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Home My WebLink About2013-00849 - siding � .R• CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 3 - 0 P1 8 4 9 * DATE ISSUED: 08/22/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4225 SIXTH AVE N PIN : 31-118-23-12-0012 LEGAL DESC : LINPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 900.00 NOTE: SIDING APPLICANT pERMIT FEE SCHEDULE 38.00 DATTILO,GRANT STATE SURCHARGE(VALUATION) 0.45 4225 SIXTH AVE N TOTAL 38.45 LONG LAKE,MN 55356- PAID WITH CC# 3531 OWNER DATTILO, GRANT 4225 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 onty the work described and does not grant permission for additional or related work which requires separate 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 1 SO 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 aze requested in conformance with th e Building Code.This permit may be revoked at any time for due e. f G�,,� c�'/ 2 2/ l'3 �/z2/� licant Permite Signature Date Issue y Signa e Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �` !: ' t .� City of Orono �:, Building Permit Application for Maintenance / Replacement / Renovation � (No structural expansion. Only windows, doors, siding, re-roof, etc.) �� p- � �O�O Mailing Address: Permit number: / —� O PO Box 66 q Crystal Bay, MN 55323-0066 Date received: 0 '2 2 — - `� Street Address: Received by: � ' y�, � 2750 Kelle Parkwa �� G` Y Y Plan review fee: l,�k��Ho��, Orono, MN 55356 � Total Fee: � �j� L�� :� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us u � �, This application form must be completed in full and all required information must be submitted. >� Incomplete applications will be returned. (Please print) .,�� ,: GENERAL INFORMATION: � Job Site Address: � � C v �� r- ~ �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o � If yes, a special event permit is required with Police Department and City Council approva160 days pnor to the event. Shuttle bus se ice will be i;,k required unless applicant demonstrates sufficient on-site parking is availa6le. Non-permitted events will not be allowed. ` , .......G..M ....-:.::'� CONTRACTOR/APPLICANT INFORMATION: `�` � Name: '��z;.� -� � !" _, State License# � Expiration Date: �� Lead Certification Number: Expiration Date: f ` (for work on homes fhat were constructed prior to 1978 � Phone: (cell) (office) ,� Mailing Address: City: ZIP: � Contact Person: Applicant is: Contractor / Homeowner (Circle One) ,� Email and/or Fax: PROPERTY OWNER INFORMATION: T; Name: ��G�,•� �� .1;� ;� Phone (daY): �>/Z- l y — 5C�5 � � -� $; Address: �Z� S C� (� �� City: U�;,,,� ZIP: S ��2,� �; Email and/or Fax: `� ��. " PROJECT INFORMATION: Overall pro�ect description: ,' Type of Project: Any earth movement may also require `� ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ;;x� 18202 Minnetonka Blvd ' ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � ? Phone: 952-471-0590 ❑ Re-roof, other(specify) �,Siding ❑ Other. (specify) "; Fax: 952-471-0682 , ❑Window(s) www.minnehahacreek.orq : Estimated Construction Valuation of Project(excluding land) $ 9 0 U � � �; APPLICANT ACKNOWLEDGEMENT: `�: • Agrees to provide all information required or requested by the Building Department; � .�; 3i; • 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 info ion,the lication ma not be issued. \ ApplicanYs Signature: � � Date: � 2 Z � � Owner's Signature: Date: � Last Updated: 03/06/2013 � r ✓ DATi-� _ TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE "/ SCHEDULED - ��Z PERMIT NO.��13-C�D�'S� '�J co �Ereq ADDRESS '�a�5 � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEP C FI AL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EX ADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �,'�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W r❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y'OU:_YES_NO ` � COMMENTS: P�/r��LL -�'ra� ,O/'cdLa�,f a�J�c/ � �/ i• i iQ — � ,�' � 5�•..' �e r �' � � rn�e�t s 6i�F - ��s� s-�� - 0 � Q �e_�� I>� � � W � t � � �D�!eG-f t �Q�� iZ4��c� � W �VYORKSATISFACTOR�PROCEED �JECT COMPLETE � �CORRECT W'ORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN O STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED O INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. I forthe next inspection 2a hours in advance. (g52) 249-4600 Ow ctor on site: In or. � White yAnspecto�'s File Canary CopyfSite Notics