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