HomeMy WebLinkAbout2010-00870 - siding CITY OF ORONO PERMIT NO.: 2oiaoos�o
'� 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/2U2010
4 952 249-4600 FAX: 952 249-4616
ADDRESS : 1270 SPRUCE PL
PIN : 08-117-23-32-0013
LEGAL DESC : SAGA HILL REVISED
: LOT 002 BLOCK O10
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 25,000.00
APPLICANT pERMIT FEE SCHEDULE 413.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 12.50
5145 INDUSTRIAL ST
SUITE 103 TOTAL 425.50
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#:20631575
OWNER
BOLICH,PAUL& SANDRA
1270 SPRUCE PL
MOiJND,MN 55364-
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 dces
not grant permission for additional or related work which requires sepazate
permiu. 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 onformance wit}�the State Building Code.This permit may be
revoked ' e fo u� .
z„�.t,� i �� i�01 U �
App icant ermite Signature Date I s s u e d B y S' t u r e a
SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOV
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.
City of Orono �
�
Building Permit Application for Internal Work .�
(windows, doors, siding, re-roof, etc.) �
Mailing Address: Permit number: �
g,0,�. PO Box 66 �
� � O Crystal Bay, MN 55323-0066 Date received: ;.
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,� � G��z�, ,, Street Address: Received by: '�
�'.�, �� '�" �ti 2750 Kelley Parkway Plan review fee: 3
r9xE580¢'� Orono, MN 55356 =�
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. (Please print)
GENERAL INFORMATION: ,� '
Job Site Address: j�?v `'� n_`�c_� ���c".� ;
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 approval 60 days prior to the event. Shuttle bus service will be �'
required unless applicani demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �''
CONTRACTOR/APPLICANT INFORMATION: �
�
Name: � �IS� ��� �v/'���:.<�f � ;;n �
State License# �n�3 i 5 75 Expiration Date: 3-�/ - ;�-
Phone: �3 --y 7 7-�� ����=� office cell �
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Mailing Address: �-""i y5 ��S t,,;�i � , �ci Cit : ��,. � �J�,.. ZIP: S',;�3�� �
Contact Person N��,� �,�-��e�c Applicant is: n rac / Homeowner (CircleOne) �
Email and/or Fax: �s-� �j'?�� -[=r�,,�c, ,_,�;%� � ,� . , 1 !�v� �
PROPERTY OWNER INFORMATION: ,-, / , i
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Name: ���� ��1 �- `�� ^;.�:� ;�v/�c.� ;�
Phone (day): l��- 3'.3 - ���3 �S `� ��
Address: i �Zc� �p��-�_ 'J 14c.� City: 1�'�a�s.{� ZIP:J -���
Email and/or Fax �
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PROJECT INFORMATION: �
Type of Project: Any earth movement may require
MCWD review 8�permits
❑ Door(s) ❑ Remodel ❑Water Damage �
Minnehaha Creek Watershed District(MCWD) �
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391 �
Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 -�
Fax: 952-471-0682 �
❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq �
Overall Project Description: �'�,,.,,� }��,�(c�� J) �1�,��
Estimated Construction Valuation of Project(excluding nd) $ �,�, vU���. �'"
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
re uired b law. If ou refuse to su I the information, the a lication ma not be issued. ,.�
� ' �� � /
ApplicanYs Signature: �� �� G� L..__ Date: - � �( ��'��U
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Last Updated: 05-04-2009 �`
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� ^7 DAT TIME iV
CITY OF ORONO C LED IN � ��
INSPECTION OTICE ',s CHEDULED d
PERMIT NO. -OO S UcOMPLETED
ADDRESS �/��v �S��•LGZ Gt.G��
OWNER ��HO �E NO.���I-�1P7-gS��
CONTRACTOR �Q � �
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� DESCRIPTION r� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC V/ DING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKES ORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEi YOU:_YES_NO
y COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on �te-
Inspector. ��✓ �� J� �J S
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