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Home My WebLink About2013-01055 - siding � . CITY OF ORONO * Z 0 1 3 - 0 1 0 5 5 * 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2205 SHADYWOOD RD PIN : 17-1 17-23-43-0133 LEGAL DESC : WILEYS PARK LAKE MTKA ; LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 4,000.00 NOTE: SIDING PERMI�C APPLICANT PERMIT FEE SCHEDULE 103.25 SPILSETH, ANDREW STATE SURCHARGE(VALUATION) 2.00 2205 SHADYWOOD RD WAYZATA, MN 55391- MAIL-IN FEE 2.00 TOTAL 107.25 PAID WITH CC# 6124 OWNER SPILSETH, ANDREW 2205 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 [he Sta[e 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 whe[her or not specified hercin.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime afrer work has commenced. i'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any[ime Yor due cause. ��'"LC�t-�-e�' /�l � � /� � � �� l r� l/.3 Applicant Permitee Signatur�.T'" Date Issu T3y Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. To: Pnge 3 of 3 20'13-'1 0-08'12:04:00 C�T '19525'165440 From:Wayznta Corporete • \ City of 4rono � Building Permit Appifcation for Maintenance 1 Replacement / Renovation {No structural expansion. Only windows, doors, siding, re-roof, etc.) A, MaHingAddress� Permitnumber: /3l0�� '-�1 V� PO Box 66 Crystal Bay,MN 55323-0066 Date received: /�- -�.3 Street Address: Received by: � 2750 Kelle Parkwa `� G� Orono,MN 55356 Y Plan review fee: t"�KESt{OQ`� � ,,a� .�s Total Fee: , 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 prinf) GENERAL INFORMATION: Job Site Address: �� p.,�y/,t/U /( WIU this be a Parade of Homes,Remodelers Show se liome or other Display Home? Yes o !f yes,a specla/event perm�t 1s requlred wlth Police Deparlment and Clfy Counci!approve!60 days prla to the event Shuttle bus servic�e wll!be requlred unless a,npflcanl clernonsUafes sYrH)cient on-s7te p�rkl��g!s evallable. lJon-permltted events wil/nof be aUowed. CONTRACTOR/APP CANT INFORMATION: Name: ��t/p�C.�./ S'.ei1iJ'E� State License# ��_ F�cpiration Date: Lead Certification Number: r-- Expiration Date: (for work on homes that were onstructed pdor to 7978 Phone: (ce�q / �z 9r, (ot�ce) Mailing Address: ps-- S' City: ZIP: Contact Person: N�IGt'�✓ .C!°�L f Applicant is: Contrac r / meowner �cirde one> Email and/or Fax: �,q„/�,��,,. cl�l I't,� l� Qrtil .� [d� PROPER'fY OWNER INF RMATION: Name: �ir/G�77i✓ .�P,/.�lfi?� Phone(daY)- . . � Address: ,7.0 � CItY: �{/ 2 y.,� Z�P: �,� rs�7/ Emall and/or Fax: ,� �iv� �,,��•�, PROJECT INFORMATION: Overall ro'ect descrl tion: Si`� '�U Type of Project: My earth moverr�nt may also require ❑boor(s) LI Remodel ❑Fire Damage MCWD roview 8�permita: Mlnnehaha Creek Watershed District MCWD ❑R�roof,asphalt Repair ❑Storm Dc�maga { ) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephav�,MN 55391 ❑Re-roof,other(specify) �]Siding ❑Other:(speafy) Ptione: 962-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estlmated Construction Valuation of Pro)ect(excluding land) $ APPLICANT AGKNOWLEDGEMENT: • Agrees to provide all Information required or requested by the Building Department; • Certifles that ihe information supplied is true and correct to the best of hislher knowledge. The applicant recogn¢es that they are solely responsible for submiitlng a complete application being aware that upon failure to do so,the staff has no altemative but to rejed it until it is complete; • Some or all of the information that you are asked to provide on this application is classlfie�! by State law as either private or confid�tial, Private data is information which generally cannot be given to the public but can be given to the subJect of the data. Confidenti�l data is infonnation which generally cannot be given to either the public or lhe subject of the data. Our purpose and intended use of this information is fo annually update our records and reoords of other governmental agencies required by law. If u refuse io suppl_y the informatlon,the application may not be issued. ApplicanYs Signature: f Date: __lV. � ..�Ol� 0 Owner's Signature: Date: �), p� �GY� Last Updated�03/06/2013 V DATE TIM� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. /_� 'OIO.SJ COMPLETED ,j /////� ADDRESS a�D.� a�-�I�O� OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ��o�' a2 Sr�et` ��a�� ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z0 INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ Fj�1qON SLAB ❑ WATER HOOK-UP p PROGRESS � ��AL ❑ SEWER HOOK-UP ❑ OMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O H COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � a o �Pes,.o'� a s,.� �/' �.��/ s;,�� - � �' �l�, rtJ✓I/� /p�'dLiie�,�✓l � O � W ,/_ Q �i �/'� /_�11�_J,�61I'� � 2 � W � � � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISS ERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARHANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on site: Inspector: / *-� White Copyllnspector's File Canary CopyfSite Notiee