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Home My WebLink About2011-01133 - siding . � CITY OF ORONO PERMIT NO.: 2011-01133 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2060 SPATES AVE PIN : 10-117-23-31-0096 LEGAL DESC : ORA PARK ON LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 70,000.00 NOTE: PERMIT INCLUDES REPLACING WINDOWS INTO EXISTING OPENINGS,SIDING AND INSULATION. APPLICANT PERMIT FEE SCHEDULE 831.75 INTEGRITY REMODELING&DESIGN GROUP STATE SURCHARGE(VALUATION) 35.00 6569 CITY WEST PARKWAY TOTAL 866.75 EDEN PRAIRIE,MN 55344 Minnesota State License#:20630478 PAID WITH CC# 1930 OWNER HANSON,MATTHEW&JAMIE 2060 SPATES AVE WAYZATA,MN 55391- 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 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 consVuction 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 aze requested in conformance with the State Building Code.This permit may be revoked a�t py�y'ne�ause .r-- / � /�� / (// !/ Appli t Permit natu e Date Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono � ' " �-. t� + . ' Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: a(�/ l-s Q l � =�j,�,�. PO Box 66 �Permit number: 5` /� � � Crys ta l Bay, M N 5 5 3 2 3-0 0 6 6 Da te re c eiv e d: � �J � �'� �� Received by: �,a �� o� s, Streef Address: �',F,t � �� ti 2750 Kelley Parkway Plan review fee: �4 � Orono, MN 55356 q'xESH�4 Total Fee: �� ,� �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us t: 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: ��,�%� ,� � �'S v�� Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes o � If yes, a special event permit rs required with Police Department and Crty 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/APPLICA T INFORM TION: / � Name: � ` .� � _/` ' ��15 � �� T State License# Expiration Date: � _�/Z `.� Lead Certification Number: Expiration Date: _��T��- (for work on homes that were constructed prior to 1978 Phone: �. �' �� (office) � ' � � (cell) 4 Mailing Address: �� City: �,./�� , ,� ZIP: - � � Contact Person: � ' A plicant is: n r�ac�� / Homeowner `�Circle One) a; Email and/or Fax: ��/�� ;?� � PROPERTY OWNER INFORMA ION: I `: Name: /2��r�iG ��r`/So�C � ' Phone (day): �Z��'S'�/.��/ Address: �� L� City: �j�-j� ZIP:��'�L Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd x' ❑ Re-roof, cedar ❑ R toration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify} Siding ❑ Other: (specify) Fax: 952-471-0682 �indow(s) www.minnehahacreek.orq Overall Project Description: ). �' ��, �— -� �, ��,� Estimated Construction Valuation of Project (excluding land) $ ��n�}� �� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the informafion supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitfing 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 annualty update our records and records of other governmental agencies re uired b law. I# ou refuse to su I the information,th a licafion ma not be issued. ApplicanYs Signature: � Date: �/z�"/��// ��. Last Updated: 08-09-2011 � � ATE TIME `� CITY OF ORONO CALLED IN Y INSPECTION NOTICE SCHEDULED PERMIT NO. //-D/�,3� COMP ETED ADDRESS OWNER HONE NO. � CONTRACTOR � DESCRIPTION � , � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice