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Home My WebLink About2015-01050 - siding CITY OF ORONO * z 0 1 5 - 0 1 � 5 0 * �► � 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2015 ' ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2100 SIXTH AVE N PIN : 27-118-23-31-0024 LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 12,000.00 NOTE: RESIDE-REMOVE CEDAR-REPLACE WITH STEEL APPLICANT PERMIT FEE SCHEDULE 232.34 STATE SURCHARGE(VALUATION) 6.00 METRO CONSTRUCTION TOTAL 238.34 3307 BRUNSWICK AE N Payment(s) CRYSTAL, MN 55427- CREDIT CARD 4610 238.34 (612)207-4679 Minnesota State License#: BUIL-681358 OWNER Orono Wood(ands 2100 SIXTH AVE N LONG LAKE,MN 55356- 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 does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hecein.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 cequired inspections are requested in conformance w�h the State Building Code.This permit may be revoked at an f e for du cause. ,� i / ` � '��-t r' O �� i �� i Appli t r 'ee i t Date Issued Signature Date City of Orono C3ualding Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: — C' �- (� �Q A,O Permit number:� l ^ �/ �y PO Box 66 p Crystal Bay, MN 55323-0066 Date received: p � / Street Address: Received by: y G� 2750 Kelley Parkway Plan review `� Orono, MN 55356 l�KESH�� O�� CJ i � 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. (P/ease print) GENERAL INFORMATION: � j�� Q Job Site Address: � �v`►� 1— Will this be a Parade of Homes, Remodelers Showcas Home or other Display Home? ❑Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ' ,� ` State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 Phone: (cell) � (office) Mailing Address: '3 � � City: �„ ZIP: Contact Person: �yj,g-,e� Applicant is: n ra / Homeowner �c�«ie one� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �) C � n T� � ,, e�� /� - Phone (day): '"7�0'3 �� /6J9 ` Address: ��fl�n � � City: n� �� ZIP: ,�S Email and/or Fax: PROJECT INFORMATION: Overall project description: � S�d `' ��i!�Cc�.2��%� c� �4� W,'�st�!_ Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ 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 ❑ Re-roof,other(specify) �Siding ❑ Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ /�� f;l�� 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 ich generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which g rally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is an ally update our records and records of other governmental agencies required by law. If ou refuse to su I the informat' ,th a lication ma not be issued. ApplicanYs Signature: Date: �-/$�/� Owner's Signature: Date: Last Updated:January 2015 �I" � �� ATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED -�i /7 PERMIT NOo�lS-C7/OSU COMPLETED ADDRESS a�� - OWNER TEL PHONE NO. CONTRACTOR� ' �, DESCRIPTION �� t~N ❑ FOOTING ❑ DEMO-FINAL S PTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI CAV/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 v �FINAL ❑ WATER HOOK-UP �FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? 01NNERlCONiRACTOR TO MEET Y�OU:_YES_NO � � COMMENTS: P�r w`�� i O�� 4•lc� � G�9� � �' �i• cs {�i�2G �;,�ec�ia•� � p - ��'/N,�� /�ol�,�� .��.�� 7/'ovt42, � ��G�4�CS D-� �U tiSc..�ra � ,o -{or �'CS�cP� � � n4 �i�lt��,J .�'a.� O�Sc�-�'v'Go�� Q — Sz�P.�� S��„1, — � " `T- Gl�.�� .O r!,v�b�d G'�o u.� Wc � 6t/i�YLbt�l � �.rJ ' �O�r/G�i�e�GS � ��-S�c�c� i,�br L �.-�'/�ts�s �'p...p/sv'c. � � ❑WORK SATI.SFACTORY:PROCEED �RW ECT COMPLEfE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF O(xUPY1NCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��• ❑pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for tl�e next inspection 24 hours in advanoe. (952) 249-480� OwnerlContractor on site: Inspeator. w 1� r MfMts Copyllnspector's FIN Can�ry CopylSib NotMx