HomeMy WebLinkAbout2010-00581 - siding CITY OF ORONO PERMIT NO.: 2010-00581
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/21/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4100 ELM ST
PIN : 06-117-23-41-0060
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 007
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 3,792.00
NOTE: RESIDING
APPLICANT
PERMIT FEE SCHEDULE 103.25
IRON RIVER CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00
7540 W SHORELINE DR
WACONIA,MN 55387- TOTAL 108,25
(952)442-1762
Minnesota State License#:20271278
OWNER
CARROLL,MR&MRS THOMAS
4100 ELM ST
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 d. s at any time after work has commenced.
The applicant is res Ionsible fortsuring all required inspections are
requested in onfo ,ance with e State Building Code.This permit may be
revoked at- Iv:aqua's'
/
l / b �, i
of
App ' .r: iir gnature Date
� Issued By S'j ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
City of Orono Oa%-.
- r
Building Permit Application for Internal Work r '
(windows, doors, siding, re-roof, etc.)
Mailing Address:
�
0� PO Box 66 Permit number: /p—ldd$',1
(- --‘ -- a Crystal Bay, MN 55323-0066 Date received: 7 '1 o20/O
t i
' s. Street Address: Received by:
�i; vt . G~ 2750 Kelley Parkway Plan review fee:
sxo4` Orono, MN 55356 p
Total Feer /
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 INFORMATIQN:
Job Site Address: - Def �j-- . Cji--cimU
will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? >l Yes1 j0
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: "' ! ‘1-\1 "" C.CItclr_alCr.
State License# �_ i
- l .. Expiration Date: _3
Phone:
C, _1_j1--;_I7C.p.3 (office) (cell)
Mailing Address: 1... yQ ((..)-Ste'{12, pr- City:LOnr-fy\l ZIP: SS7-Sf*--7
1C�i
Contact Person: ff55Applicant is: Contractor / Homeowner {Circle One)
Email and/or Fax: '\,-or-lvio AmS r>-r...6 9rndi I,Cry
PROPERTY OWNER INFORMATION:
Name: (' —r )1.
Phone (day):
-.AL at,,
Address: j ab' m City: f-, ZIP:5-3
Email andlor Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
❑Door(s) iS*Remodel ❑Water Damage
sMinnehaha Creek Watershed District(MCWD)
0 Window
( ) 0 Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
,S+.:--ding ❑ Restoration 5a Other: (specify) Phone: 952-471-0590
❑ Re-roof ❑ Fire Dama a Fax: 952-471-0682
9 www.minnehahacreek.oro
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ .'71 (lc'
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.
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Applicant's Signature: ,,4101 Date: 7/1 G///G
Last Updated: 05-04-2009
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5 TE TIME \/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 3- '1-10
PERMIT NO. 46lb—0O5Si COMPLETED
ADDRESS T (DOS►1 ��
OWNER TELEPHONE NO.A
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CONTRACTOR (-to-Y.1 12-,Ufw' C.40--nd
DESCRIPTION Re St d 11 /t,fte,
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
cc cc ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
❑ FRAMING 111 MECHANICAL FINAL 111 TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
✓ ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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WORK SATISFACTORY:PROCEED , PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
O ❑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 site:
Inspector. U "U
White Copy/Inspector's File Canary CopylSite Notice