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Home My WebLink About2015-01552 - siding CITY OF ORONO * 2 0 1 5 - 0 1 5 5 2 * � 2750 KELLEY PARKWAY DATE ISSUED: 12/17/2015 t ' ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 2420 SHADYWOOD RD PIN : 20-117-23-11-0002 LEGAL DESC : UNPLATTED 20 117 23 : LOT 000 BLOCK 000 PERMTT TYPE : MINOR ALTERATIONS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 33,080.00 NOTE: NEW FASCIA ON BUILIDNG AND GAS CANOPY-ALL METAL FASCIA. 1 APPLICANT PERMIT FEE SCHEDULE 535.28 STATE SURCHARGE(VALUATION) 16.54 4 CORNER ARCHITECTURAL SHEET METAL TOTAL 551.82 12124 RIVERWOOD DRIVE Payment(s) BURNSVILLE,MN 55337- CHECK 10151 551.82 (952)855-7991 OWNER Voyageur Service Centers CTY RD 15& 19 NAVARRE,MN 55392- 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 be revoked at any time for due cause. , � e btic..� 1`��P�'1 ��c> ! �-., I-1, Applicant Permitee Signatu e Date Issued By Sigr►ature Date Dec, 14. 2415 1 :52PM No, 0007 P, 1 �I�/ O� Q 1"O 11 O � Building Permi# Application far Maintenance / Replacer�ent 1 Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Q�} MailingAddress: Permitnumber. p�/,s—d�.s,s � {VO PO Box 66 Crystal Bay, MN 55323-0068• � Date received; /Z—�l`�� SireetAddress; �, 11�T�'"��j Received by: s�, L� 2750 Kelley Parkway � N,��j Plan review fee: �'i�esHo�-� Orono, MN 55356 �2 Main: 952-2A�9-a$00 Fax: 952-249-4616 www.ci.o Total Fee; �5/ � This 2pplication form must be completed in full and all required information must be submitted. Incomp{ete appli�ations will be returned. (PJease print) GEN�RA�INFORMATION: 2�� `�„ y(�� 4 Job Site Address: �'Ti �V Will this be a Parade of Nomes, Remodelers Showcase}Iome or other Display Home? Yes No !f yes,a specia!event permit is required with Police Depanment and City Counci!eppiova160 deys prior to the evsnf. ShutHe bus ServiCE will be required un/ess applicanf demonstrdies SuNlGlent on-site parkrng rs evailable. Nan•permitted eveAts wlll rlof be a110Wed. CONTRAGTORIAP�PLICANTINF0�11A TI�� M'��` �'+pL Name: =� ,q�c(,{,� r� • State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were construci�ed r;ar to f 978 q Phone: (cell) �1� p- �j (office) �'Z• �'7� l � Mailing Address: � �(L� ZIP: � Contact Person: AppliCanf is Gontrac e� / Homeowner �c�rci.o�a� Email and/or Fax: � �,�, - f� r '�-t PROPER7Y OWNER INFORMATION: Name: p� �,��j��l Phone(day)� 2 �4-y!— � �✓ Address; � �yf� - City; �r� ZIP: Email and/or Fax: p PROJECT INFORMATION: Overall ro'ec#descri tion: Type of Projact: Any earth movement may also require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: ❑Re-rooF,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCW�) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(speciiy) �Siding ❑Other:(specify) Phone: 852�71-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Cons ruc ion ValuatiQ� of P oject(excluding land) ��"�� p$b�' � �r.r,� ��wiw;n�b ,�na �s G� � �r.,c M�L �5�:�4 . APPLICANT ACKNOWLEDGEMENT: � • Agrees to provide all information required or requested by the guilding Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant racognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative buf to reject it until it is complete; . Some or all of the information that you are asked to provide on this application is classlfled by State taw as either private or confldential. Prlvate aata is informatian which generally cannot be given to the pubi;c but can be given to the subject of the data. Confidential data is information which gensrally 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 other governmental agencies raquired by law, If ou refuse to su I the informatio h ' tion ma not be issued. ApplicanYs Signature: Date: �� / Owner's Signature: Dafe: Last Updated�Januery 2015 � DATE TIME CITY OF ORONO CALLED IN MISPECTION NOTICE SCHEDULED PERM�T NO. !�2olS 'Dl�� coMv�ErED �-a.o-/Z AooREss � yao s�,,,�,d �o. ONINER TELEPHONE NO. CONTRACTOR � �2rNe�' /qrcl►•�exfk�4G 5�i«� Ay+�StL � DESCRIPTION 5 r d• � .��•�L ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT � �NAL ❑WATER HOOK-UP �FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dIMNB1IC��RACfOR TO MEET Y�U:_YES_NO � � COMMEN'i'� ��rw�:� �e✓ ��.l�A � G� !C �o✓ ce 4 �irl�G ��.f�,.,.,.. j 0 � �tca�Go eL r / .O � � — W aC � i ' �t/of� � ld6� - � � 3 � ❑WORK SATISFACTORY:PFIOCEED '�ECT COMPLETE � ❑OORRECT WOf�C a PHOCEEO / ❑13CUE CERTIF�ATE OF OOCUPANCY � ❑CORRECT WOfi1C,CALL FOR REINSPECTION TEMPORAqV V BEFORECOVERINO PERMANENT ❑CORRECT UNSAFE t�ONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDEq POSTED.CALL INSPECTOR ❑pTATION ISSUED O INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. caN�me�e�ao�u no�,�in advanoe. 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