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Home My WebLink About2015-01111 (siding) , CITY OF ORONO * 2 0 1 5 - 0 1 1 1 1 * ' 2750 KELLEY PARKWAY DATE ISSUED: 09/OU2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1485 BAY RIDGE RD PIN : 10-117-23-34-0006 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERM[T TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 4,000.00 NOTE: REPLACE(1)WINDOW AND RESIDE APPLICANT PERMIT FEE SCHEDULE 108.42 STATE SURCHARGE(VALUAT[ON) 2.00 HOLM,JOHN TOTAL 110.42 1485 BAY RIDGE RD Payment(s) WAYZATA, MN 55391- CREDIT CARD 7998 110.42 OWNER HOLM, JOHN 1485 BAY RIDGE RD WAYZATA, MN 55391- AGREEMEIVT 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 Sta[e Building Code. This permit is for only the work described and does not gran[permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if cons[ruction authorized is not commenced wi n l80 days of the date of issuance,or if construction is suspended for p riod of 18 days a ny time afrer work has commenced. The applicant s r sponsi le r ass i g all required inspections are requested in c nf rmanc wi the a Building Code.This permit may be revoked at an ti e for e c use. i ?lV l l / � Appli ant Per 'ee i e Date Issued Signature Date . _ City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: Q�� _ —��/ PO Box 66 Crystal Bay, MN 55323-0066 Date received: � Street Address: Received by: y G� 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 t�'�FS H�� /�O. 7'o" 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. (P/ease print) GENERAL INFORMATION: 1 � Job Site Address: `�.� ^j��1 �� Q � ��U Will this be a Parade of Homes, Remodelers Showcase Ho 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: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��k.�-/�j �-p[vvt Phone (day): (� � Z �-�-3� 2o Z c� Address: � l}�� y4� /Z,_ i�JT�i City: �mNU ZIP: SS�� Email and/or Fax: �vl � o� t�. Z c, �W(�¢I L, COw� PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) Siding ❑ Other: (specify) Phone: 952-471-0590 � Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq 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 wt�i�h generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information.r7s to annu y up,date our records and records of other governmental agencies required by law. If ou refuse to su the forr�ation,th lic�tion ma not be issued. �� ApplicanYs Signature: '�l" � ` � Date: �J / / Owner's Signature: Date: �//�/ � y Last Updated:January 2015 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMR NO. ��`S �/S�L/f COMPLETED �� ADDRESS �!Y$v`' 'Q4� �,�� pyyNEp TELEPHONE NO. . CONTRACTOR � DESCRIPTION ��`�S 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP �OLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEWCp1�fiRACTOR TO MEET Y�OU:_YES_NO h COMMENTS: � /� k,�n/�bcJ !'� r. — �.sre a-L� �K- � �jc,t 5� t�L S �/T,4 • - � � ' . � �'�" ' � �s - H/ 8d� e.a� + �Sd� � Q v•aQ� - �7 $G�� xt��e�'�d i s �3�' � �/ 2 VU�A,/dDt�t' 4� Gr ' SG�SC� " � n � �t'Y'GGti -t- C/ -ti -i- � ''1'E�G� J � ❑WORKSATISFACTORY:PROCEED �RWECTCOMPLETE W �ORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 pwnedContractor on site: Inspector: �'^� '�'�' 11Yhits CopYllnsPector's File Canary CopYlSke Notke