HomeMy WebLinkAbout2014-01153 - siding • CITY OF ORONO
2750 KELLEY PARKWAY * 2 14 - 011
3
DAT0 E ISSUED: 10/07/22 014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 1375 VINE PL
PIN : 07-117-23-42-0041
LEGAL DESC N/A
: LOT MB BLOCK MB
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION $ 21,000.00
NOTE: TEAR OFF AND REPLACE SIDING HOUSE AND GARAGE
APPLICANT PERMIT FEE SCHEDULE 354.00
MINNESOTA EXTERIORS INC.
STATE SURCHARGE(VALUATION) 10.50 8600 JEFFERSON HIGHWAY MAIL-IN FEE 2.00
OSSEO,MN 55369 TOTAL 366.50
(763)391-5508 Payment(s)
Minnesota State License#:BUIL-BC002877 CHECK 200222 366.50
OWNER
ARNOLD,NATHAN&AMBER
1375 VINE PL
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 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 any time for due cause.
/4 / D / 7 //
Applicant Permitee Si re to IssueddBy Signature Date
w ! RECEIVED
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Cid o Orono nrT
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Building Permit Application for Maintenance / Reno
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(windows, doors, siding, re-roof, etc.)
Mailing Address:
Permit number:
PO Box 66
/Q O Crystal Bay,MN 55323-0066 Date received:
Street Address:
Received by:
�� •� 41 2750 Kelley Parkway Plan review fee:
--
0 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: y
]
Job Site Address: 1 3 - V i QL
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
tf 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/APPLICAN`�MATION:� � -
Name: l(}Y' 4-c
State License# Expiration Date:
Lead Certification Number. Q- ,�)— I Expiration Date: LJ
(for work on homes that were constructed prior to 197
Phone: /-" Z (office) (cell)
Mailing Address: City: tcD ZIP:
Contact Person: ApVicant is: _-Contractor / Homeowner (circle one)
Email and/or Fax: , C,YN—)
PROPERTY OWNER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax
PROJECT INFORMATION;
Type of Project: Any earth movement may require
❑ Door(s) ❑Remodel ❑Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar ❑ estoration El Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑Re-roof,other(specify) Siding ❑Other:(specify) Fax: 952-471-0682
❑Window(s)
www.minnehahacreek.org
1
Overall Project Description: d
Estimated Construction Valuation of VfWect(excruding 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 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 is to annually update our records and records of other governmental agencies
required by law. If you refuse to SUPRVthe information,the application may not be issued.
Applicant's Signature: „ Date: lUx
Last Updated: 08-09-2011
�n DATE TI E
CITY OF ORONO — GALLED IN T_
INSPECTION N TICE __Q i SCHEDULED
PERMIT NO. COMPLETED_I9j
ADDRESS 3-7 �12 `/ 1 d C- I- 1
OWNER TELEPHONE NO. AP33Q (`SS(Cj
CONTRACTOR G r
DESCRIPTION I n '
❑ 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 ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
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LQ ❑WORK SATISFACTORY:PROCEED 001'bOJECT COMPLETE
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W [ICORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
Ll 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. `) i'I!,
61
White CopylInspector's File Canary Copy/Site Notice