HomeMy WebLinkAbout2017 - 00066 - siding `; CITY OF ORONO ��_ VII 11 11
2750 KELLEY PARKWAY DATE ISSUED: 01/24/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 20 WEAR LA
PIN : 04-117-23-21-0005
LEGAL DESC : ROLLING MEADOWS
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 10,000.00
NOTE: SIDING
APPLICANT PERMIT FEE SCHEDULE 201.32
STATE SURCHARGE(VALUATION) 5.00
INNOVATIVE BUILDING&DESIGN LLC
P O BOX 490298 TOTAL 206.32
BLAINE,MN 55449- Payment(s)
(612)239-4490 CREDIT CARD 0471 206.32
Minnesota State License#: BUIL-20635372
OWNER
TOTH&CHRISTINA WOLF,FERENC
20 WEAR 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 f, riod of 180 days at any time after work has commenced.
The appli•a 7.s.. .. - ,g all required inspections are
requestes ! i ance w' Building Code.This permit may be
revoked .t IT i� f� ,
l�. /,,z/7 /
Appl' a�i..ti�� ee Signature D to Issued By S' ature Date
.0 City of Orono
Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION)
ILO A T Mailing Address: Permit number: ��I —t D
PO Box 66
Crystal Bay, MN 55323-0066 Date received: -
Street Address: Received by:
y� 2750 Kelley Parkway Plan review fee: �/j
L Orono, MN 55356 i.
I�kESHO�� c�D '• 3 "v
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: a<� ,`j ccT C- c / Orono S5 3 S L
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yeso
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 be
required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name: _tr.. n,•+-e 1 +i'c."C., 13c.,' /cA,' er s,5 "'N.--
State
�State License# j3 C'L35 312 Expiration Date: 6,3/31 126 1`-7
Lead Certification Number: N p j 8c-1 Y'S g.- 2 Expiration Date: 02 /2 2 2 0 2 1
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: P.O. B Q < cf i O 29 g City: ot,;,,......^ ZIP: 55 94 c
Contact Person: K.,`VA "T- If�� r.
SQ„ \ Applicant is: ontractor Homeowner (Circle One)
Email and/or Fax: ‘4,_.1\...1by : ‘,,k;.,1.3 is e".0 v.fti't`.rG
PROPERTY OWNER INFORMATION:
Name: F4I L "1"6-;"\--,
Phone(day): C ( 2.- 7-70- \X115
Address: 2 O W e (e..,�-.e.._ , .oU.,, City: a r cr.,- a ZIP: SS 3 5 C
Email and/or Fax: .,c 4-.6.3, e_ y,,\,e a , Cow-\
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ DoorsMCWD review&permits:
( ) 0 Remodel ❑ Fire Damage
❑ Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD)
12 Re-roof,cedar15320 Minnetonka Blvd
0 Restoration 0 Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) 'Siding 0 Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
0 Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ 10, o o 0
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 informa'',- which generally cannot be given to the public but can be given to the subject of the data.
Confidential data is information , ich generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this infor '. .1 dilinto nually update our records and records of other governmental agencies required by law. If
you refuse to supply th, .. a'• , e a.•lic-tib, may not be issued.
A /
Applicant's Signature: £ - Date: 1 Atir 2.0 1-7
Owner's Signature: Date:
Last Updated:January 2016
E._ Li Uci -\ ':14i'gt -
a TIME
DATE
CITY OF ORONO CALLED IN --
INSPECTION NOTICE SCHEDULED " 2-/X-7 % #1
PERMIT NO. .":1(, 7-d'L COMPLETED
ADDRESS ---K('` /, ' --E'- Cc_�. „_� /,\_, 1
OWNER TELEPHONE NO. 4- r q9C - -�
CONTRACTOR — - ---/71 I (- f/I ,
DESCRIPTION :-f 1/ /2 q /_. / i i rt t
1N ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL El TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
-d MINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC IN ALL
Z NTRA OR TO MEET YOU:_YES 4 NO
Oti PA.i'l4r71: 6 CI if 1(.1*-/--r CY/ c- -I 6 _, 91 fey
cc
Lu
O. 6,it j c,_res-e,...) rey a" Si
J
IXO
''cc — Pr/C4-4e I kr 5m6-1.5. r,J/art e.L £/c 6.4
u. Ftp
W
cc
Q n
-
- C'pc�/to; Sc4�/f/
W /J 1
Z iii a/o✓ t Ct? 0> e
cc
• ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE
et
❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
(44
CO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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: �1 h---
White Copyllnspector's File Canary CopylSIte Notice