HomeMy WebLinkAbout2015-00690 (siding) CITY OF ORONO * Z 0 1 5 — 0 0 6 9 0 *
2750 KELLEY PARKWAY DATE ISSUED: 06/02/2015
" ORONO, MN 55356-
� 952 249-4600 FAX• 952 249-461
ADDRESS : 2414 CARMAN ST
PIN : 20-117-23-12-0064
LEGAL DESC : N/A
: LOT MB BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 4,025.00
NOTE: (RESIDING SHED ONLY)
APPLI ANT PERMIT FEE SCHEDULE 12391
STATE SURCHARGE(VALUATION) 2A1
THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00
2690 CUMBERLAND PKWY, STE 300
ATLANTA, GA 30339- TOTAL 127.92
(763)542-8826 Payment(s)
Minnesota State License#: BUIL-CR268257 CREDIT CARD 0182 127.92
OWNER
MERZ, MARCUS&CONSTANCE
2414 CARMAN STREET
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 separat
permits. All provisions of laws and ordinances goveming this type of wo
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 commence
The applicant is responsible for assuring all required inspections are �
requested in conformance with the State Building Code.This p�it may e �
revoked at any time for due cause. �. /� ��J j�
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Applicant Permitee Signature Date Issued By Signature Date ��
MAY/31/2015/SUN 09: 59 ?� Elder Jones Building FAK No, 952 a54 �909 P, 002
' City af Orono
` Building Permit Appiicatian for fnternal Work
(windows, doors, siding, re�roof, etc.)
Mailing Address: Permit number: �C 1 �'"e?C�r� �
�g,�,� PO Box 66 _
I�� a�, Gystal Bay, MN 55323�0066 Date received: �a� ?
I t:,�,,.�
II1�} ^��>�:t-f� SfrQet Addre�ss_ Received by: (Z� FC
`\�} :�S'�r'%Mtr..'ri�^ � I
� ,�";,��;�',N;�p ti � 2750 Kelley Parkway Plan review f88= ��i �
'�.���'�n��+``�� Orono, MN 55356
�t���o
Tatal Fo6: `� � �� •��Z
Main: 952-2c19-4600 Fax: 952-249-4fi16 www.ci.orono.mn.us
This applicat�on form must be completed in fufl and a€I required information must be submitYed_
Incomplete applicatiorts will be returned. (Please printJ
GEN�}2AL 1NFORNlATEON:
Job Site Address: � Y � � C�a �� a n __--�-��,����
Will this he a ParadE of Horries, Remodefers Showcase Home or other Display Home? Yes No
!f yes,a specla!event pe�m/t Is requlred�vlth Police Depar7ment t�nc!Clty Council approval 60 days prior fo the evenL Shuttle bus service wi!!be
requlred unl�ss ap�llcant clemonsnates scrfflclent on-slte pAiiCing is availab(e. Non-permitiecl events wil!nof be allowed.
GONTRACTOR!APPLICANT INFORMATION:
Name: _�.. .,....�.�.._�.. �5�f 3 y S � L� il 7
State License# � " THD At-Z-�oY2ie Se�vice, Tne, ,J p d,
Phone: 2690 Cumbe,rland�'�wy, Ste 300 (cell)
Mailing Address: Atlant� CxA 30339-3913 ZIP�
Contact Person� — X,ic#CR2682�7 Ph. 763/542-8826 {omeowner �ci��i�o�e�
Email �nd/or Fax:
PROPERTY OWNE�IPVFaRMATIOfV: � t r �
Name: _ � l'.t�V� _— -�-- -�
Phone(daY): 4 I',t 'S 0 • �tl L J
Address� , �j a ,/� �/` [ ( � Ci � W �' T Qf��i, ZIP_ S 5
Emai3 and/or�ax
PROJECT INFORMATION: -
j Type of Project: Any earth movement may require I
' MCWD review 8�permits
❑ Door{s) ❑ �e�r�ociel ❑Water oamac�e
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair �Stonn Damage 18202 Minnetonl<a Blvd
Deephaven. MN 55391
Siding ❑ Resforation ❑Other(specify) Phone: 952-471-0590
FaX: 95'L-471-U682
❑ fte-roof �Fire Damage w�nn�v.min��ehahacraek.om
Qv2rall ProjQct DesCription: R y/ .
�stimated Construcfion VaivaEion of Prdject excluding land) $ S/ p 2 �
APPLEGANT ACKNOWLEDGEMENT:
. Agrees to provide ail fnformation required or requEsted bythe 8uifding Qepartme��t;
. Certifias that the irrformation supplied is true and correct tio the best of his/her knowledge. 7he applicant recognizes that they
. are solgly responsible for submiYting a complete applicatian being aware that upon fiailure to do so, the staff has no alternative
but to reject it until it is complete;
� • SoCr�e or all of trle informafion that you are asked to provide on this applicatioi� is classPfied by Statg law as eiiher orivate or
confideniiai- Private data is informailon wh;ch generally cannot be given to tf�e public but can be given to the subject of the
data. Confidential data is informafion which gei�erafly cannot be givon tp either the pUbliC Or the SubjeCt of tpe dat�. QUr
purpose and intended use of this information is to annually update aur records anc'. records of other governmenCaf agencles ,
required b l�w. ff ou refuse to su ! the lnforrrtation,the a lic2tion ma not be issued.
Appficant's Signature: �� Date� S�� � 4 1 5
�
Last Updated: OS-04�2409 �
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� �� DATE TIM
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.��� `.�"���� COMPLEfED
ADDRESS Z�-�[ l� (� CL(��� S�'
OWNER TELEPHONE NO. ��3������
CONTRACTOR �� `f—t��4 ��+
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� DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ S PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
c�., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �r�Q,IECT COMPLEfE
� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (952� 249-46�0
OwnerfContractor on site:
Inspector. � / �^-
ite Copyllnspector's File Canary CopylSite Notice