HomeMy WebLinkAbout2014-00556 - siding , CITY OF ORONO * 2 0 1 4 — fd 0 5 5 6 *
� 2750 KELLEY PARKWAY DATE ISSUED: Of�04/2014
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3050 SUSSEX RD
PIN : 04-117-23-32-0010
LEGAL DE � : FOX BEND
, : LOT 004 BLOCK 001
PERMIT T � : MINOR ALTERATIONS
PROPERTY T�i'P : RESIDENTIAL
CONSTRU �O YPE : SIDING
ACTIVITY ; : O/S BUILDING-UNDEFINED
VALUATIO � : $ 19,000.00
APPLICANT PERMIT FEE SCHEDULE 324.50
STATE SURCHARGE(VALUATION) 9.50
THOMAS N OMES TOTAL 334.00
2073 WAY A LVD.W.#50
WAYZAT I�IN 391 Payment(s)
(952)475-6 7'�
CHECK 14530 334.00
Minnesota a�e L ense#:BUIL-BC 128144
OWNER
FEUSS,C &LINDA
3050 SUSS �4
LONG L � 55356-
AG �M T AND SWORN STATEMENT
The work for ch permit is issued shall be performed according to
the approved la�is specifications,applicable City approvals,and the
State Buildin aode. is permit is for only the work described and does
not gant pe is ion r additional or related work which requires separate
permits. All ro�isi of laws and ordinances goveming this type of work
shall be com ie¢wi hether or not specified herein.This permit will
expire and b me n and void if construction authorized is not
commenced itfiin 1 days of the date of issuance,or if conshvction is
suspended fo a�eri of 180 days at any time after work has commenced.
The applican �s res sible for assuring all required inspections aze
requested in o�fo ce with the State Building Code.This permit may be
revoked at qime due cause.
� / /
Applicant e ite Signature Date Issued By i ature Date
I '�
�ity af �ra�o
�uil ing P�rmit Application for Maintenance f Repla�err�ent / Ren�vation
(N s�ructur�l gxpansion. c3n1y�in�ow�, �tc�or�, si�in�, re-r�c�f, e#c.)
'" Mailing Address: Permit number. (9D� - D 55
'� ��- ` PO Box 66
Crystal Bay, MN 55323-0066 Date received: �p '3—�
�` � � S�reef Address: Received by: Q�S
• :� � � 2750 Kelley Park:n�ay Plan revi�w fee:
\. f, " ' Orono, MN 55356
�_��x ��{,� :33�.G�
_ Total F�e:
in: 952-249-4600 Fax: 952-249-4616
is application form mast be completed in ful! and all required information must be submitted.
lncomplete applications will be returned. (Please print)
GENER L INFORMATIQN:
Job Sit AddrSss: ��� �(,�Ss��
Will thi be a��arade of Homes, Remodelers Showcase Fiome ar other Display Home? ❑'Yes No
Jfyes,a spec 1 event permi�is required w�h Po1re Departmenf ancl City Councit approvaJ 60 days prror to the event. Shutfle bus service wr11 be
requrred unfess applicant demonstrafes sufficient on-sr�e parking is available. P+ton-permifted events will not he a/lowed.
CONTR CTtJR /APPLICANT WFORMATION;
Name: �fDNl,¢� !."3�� �v�IrTi� ; !/�'C
State Li ense# �'�� �2� �[�c� � Expiraiion Date: 3 --3� — /b
Lead G rtifica i n Number: ���_ /�l �'�"j S_� Expiration Date: 2 .-2�_ ��
(for rk o omes that were constructed prior to 197$
Phone: (cell) (F/� -7S`�- S�ol7� (office) �S 2- �7.5 fo 77 7
i111ailing ddre : � 3 � 2�T,9 �L�/d �s' City: L,q�,` ZIP: S3
Contact Pers Applicant is: rac / Hemeowner {Circle Dne)
Emaif a dlor x: �6i^e.� � r�„z.w`ji'�H.- i��1'� c���•
PR�?E TY OWNER INFORMATION:
Name: ��,¢�Ll,C �F.iG[SS
Phone ( ay): �olZ �32�—�.�:i0
Addres : I , Gity: ZIP:
Email a dlor �ax: C�l��j2L�-S���SS � ��ffD� , Gefyt
PROJ CT I FORMATION: Overall ro�ect descri tion:
Type of roje k Any earth movement may�Iso require
❑ Door( ) ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-r f, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCUVD)
182t72 Minnetonka Blvd
❑ Re-r f,ce� r ❑Restoration ❑VUater Qamage Deephaven, MN 55391
❑ Re-r f,ot r(specif� �Siding ��ther. (specify} Phone: 952-471-0590
D ` Fax: 952-471-0682
_ �1/1/II1ddW(S) FlLr/jZl��✓�G(J �_n+�,ni�,n.��1i!l^Fr1:�3h�3i'raP,�( qr"
Estima ed C struction Valuatian of Project (excluding land) $ 1�1'.
APPLI AN CKNOWLEDGE�UIENT:
. A rees t �provide all information required or requested ay the Building Department;
• C rtifies at the information supplied is true and correct to th� best of histher kno;nrledge. The applicant recognizes that they are
s ely re� onsible for suk,mitting a camplete application being aware that upon failure ta do so, the staff has no alternative but to
rej ct it � til it is complete;
• S me or a!I of the information that you are asked to provide on this application is classified by State faw as either private or
� c fiden i 1. Private data is information U�hich generally cannot be given to the public but can be given to the sut�ject of tha data.
C nfide�t�al data is information which genarally cannot be given to either the public or the subject of the data. Our purpose and
in nded se of this information is to annually update our records and records af other governmental agencies required by law. If
y refu to supply the information,the lication may not�e issued.
Applica t's Si ature: �Jate: —� —
Ov�mer' Sign� ure: �ate:
Last Upd ed:03746/2013
I�
DATE TIME �
CITYOFORONOo?�►4�G6��j/G CALLEDIN
INSPECTION NOTICE / SCHEDULED
PERMIT NO. �a4� DDS Sb COMPLETED �,��3!!5�
ADDRESS ��� �4��� ��
OWNER TELEPHONE NO.
CONTRACTOR ��'''��l �l�s �'Li'• Y— �/�6 r�t�� +[Sr�K ��C
� DESCRIPTION �� ���' �` �t-S�d`�. �
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL R� ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHAN�CAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� �INAL ❑ WATER HOOK-UP C�FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: /"�/wt.� /�ol���f �./r� � Cv/l �a✓
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W ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � p f{OTO TAKEN
INSPECTOR W4LL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail tor the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspecto �
White Copyllnspector's File Canary CopylSite Notice