Loading...
HomeMy WebLinkAbout2016 - 01212 - siding it ILII II III III II111111111111 CITY OF ORONO * 2016 - 012 .12 * 2750 KELLEY PARKWAY DATE ISSUED: 09/27/2016 ORONO,MN 55356- • (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2785 WHITE OAK CIR PIN : 04-117-23-42-0014 LEGAL DESC : REG.LAND SURVEY NO. 1447 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 19,000.00 NOTE: RESIDING HOUSE APPLICANT PERMIT FEE SCHEDULE 340.73 STATE SURCHARGE(VALUATION) 9.50 STORM GROUP ROOFING TOTAL 350.23 7308 ASPEN LANE N SUITE#118 Payment(s) BROOKLYN PARK,MN 55428- CHECK 2836 350.23 (612)544-2449 Minnesota State License#:BUIL-BC667571 OWNER CHRISTIANSON,JOSEPH&ELIZABETH 2785 WHITE OAK CIR 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 any time for due cause. / 9 /a7 iL4 . v p ca crtniCee'Stgnature Date Issued B/'ignature Date • City of Orono Building Permit Application for Maintenance / Replacement / Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL�o EXPANSION)Mailing Address: Permit number:00/(O—�' /c O PO Box 66 n Crystal Bay, MN 55323-0066 Date received: 7 —017 —Ifo Street Address: Received by: 2750 Kelley Parkway Plan review fee: kESHo�``` Orono, MN 55356 Total FO 3513. 21 3 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: 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �' ®12�� �(Lou� 2ro.,N9 LLL State License# L 5 ( Expiration Date: 3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) ( 12 s 6 s 22 ej 2 (office) G 12 Mailing Address: 30$ t•- S L" 0\1 <'4Q 5118 City: l�Rooldif P, lP: f S (.2' Contact Person: Se C ecL)e 1, Applicant is: ; . . / Homeowner (Circle One) Email and/or Fax: G� `•� • �Ai , • PROPERTY OWNER INFORMATION: Name: Joe C\ fck `\ ro i,. Phone (day): 612 $64 i 0 q Address: \AA-ii.lre i C'� rt City: 0 12.4)Ino ZIP: Sc 3S 6 Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require D Door(s) 0 Remodel 0 Fire Damage MCWD review&permits: ❑ Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ 15320 Minnetonka Blvd Re-roof,cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) leSiding 0 Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ I G , 0 0 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 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: (I Owner's Signature: Date: Last Updated:January 2016 DATE TIME CITY OF ORONO CALLED IN INSPECTION MOTIC dna SCHEDULED w (� " PERMIT NO.o1COMPLETED 3'6 '!c' ADDRESS c2 ?%S- 4.J A—6`e Oak Ci,- OWNER TELEPHONE NO. CONTRACTOR Seci r 6 r a C Radis E DESCRIPTION -rect,r IU 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z. ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v 0 FINAL 0 WATER HOOK-UP .ALLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL • OWNBUCONTRACTOR TO MEET YOU:`YES_NO COMMENTS ACr v_. ,(.91e✓ 1z-/ 9 c.,cc 1;et; !'i s/ecdb•1 j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 N. Expiration, no record of a Final inspection. W et J d W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE et0 CORRECT WORK&PROCEED D ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT o CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 bows In advance.nce. (952) 249-4600 OwnortContnictor on site: Inspector:______9 Whits Copyllnspsctors FIN Canary CopylSlts Notice