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Home My WebLink About2013-01022 - siding 1111111111111111111111111 CITY OF ORONO * 2 0 1 3 - 0 1 0 2 2 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 801 TONKAWA RD PIN 08-117-23-21-0001 LEGAL DESC : AUDITOR'S SUBD.NO. 217 LOT 001 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE SIDING ACTIVITY O/S BUILDING-UNDEFINED VALUATION : $ 5,000.00 NOTE: SIDING ON GARAGE ONLY APPLICANT PERMIT FEE SCHEDULE 118.00 ROBERT LINDEN CONSTRUCTION STATE SURCHARGE(VALUATION) 2.50 4356 5TH STREET NW COLUMBIA HEIGHTS,MN 55421- TOTAL 120.50 (612)396-8773 Minnesota State License#:20630763 OWNER KROLL,MARK&LORI 801 TONKAWA RD 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 required inspections are requested in conformance with the State Building Code.This permit may be revoked at for due cause. A-0 3b Applicant Permitee Signature Date Issued By gignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Replacement / Renovation If (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �O^/O PO Box 66 Crystal Bay,MN 55323-0066 Date received: Street Address: Received by: y 2750 Kelley Parkway Plan review fee: Orono,MN 55356 egkEstios``` Total Fee: Main: 952-2494600 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: Qs^// �n Job Site Address: UU Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El 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 INFORM TION: Name: yv ,/ 3 LO/ State License# ,9 C 63O76.7 Expiration Date: Lead Certification Number: NAP_ 1/s-Yoy-./ Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) ��L i�6'_ �!?? (office) �' A/ Mailing Address: T j 5� f A/ City: ZIP: yz Contact Person: Applicant is: ontracto / Homeowner (circle One) Email and/or Fax: J?t_l," /tir►J,,0,*kC,maw, PROPERTY OWNER I FORMATI N: Name: �x_ ry/� Phone(day): p V2_9 8j Address: p -e , 4,e4 �' City: ZIP: 5, z j 1 Email and/or Fax: err v ll-r o PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(specify) [Siding e�S«�t�� l—I Other:(specify) Phone: 952-471-0590 �aJ`� Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) Doo 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 i§JUIDaually u our rec d records of other governmental agencies required by law. If you refuse to supply the in thea ayAdfbp,4sued. Applicant's Signature: Date: Owner's Signature: Date: Last Updated:03/06/2013 / DATE TIME CITY OF ORONO CALLED IN ` INSPECTION T'C& O/�� SCHEDULED PERMIT NO. OMPLETED ADDRESS OWNER TELEPHONE>NO(,@51438- 331 D CONTRACTOR J/ �l7 >: DESCRIPTION �P r LW ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ElCOMPLAINT 16 v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W a J r O O 1.r W Q Z W Z W rc O Wj El SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑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 CopylInspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO..0a/3 — a/e2X COMPLETED y f o?.l -A-3 ADDRESS L01 7O2 feacuJR A01,0 OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION 2e-5 '4a 14 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q r ❑ WATER HOOK-UP (J94QLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: QZ a �6/yn� �C l��r �+tlw0 � G.c !/ {,�r �► QC 0 W QC AAQ/t /fo .rc Q �- IAJ 2 cc Aji Af 4K 'kgILG d2 d S J d W 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El ❑STOP ORDER POSTED.CALL INSPECTOR 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. t�c White Copyllnspectoes File Canary Copy/Site Notice