HomeMy WebLinkAbout2015-01553 - siding , +
� '' CITY OF ORONO * 2 0 1 5 - 0 1 5 5 3 *
. 2750 KELLEY PARKWAY DATE ISSUED: 12/17/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3340 SHORELINE DR
PIN : 17-117-23-44-0085
LEGAL DE3C : REG.LAND SURVEY NO. 1433
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 25,505.00
NOTE: NEW FASCIA ON HOLIDAY PORTION OF BUILDING,GAS CANOPY AND CAR WASH. ALL METAL FASCIA
APPLICANT PERMIT FEE SCHEDULE 444.96
STATE SURCHARGE(VALUATION) 12.75
4 CORNER ARCHITECTURAL SHEET METAL TOTAL 457.71
12124 RIVERWOOD DRIVE Payment(s)
BURNSVILLE,MN 55337- CHECK 10151 457.71
(952)855-7991
OWNER
Voyaguer Service Centers
PO BOX 65
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 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 sepazate
permits. All provisions of laws and ordinances goveming 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 I80 days of the date of issuance,or if construction is
suspended for a period of I80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in confortnance with the State Building Code.This permit may be
revoked at any time for due cause.
�I�CC ` �.�.��� � I� I� � � .
�.i�.e� �,t�
Applicant Permitee Sigr►ature Date Issued By Signat e Date
"` Dec, 14, 2015 1 :52PM No, 0007 P. 2
.
-" City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re,roof, etc. — NO STRUCTURAL EXPANSION)
O Maifing Address: Permit numbar. �.s��
� �O PO Box 66 t
Crystei Bay, MN 55323-0066. Date received: Z'"� —J
� StreetAddress: �`s��j Received by.
��, G� 2750 Kelley Parkway ��. Plan review fee:
{�R sHo�'� Orono,MN 5535$ '/
Total Fee� ,c,C� � �
Main: 952-249-4600 Fax� 952-249-461fi v�o�v.ci.orono.mn.us "/
This application form must be completed in fufl and all required information must be submitted,
Incomplete appfiCdtfotls wil!be returned. (Please p�nt)
GENEIZAL INFORMATION: ��� �'- - 1�+��� �1�
Job Site'Address: V�D{ (
Will this be a Parad�of Homes,Remodelers Showcase Home or other Display Home? Yes No
(f yes,a specla/eu�a�t permit is required with Police DepaKlnent and City Council epprova/60 days prfor to the event, Shuft/e bus service wi!!be
reguiled unless applicant demonst�^dt6s suffiCient on-site perking is avallab/e. Non-pemtitfed events will not be allowed.
CONTI�ACTOR I APP ICANT INFORMATION: C'`
�Name: �� ��If'�1+�� c7��i �� l�•
State I,icense# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on 6omes that were construct�d�prior to 1978 p�. h��y 79�F
Phone� (Cell) (p����-��i3 (offrce) . p �
Mailing Address: � �.j , �� City: ��� ZIP: �j
Contact Pel'sOn: Applicant is: on rd / Homeowner (Clrcle One)
Email and/or Fax: (,Q(r�
PRQP�R7Y OWNER INFORMATIO�:
Name: �DhJ� ��A,�lt'y�
Phone(day): � � � b 5 �
Address: � �,�� �1�C City: �,�A(� ZIP: ��2'
Email and/or Fax: 'Q D �, . �,
PROJ�CT INFORMATION: Overall ro'ect description:
Type of Pro]ect: Any earth movement may slso require
❑Door(s) O Remodel ❑Fire Damage
MCWD review&permits:
❑Re-roof,�sphaft ❑Repair ❑Storm Damage Mlnnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391
� p fi,� �� g � p �,� Phone� 952-471-0590
❑ Re-roof,other 9 ec' �din ❑Other� s eci
Fax 952�171-0862
❑Window(s) www. � acreek.or
Estimated Constru tlon Valuation�of�oiect�xcluding]and} $ !
n�w �sGr f��u � {�i u1 cnF Bc,�6, �5 ubr,('o� k�vl�j C�2 u�s-�_ .
APPUCANT ACKNOWL�DGEMENT: /hL{, L �(i(,�
• Agrees to provide all informafion required or requested by the Building Deparhnent;
• Certifies that the information supplied is true and correet to the best of his/her knawledge. The applicant recognizes that they are
solely responsible for subm�tting a complete applica6on being aware that upon failure to do so,the staff has no alternative 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
confidentiai. Private data is information which generally csnnot be given to the public but can be given#o the subject of the data.
Confidentiel data is information which generally cannot be given to either the public or the subject of the data. Our purpose and
intended use ofthis information is to annual update our records and records of other govemmental agencies required by law. Ifi
ou refuse to su I the inf h ma not be issued.
Applicant's Signature: Date: �� �
Owner's Signature; Date:
Last Updeted:January 2015
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMR NO. �6r5 ��SS� COMPLETED O���� 'l7 �
ADDRESS J���/o �Sha��/�•c� �7 � -
�IYNER TELEPHONE NO.
CONTRACTOR �' G�►'Ke� ��`�64�L �o� ����L
� DESCRIPTION �i�� -���r;f ,
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUM8ING 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 �E.INAL ❑ WATER HOOK-UP �OLLOW-UP
�Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICOI�fTMCTOR TO MEET Y�U:_YES_NO .
y COMMENT� C�n�c��ar ,,r�,/�av � cy/r �v
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W ❑WORK SATISFACTORY`.PROCEED C�iW ECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
0 ❑WRRECT VYORK,CAII FOR REINSPECTION TEMPORARY
V BEFORE CdVERIN(3 PERMANENT
❑CARRECTUNSAFECONDITIONWRHIN HOURS. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
Inspector: � +�- ��
WhNe CopyMapector's Flla Cenary CopYISNe Notla