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Home My WebLink About2012-00003 - siding CITY OF ORONO PERMIT NO.: 2012-00003 2750 KELLEY PARKWAY �►�. ORONO,MN 55356- DATE ISSUED: 01/03/2012 952 249-4600 FAX: 952 249-4616 ADDRESS 4629 TONKAVIEW LA PIN 07-117-23-32-0026 LEGAL DESC REG. LAND SURVEY NO. 1036 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 14,000.00 NOTE: RESIDE WITH STEEL SIDING. APPLICANT PERMIT FEE SCHEDULE 250.75 SPOTLESS&SEAMLESS EXTERIORS STATE SURCHARGE(VALUATION) 7.00 17137 76TH PLACE N TOTAL 257.75 MAPLE GROVE,MN 55311 (612)237-5209 Minnesota State License#:20629907 OWNER ABRAHAMSON,JAMES&DAWN 4629 TONKAVIEW LA MOUND,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 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 a date of issuance,or if construction is suspended for a period of 180 y at any time after work has commenced. The applicant is responsible fo as1uring all required inspections are requeste ' nform ce with a$tate Building Code.This permit may be revokeat y ime f due cau Qk 0' 12- Applicant Permitee ature Date 1ssu#By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (Windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ?0/2' Q CO) \ ,(�� PO Box 66 / Crystal Bay, MN 55323-0066 Date received: / Street Address. Received by: 2750 Kelley Parkway Plan review f : L�kZS140 Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.rnn.us Total Fee: IcX f /'-7� /7 This application form must be completed in full and all required information must be submitted. Incomplete applications will be retur (Please print) GENERAL INFORMATION: 4� � ` Job Site Address: �� y 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 da-vs prior to the event. Shuttle bus service will be required uniess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT II FORMATION: _ Name: 4'1. �� F 7vnikli to v� State License# -L Z ^U Expiration Date: p' ^�j 1' Lead Certification Number: i,, �l S-q-)0 - Expiration Date: cl C l5 (for work on homes that were constructed prior to 1978 Phone: Lt2.2) w (office) cell Mailing Address: �1 t J ice) ( ) Contact Person: ` Applicant is: Cbntrac / Homeowner (Circle One) Email and/or Fax: v�J • U PROPERTY 1 OWNS INFORMA 0 Name: Qw�J � r� 4 VAUQL\Ak(SD Phone (day): �{� _41Z 145,.3 Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: ' I Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: ❑ Re-roof, asphalt ❑ Repair Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: Q Estimated Construction Valuation of Project(excluding land) $ C(j APPLICANT ACKNOWLEDGEMENT: • Aarees 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 ciassified 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 infgrmation into annually update our records and records of other governmental agencies reauired by law. If you ref su I the info matio ,the application may not be issued. r Applicant's Signature: i C- Date: Last Updated: 08-09-2011 - �, a�0�/-O/`39� V DATE TIME CITY OF ORONO CLLED IN �Z- INSPECTION NOTICE CHEDULED / PERMIT NO. O/ OD��3 COMPLETED ADDRESS OWNER ELEP NE NO. - 8� CONTRACTOR `Y 3: DESCRIPTION .�L�2� ry El FOOTING ❑ PLUMBING FINAL EXCAV/GRA NG/FILLIN Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP W ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: rc LU a oniO O O U_ LU QC Q ti Z w w Lai ❑WORK SATISFACTORY:PROCEED AftROJECT COMPLETE cc LU ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR C3 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site Inspector. White Copy/Inspector's File Canary Copy/Site Notice