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Home My WebLink About2016-00619 - siding � �: CITY OF ORONO * z 0 1 6 - 0 0 6 1 9 * 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 A1�DRESS : 4225 FOREST LAKE DR PIN : 07-117-23-12-0025 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 003 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACT[VITY : O/S BULLDING- UNDEFINED VALUATION : $ 16,200.00 NOTE: RES[DING APPLICANT PERMIT FEE SCHEDULE 309.75 STATE SURCHARGE(VALUATION) 8.10 TWIN CITIES SIDING PROFESSIONALS MAIL-IN FEE 2.00 664 TRANSFER RD. SUITE 22A TOTAL 319.85 ST. PAUL, MN 55114- Payment(s) (651)255-2844 CREDIT CARD 5620 319.85 Minnesota State License#: BUIL-BG2031110 OWNER ANDERSON, KENNETH 4225 FOREST LAKE DR MOUND,MN 55364 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 pennit 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 l80 days at any time afrer 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 �� `�L`✓L�-� �l (r� / � / _ Applicant Permitee Signature � Date Issued y ignature Date k �+ �V 1` l��J V�� '`1 -�� '��4r �`�� City of Orono Building Permit Application for Maintenance/ Replacement / R�model — Residen�ia! ONLY (i.e. windows, doors, sidiR�g, re-roof, etc. — N� �7RUCTURAL EXPANSION) MallingAddress: Permitnurnber: 1 -` ��1 ' �� PQ Box 66 - - - Cryst21 Bay,MN 55323-0066 Date[eGeived: Street Acldr�ss: 'Received by: �, �' 2750 Kepey Parkway Pian r�view fee:, `� � Orono, MN 55356 j'��s�o��' Total�'ea. `� � ��. ,�� Main: 952-249-4600 Fax; 952-249-4616 www-ci.orono mn.� This application form must be completed in full and all required intormation must be submitted. Incomplete appllcations wlll be returned. (Please print} ��: v� GEN�RAL 1NFORMATION: �� 1 �1�� nr, � ,�ob Site Address: L. r r�_i WIII this be a Parade af Hames, emodelers Showaase Home or other Display Home? 0 Yes o /{yes,a specia!event p�rrnit is repulred with Po!!Ce Deparfinenf and City Councll approva160 d8ys prior to fh9 evenf. Shutfl9 bus seivic wlll ba required unless�pl�Iicant dempnstrates s�clent on�site parking is availabl6. Non-�ermif�ed Bvenfs wi!!not Ue alloWed. C�N7RACTOR 1 APPLICAN7 I FORAAA ION: �(� Name� �6.,' G i�25 �� i1 � 't Q. �t��^�� 5tate LEcense# �, L � � �3 Expiration Date: � l�ead C�rtlfication Number� '� ��- Expiration Dat�: ��-�,4 (for work on homes that�vere conslructed priar to 7978 Phone: (Cell) ��t` �` (office) (�S�-- �� Mailing Address: � (� �� City' ri ��ZIP' �'J � � Contact Person: � Applicant is: ont actor / Hameowner �a��e o�e� �mail andlor�ax: PRORERTY bWNER INPbRMATIaN: Name: �QF\ �,.��lC�p� - Phone(day): . �S`�-� 1..�,� �� S'�� Add ress: City: ZI P: Emafl and/or Fax: pROJECT kNFORMATION: Overall ro'ect descri tion: Type of P�oject: Any earth movement may glso require MCWD review 8�permits: ❑Door(s) ❑Remodel ❑ Fire�amage Re-roof,as halt ❑Re air ❑ Storm Damage Minnehaha Creek Watershed Districti(MCWD) � P p 15320 Minnetonka B�Vd ❑ Re�roof,cedar ❑Restoration ❑Water Demage Minnetonka, MN 55345 F'horte: 952-A71-0590 []Re-roof,other(specify) S�iding [�}Other.(specffy) Pax: 952-471�06$2 � �Window{s) www.n(L[�ehahacr�� .orq �stim�ted Constructlon Valuation of Project(exduding I�nd) $_��U APPLICANT ACKNOWLEDG�MENT: . Agrees to provlde all informatlon required or requested by the Building Department; • Certifies that the information supplied is true and c�rrect to the best of his/her knowledge. The applicant recognlzes that fhey are saiely responsible for submitting a camplete application being aware that upan failure to do so,the staf�has no altemative but to reject it until it is complete; • Some or all af fhe infqrmation that you are asked to provide on ti�is applicatton is classffled by Stafe law as either private or confi�iential. Private data is Informaiian which generglly eannot be qiven to the public but can be given te the subjeet of tha data. Confidential data is inirrmstlon which generally cannot be giv�n to either the pubNc or ihe subject of the data. Qur purpose and ' � Intended use of This information is to annually update our recards and records of other governmental agennies required by law. If oE� refuse to su f the information,#h a lication ma nat be issued. Applicant's Signature� Date: `! 1" Owner's Signature: Date: I�ast Updated:January 2016 LB/Z0 �Jdd '�D�d JNIQIS �l 6ZZbb�9T59 ZZ�ZT 9ZBZ/I£/50 ,- � , ✓ ,� �-- -- � `� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �� p� SCHEDULED =1��,�,,t,-�" T�1 PERMIT NO. �L`� �r ��C COMPLETED � ADDRESS `7"ZZ� r c"Y ��`� I L�e /(� /�Il OWNER TELEPHONE NO. L�'/.� -��,3,�� CONTRACTOR Z ��!� � � « � ��7. � � DESCRIPTION � ��_ ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ S PTIC INSTALL 2 OWNERICONTMCTOR TO MEEL1CflU:�YES_NO �--1 � COMMENTS: W ��"�i - �/�,�i� ,Sc��s ,a�r��=,v ' a _ � v O "_` �iE, �/l�-t�_ �� '� � �lG yG•'S C��tDC✓ a� . 0 � W • � �� 6�1�IK4-c Q � 2 W � W � 1 � O W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: --� Inspector. 1 rw White Copyllnspector's File Cenary CopylSite Notice V � DATE TIME �CITY OF ORONO CALLED IN INSPECTION O .ICE SCHEDULED �C� � PERMIT NO. ^ 6 ��OMPLET o ADDRESS u Z-ZS �CPS� ��Q- '�r OWNER TELEPH E 0.�� ^Z�3 �� CONTRACTOR �n G�'7� .��Cl� �`� � DESCRIPTION � �� ( ��-p ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCONTRACTOR TO MEEf YOU:_YES_NO v�i COMMENTS: . � / a tGS d� /tU4ScG�G {� �Orpvr�oe.� � J O � i�/1 woiK �'d.M,pleL�� ° � ��J �� '� �� S¢t/ /tosc 6�� .��cc t�d'��=,, a W . Q /�� '••K/3� G�EI.<<��•�S (�� OcJ bN s- �S.�i � 2 W ��5'� 4.4D e¢rl � � �6��c-E -t per.�t•� �<�l� J W ❑WORK SATISFACTORY:PROCEED �pAdECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all forthe next inspection 24 hours in acivance. (g52) 249-460� Ow cto n site: /S�!� �� Inspector. White Copyflnspector's File Canary CopylSite Notice