN
INSPECTOR WlLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �aTAT10N ISSUED
O INSPECTION RE(�UIRED.CALL TO ARRANGE A(:CESS.
CsN for the next inspection 24 hours in advance. (952) 249-4600
on site:
Inspector:
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