HomeMy WebLinkAbout2016-00997 - siding, � '� CITY OF ORONO * Z 0 1 6 - 0 0 9 9 7 II�
2750 KELLEY PARKWAY DATE ISSUED: O8/18/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2109 SUGARWOOD DR
PIN : 34-118-23-21-0015
LEGAL DESC : SUGAR WOODS
: LOT 001 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 40,000.00
NOTE: STUCCO REPAIR DUE TO WATER DAMAGE
APPLICANT PERMIT FEE SCHEDULE 603.02
STATE SURCHARGE(VALUATION) 20.00
BARRIER EXTERIORS TOTAL 623.02
7100 MADISON AVE W
GOLDEN VALLEY,MN 55427- Payment(s)
(763)546-I100 CREDIT CARD 7498 623.02
Minnesota State License#: BUIL-BC638205
OWNER
AHLERS, DAVID&DIANE
2109 SUGARWOOD DR
LONG LAKE, MN 55356-
AGREEMENT A[YD 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 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 1 SO days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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 fo due cause.
' � l�- f� `��.���, 8 , (�-,1,�
plicant Per 'ee Signature Date Issued Signature Date
: City of Orono
�� Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O� Mailing Address: Permit number: —�� '�Z � 7
O PO Box 66 E� o
Crystal Bay, MN�� Date received: p-1 b-1
Street Address: ��� 1 8 2016 Received by:
y G� 2750 Kelley Parkw Plan review fee:
`� Orono,MN 55356
lqkESH��� OF ORONO /�
('i1N Total Fee: �j �3 ,C/�
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: _ J� / s.�� � (1 �C 1'v�
Job Site Address: � ���a�
Will this be a Parade of Homes, Remodelers owcase 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 INFORMATIQN: _
Name: ��� � 6 s c� Y ��c�P�r 1�S
State License# �j G�3 �a p < Expiration Date: 3_�/-i�
Lead Certification Number: ��/� Expiration Date:
(for work on homes thaf were constructed prior to 1978
Phone: (cell) (o �.2 _3(p�,-..,;Z Z 3 � (office) )� S-��� - /�f U
Mailing Address: 7io� m� ,��n �� �, City:�;o%P{.., �/w3/P. ZIP:
Contact Person: �-oS /� ���y�,tG,y� � Applicant is: Contractor / Ho owner �c�«ieo�e�
, ' � � � �ic�ia� = Gpri�
Email and/or Fax: -�".�!�.r,.� , ,,� �- ��/� � a� �� ; i� , � s o
PROPERTY OWNER INFORMATION:
Name: [�G�J ,�� ��1 �L �S
Phone (day): ,�_ _ 7 (o �
Address: 2/c �,� , f. a� GJ � :w�.. City: � ��� � ZIP:
Email and/or Fax: � e�� �:-o . c;���
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,asphalt �Repair ❑ Storm Damage 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.orp
Estimated Construction Valuation of Project(excluding land) $
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 altemative 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 informat' n,the a lication ma not be issued.
ApplicanYs Signature: Date: t� - / � ^ �C�
Owner's Signature: Date:
Last Updated:January 2016
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DATE TIME
CITY OF ORONO CALLED IN �.��-� �-'
INSPECTION TICE C' SCHEDULED � �-�� ���' ����'�
PERMIT NO.� ��' J����� MPLETED
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OWNER LEPHONE NO.�`'� Z �-�'��
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� DESCRIPTION
tL ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YiOU:_YES_NO
c�., COMMENTS: /
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��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W��CORRECT W'ORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnedContra�r qn�site:
Inspector. �
White Copyllnspector's Rle Canary CoprlSib Notics
��� DATE TIME
CITY OF ORONO LLED IN -=�,� �
iNSPECTIOI�,NQ� E/�.,���� SCHEDULED �
PERMIT NO����-' �'' COMPLETED
ADDRESS 2 I �'` �' � l,l �(�P� CL:�
OWNER TELEPHO NO. ���"��°�' ��
CONTRACTOR
� DESCRIPTION �� I � a � ���C�
ly ❑ 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 INSPECTlON
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICOKTRACTOR TO MEET Y�OU:�f�YES_NO
� COMMENTS: �
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� ❑W�OFiKSATISFACTORY:PROCEED �OJECT COMPLEfE
W ❑CORRECT WORK 3 PROCEED ✓�ISSUE CERTIFICATE OF OCCUPANCII
� ❑CORRECT VMORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERINf3 PEqMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIREO.CALL TO ARRANGE ACCESS.
Cs11 tor the next inspection 2a hours in advarroe. (952) 249-4600
OwnedContractor on sit •
Inspector: 1� L "�`'
White Copyllnspector's Fils Gnary CopylSit�Notfee