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Home My WebLink About2011 - 01411 - siding CITY OF ORONO PERMIT NO.: 2011-01411 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/08/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4575 WOLVERTON PL PIN : 31-118-23-31-0007 LEGAL DESC : FOXFYRE ESTATES : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: RESIDING APPLICANT PERMIT FEE SCHEDULE 162.25 ABLE RESTORATION GROUP STATE SURCHARGE(VALUATION) 4.00 17316 KENYON AVE LAKEVILLE,MN 55044- TOTAL 166.25 (952)378-8000 Minnesota State License#: 20637232 OWNER JOHNSON,REBECCA L 4575 WOLVERTON PL MAPLE PLAIN, MN 55359- 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. / l 4 /(/ 1/ App cant Permitee Signa re Date Issued 40`y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,.... City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 070 //-(�/ V//` PO Box 66 (-----c,-,,04 Crystal Bay, MN 55323-0066 '`Date received: /l. 7/ ,, b Received by: A ;rte a, Street Address: t4 '‘A'I`.' �� 2750 Kelley Parkway t �, ,��, Y Y Plan 7:7fee:- -c 9kESHo4� Orono, MN 55356 Total // 'cam.435 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 I APPLICANT INFORMATION: Name: 41346-- 6i—oe i7-uJ,t.) 6IZOU/-7 . /Lie_ State License# 20637, 3a Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: [._, l a _ a s'0 - L. `60-1 (office) (cell) Mailing Address: 1'7 3i(., i„seC—N I ' ) — /U City: 4 e—v L_C-- ZIP - j Z! L Contact Person: -DprKj Applicant is: C.- rac • / Homeowner (Circle One) Email and/or Fax: '�Rti ARL ve -rat?.1'+Tx:orlc.,0Dc>p. ( (r.ti-- PROPERTY OWNER INFORMATION: Name: EC-3C-Ct., - 1Oliit)`C 1 Phone (day): Address: -- ---- 1 )L , -_,'l' City: , ZIP: 5� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel E Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 E Re-roof, other(specify) ❑J iding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 000 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: ii - `a` /1 Last Updated: 08-09-2011 / cti 1---- DA CITY OF ORONO CALLED IN /, E /l/ TIME INSPECTION NOTICE SCHEDULED i,' rp--CG—\ PERMIT NO.. C/I -1)/(-/1/ COMPLETED ADDRESS •'-t5 -75 (. J c, I `v' (7' t n OWNER TELEPHONE O. (j'(,�� ,9St -"�C" 7 CONTRACTOR p 0(t' /X c ft I7. DESCRIPTION S i cI u1 - l ,'? / j ,.... IQ ❑ FOOTING ❑ PLUMBING FINAL ,❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Z LIDEMO-FINAL ElSEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES ANO tn COMMENTS: cc W 0. cc q r G,f_f( cc C) (69c Z W FE d LU ❑WORK SATISFACTORY:PROCEED POJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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 site: / 1�-+ Inspector. Ljc ' 1/L White Copyllnspector's File Canary Copy/Site Notice