HomeMy WebLinkAbout2009-00115 - siding CITY OF ORONO PERMIT NO.: 2009-00115
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 03/19/2009
952 249-4600 FAX: 952 249-4616
ADDRESS 2520 THOROUGHBRED LA
PIN 04-117-23-11-0015
LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN
LOT 003 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE SIDING
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 75,000.00
NOTE: TEAR OFF STUCCO&PUT NEW SIDING ON
APPLICANT PERMIT FEE SCHEDULE 869.25
DENALI CONSTRUCTION STATE SURCHARGE(VALUATION) 37.50
7190 ISLETON CRT S. TOTAL 906.75
COTTAGE GROVE,MN 55016-
(612)369-1034
OWNER
ALTAFULLAH,IRFAN
2520 THOROUGHBRED LA
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 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 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 requu pections are
reque with the S ng Co .This permit may be
yoked or due c _
i tee re Date Issued By Signa ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application
Mailing Address: Permit number:
Og,0,�0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address. Received by:
0 2750 Kelley Parkway Plan review fee:
r' Esso4� 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: -.2-5-2o
Will this be a Parade of Homes, Remodelers Showcase 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 ill b
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APP (CANT INFORMATION:
Name: [r <<,'5 40^-,
State License# 7 ? C/ Expiration Date:
Phone: -10 office L9r - .3`r -!o 59' cell
Mailing Address: -71-lo :2 '5 . Ci Co ,«,,, ZIP: —D
Contact Person: 15Z,,q g�' Applicant is: Contractor Homeowner (circle one)
Email and/or Fax:
PROPERTY OWNER INFORMATION: _
Name: ;La, gn/
Phone(day): (e Id — 1:�9/- 47095—
Address: 67 5 Z 0 City: ZIP: S 3�
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
❑ Door(s) ❑ Remodel XWater Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
XS
iding El Restoration ❑Other: (specify) Phone: 952-471-0590
�f►,, d�=f= s��'�`r' Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage Npwww.minnehahacreek.o
Estimated Construction Valuation (excluding land) $ 7,,4COp
APPLICANT & OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department,
• Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize
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.
• The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by
City Staff, consultants or agents, for purposes of investigation of this request.
• 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 you refuse to supply the information, the application may not be issued.
Applicant's Signature: Date:
Owner's Signature: Date:
ATE
CITY OF ORONO CALLED IN TIME
INSPECTION NOTICE SCHEDULED
PERMIT NO. 0DO��'00_//!5709 - COMPLETED
ADDRESS cPS R0
OWNER CONTR.D1!S� 6V_X '
TELEPHONE NO. L012 - 362— !D 3
DESCRIPTION L-a"La_ —
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
0 ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
vOi COMMENTS:
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LLJ WORK SATISFACTORY:PROCEED 11PROJECT COMPLETE
QZ
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN I]CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice