HomeMy WebLinkAbout2011 - 00712 - siding CITY OF ORONO PERMIT NO.: 2011-00712
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/25/2011
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 1115 WILLOW DR S
PIN : 10-117-23-24-0017
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 2,565.00
NOTE: REPLACE CEDAR SIDING ON GABLE END OF HOUSE
APPLICANT
PERMIT FEE SCHEDULE 88.50
TWO TEACHER CONSTRUCTION STATE SURCHARGE(VALUATION) 1.28
2586 AVON DR TOTAL 89.78
MOUND,MN 55364
(612)598-2191 PAID WITH CC# 3619
Minnesota State License#:20073200
OWNER
GABRIELSON, TODD&SUE
1115 WILLOW DR S
WAYZATA,MN 55391
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.
/ / f ", 7/035/ /
Applicant Permitee Signature Date Issu•. :y Signature Date /
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
O� Mailing Address0 PO Box 66. Permit number: K20/7 �v o�
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Crystal Bay, MN 55323-0066 Date received: 7/n9 , -77/
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StredReceived by:yPaayPlan review
Total Fee: Z.7 .7 Q?
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us v / (J
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: ///c
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Job Site Address: / l '(J r S , Wn y 201M Ai
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se ice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: l
Name: 71,..,6 'Z�C e.r Cv.15 r-c-c-T(Oil .Z L
State License# 10 7 -)0 Expiration Date: /1-tcv-d-\ ,p/ Z
Lead Certification Number: Nar--- /CO9 G/(i7— f Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: 9,-2 l(72 s-6 70 (office) Ci-2-s-9g--2(5( (cell)
Mailing Address: 2,5c2,6 /4)0,‘ n c City: ,., ZIP:s=-5-36 y
Contact Person: STe f� / 5..J Applicant is: ntr ctor / Homeowner (circle One)
Email and/or Fax: g52 - t(7? _5-6 7J
PROPERTY OWNER INFORMATION: G,
Name: `e) D 0 Gobo r c. tSo-,
Phone(day): q5-2_— L(7, —2 j6 )
Address: / //C. Gam,l L O w D f- S• city: mac, 2/9-1-4 ZIP: S'- -..5.,
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) 0 Remodel 0 Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) 0 Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
[Siding 0 Restoration 0 Other: (specify) Phone: 952-471-0590
❑ Re-roof 0 Fire Damage Fax: 952-471-0682
www.minnehahacreek.org
Overall Project Description: R-e__Pk-.cc. CTSTSor\ Gb) END o- frbjsc
Estimated Construction Valuation of Project(excluding 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 su•ply the information, the application may not be issued.
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Applicant's Signature: SY ` ' ♦J l_ Date: 7--Z--((
Last Updated: 03-01-2011
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DAT� TIME
CITY OF ORONO CALLED IN
1
INSPECTION NOTICE SCHEDULED '� !
PERMIT NO.zC-'I l C( Oct"
7COMPLETED
ADDRESS Le I ( '. C D •
OWNER TELEPHONE NO. C'" 1-; _13Cigke i 9 I
CONTRACTOR I L4C -11 cCV'er
DESCRIPTION I1/-1I .u7 1 Ci 1rq
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA RADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
st
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FIN ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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WCC ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W 0 CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 si • .. .
Inspector.
White Copyllnspector's File Canary Copy/Site Notice