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. _
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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
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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.
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ApplicanYs Signature: �_-,- f � Date: / o j%�
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Owner's Signature: C��' '�l� Date: �o � S �(S—
Last Updated:January 2015
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
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OMINER TELEPHONE NO. ��a-y��- a�»
CONTRACTOR Tc•���•�ct, E�� �o.�S�-` • �`'�-
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� ❑ INSULATION ❑ WOOD BURNEFl/FIREPLACE ❑COMPLAINT
r �FINAL ❑ WATER HOOK-UP ��OLLOW-UP
W�❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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(�j" �I������_ PERMANENT
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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:
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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
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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
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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:
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yYhite CopyAnspector's FII� Cenary CopyfSNe Notkx