The URL can be used to link to this page

Home My WebLink About2009 - 00088 - siding CITY OF ORONO PERMIT NO.: 2009-00088 2750 KELLEY PARKWAY * • ORONO, MN 55356- DATE ISSUED: 03/06/2009 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2790 WHITE OAK CIR PIN : 04-117-23-42-0016 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 : $ 27,472.50 NOTE: REPLACE SIDING APPLICANT PERMIT FEE SCHEDULE 445.25 METRO SIDING STATE SURCHARGE(VALUATION) 13.74 2750 NIAGRA LANE PLYMOUTH,MN 55447- MAIL-IN FEE 2.00 (763)557-1808 TOTAL 460.99 Minnesota State License#:4861 OWNER DOHERTY,MR.&MRS. 2790 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. \71‘4,i4 t,►�, / / Applicant Permitee Signature Date Issued By gnature `0 . Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE'S4ABOVE. t City of Orono Building Permit Application Mailing Address: Permit number: gj,0,i. PO Box 66 0 ` 0 Crystal Bay, MN 55323-0066 Date received: A (I'K :'.- ArStreet Address: Received by: �.e> iJ 04 I,. c,- 2750 Kelley Parkway Plan review fee: L9kEsso4'• 4 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: . 1e-r� Job Site Address: oZ7q/D W& i - Q/gX Cl rc-/`e-. 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: theritD Sl41i'el State License# '/8',/ J Expiration Date: 3-31-U, Phone: -76.3- 1s 7- !to 8 (office) (cell) Mailing Address: 73o Ni avie-4 L/.) Cit :PJ ;,�1--t,-,_ ZIP: .r5'f/y'7 Contact Person: Met) L eau a") Applicant is rac or / Homeowner (Circle One) Email and/or Fax: b/fjWSo•J Cr lifer.-^0 5. Lay .C.o yt PROPERTY OWNER INFORMATION: Name: 14 r voilevry Phone (day): 9s'A -• y 73 - ,4 4S'.- Address: 27?D lc,IN.•re_ a4lc CI..I.r'r_1 e_ City: U rosJC-5 ZIP: 55-3St Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ['Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 t(Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ 2 7 Y7. , - APPLICANT & OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department, • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize 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. • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff,consultants or agents,for purposes of investigation of this request. • 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: c�� -, Date: .3-.7.-(,? Owner's Signature: Date: ��/. , TIME CITY OF ORONO CALLED IN a T(T/ INSPECTION NOTICE"� � / per SCHEDULED / ♦.r. hd."Qo PERMIT NO. alx2—y�WCfJ COMPLETED ADDRESS GI LUV- 1--to L' e OWNER CONTR. ' / 1 (c/Ci/'k73 TELEPHONE NO. 7(D -tom. 7 - l gCi� (f DESCRIPTION i •� I, L/ 0 FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 TREE REMOVAL • 0 WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP 44 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:1(YES_NO oy COMMENTS: cc W C CC O CC 0 W CC Q W W CC • ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC CIW CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑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 sit : D _ Inspector. White Copy/Inspector's File Canary Copy/Site Notice