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HomeMy WebLinkAbout2015-01282 - siding CITY OF ORONO * z 0 1 5 - 0 1 z 8 z * 2750 KELLEY PARKWAY DATE ISSUED: 10/OS/2015 • ORONO, MN 55356- � (952 249-4600 FAX: (952) 249-4616 ADDRESS : 3416 SHORELINE DR P[N : 17-117-23-43-0098 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SID[NG ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 17,000.00 NOTE: THIS S[DiNG WILL BE DONE ON A COMMERCIAL BUILDMG WH[CH COVERS THE ADDRESSES OF 3412 TO 3420 SHORELINE DR,HOWEVER THE PERM[T IS KEYED UNDER 3416 SHORELINE DR. APPLICANT PERMIT FEE SCHEDULE 309J9 STATE SURCHARGE(VALUATION) 8.50 TERRANCE EID CONSTRUCTION, INC. TOTAL 318.29 3977 GOLFVIEW DRIVE Payment(s) JORDAN,MN 55352 CHECK 5476 318.29 (952)492-2772 Minnesota State License#: BUIL-20514566 OWNER Germ-Tom Partnership 1107 HAZELTINE BLVD#535 CHASKA,MN 55318- 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 onty 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. _ � �� 1 � � / ��`�� �� /�-�_� 1`��,, �� �� �� � J�1 i�✓l- 1,1�'i1��� Applic ermitee Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (4.�. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) � �O�O Mailing Address: •�� c- � / � PO Box 66 Permit number: �o I ��— Crystal Bay, MN 55323-0066 Date received: I C —�� I�, � Street Address: Received by: ��� y�, G� 2750 Kelley Parkway Plan reviewfee: l'`-%! /-� l�xESHO�� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �- - _ � �application form must be completed in full and all required information must be submitted. � � (�; ' Incomplete applications will be returned. (Please print) NFORMATION: �, Job Site Address: �' � /� --� ��/ 2 C; c ' �_� , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ' �ivu��-�-e .�,��� C�►-�.r� , State License# �p 5--� ���� Expiration Date: 3 ,� 2c� i 4 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (� � � -- 2�Z - (p Y3c� (office) �,s� - 2 7 � 2 y�z - ` Mailing Address: 3�'1'7 '7 C�a-(�'� v.;c.e�,�.r �,,L. , City: j��-�,,.� ZIP: ��-35- � Contact Person: ,�, � �� Applicant is: Contractor jt/ Homeowner (Circle One) Email and/or Fax: �� ,�c,��� � � �-h,.� ✓�-�.� o.� ��'��i,.e_ C`..-� PROPERTY OWNER INFORMATI N: Name: t,��..e�.-Q ���� �-�.� Phone (day): � 2-.� � 'r.� _- p • �/� Address: _��� � ��,,� C�� City: ZIP: �S�� / Email and/or Fax: PROJECT INFORMATION: Overall ro�ectdescription: �� ( i'�' Type of Project: Any eart movement may also require ❑ Door(s) d I � ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 Phone: 952-471-0590 ❑ Re-roof,other(specify) Siding ❑ Other: (specify) Fax: 952-471-0682 Window(s) 'S.cr-.���f C�� S�z� www.minnehahacreek.or4 Estimated Construction Valuation of Project(excluding land) $ / `7, OCCJ. APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application 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 confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information 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 annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information, the a lication ma not be issued. - i �-� ApplicanYs Signature: �_-,- f � Date: / o j%� / 7 Owner's Signature: C��' '�l� Date: �o � S �(S— Last Updated:January 2015 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMR NO..aO�S-D/�g,g, coMPLEren � '/� 'I� � �Ess �4/6 5lzo��%�� .�� - �4st-as���y.3o OMINER TELEPHONE NO. ��a-y��- a�» CONTRACTOR Tc•���•�ct, E�� �o.�S�-` • �`'�- � DESCRIPTION �d.�ct �i rs l� 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGIFILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z � RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNEFl/FIREPLACE ❑COMPLAINT r �FINAL ❑ WATER HOOK-UP ��OLLOW-UP W�❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL 2 v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OMINBUCOlfTRACTOR TO EET Y�U:_Y68_NO . ' �i COMMENT'� �Br wNt fio ��cv �./e��o G.¢� -�cr � � ��t�la G /�'15,DCc�ta w ' j OO • � V�nu/ S,.�w.�� �n- wa�.� �rati� scJ.s�-- - � �� � ml�PGe �JC1SG . �.m«GC /��'JrS��r � � � Q ��1c�� 04 /'�,�.v d GG/� �r �r�� ZLNJS� . !� � - G� /(�oQ /br��r�c'�r- L�� .v�asr.�•r� _ � � J W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑OORRECT WORK 8 PROCEED ❑ISSUE CERTIFlCJITE OF OCCUR4NCY ���O�R�R�ECT WORK,CALL FOR REINSPECTION TEMPORARY (�j" �I������_ PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOFi ❑qTATION ISSUED O INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. csN ior n�e next inspecrio�2a nours in s�►enos. (952) 249-4600 on site: �; �.., �— whn.oovr�•a•�+a's� c.n.ry cx�r�troaa DATE TIME CITY OF ORONO cnLLED IN iNSPECTION NOTICE SCHEDULED PERMIT NO. a d�� � DIeZS�(',OMPLETED ���J ADDRESS 3 y!l S hor�/�.+:� A� ' �NNER TELEPHONE NO. CONTRACTOR � DESCRIPTION s'�'�s r�/��' � 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 Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �JDIAL ❑ WATER HOOK-UP �OLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNENCOI�fTMCTOR TO MEET YiOU:_YES_NO . a COMMENT$:�"''`��(g�� ���� G'2�� -�/ F��//l�j�. � �'��nc !+4' /��l�co.ytc�% o�t' .Aora.o�� � �- " � �/ill�/ S�.li.c� � �O Q GtfO�'!� '��/�Gv.�s �'a�'Kf��tL`Q -- � W W �r � ,rIQ/.�vc� T!/lL�'� J � ❑WORK SATISFACTOHY:PROCEED '�C�OJECT COMPLEfE W 0 CORRECT WORK 3 PROCEED ��O ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERIN(i PERMANENT �CORRECT UNSAFE CONDiT10N WITHIN HOURS. p p�{pT0 TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REW IRED.CAIL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advanoe. (952) 249-4600 OwnerlContractor on site: ����: �,�,-y�' yYhite CopyAnspector's FII� Cenary CopyfSNe Notkx