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Home My WebLink About2015-01540 - Siding � � , CITY OF ORONO * z 0 1 5 - 0 1 5 4 0 * 2750 KELLEY PARKWAY DATE ISSUED: 12/10/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4375 BAYSIDE RD PIN : 06-117-23-12-0009 LEGAL DESC : LINPLATTED 06 117 23 : LOT MB BLOCK MB PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-LJNDEFINED VALUAT[ON : $ 25,000.00 NOTE: MASONRY/STONE WORK APPLICANT PERMIT FEE SCHEDULE 433.67 STATE SURCHARGE(VALUATION) 12.50 PETERSON MASONRY DESIGN TOTAL 446.17 3565 WATERTOWN ROAD LONG LAKE,MN 55356- Payment(s) (612)236-5737 CHECK 1278 446.17 OWNER WHITE, STEVEN& PATRICIA 4375 BAYSIDE RD MAPLE PLAIN,MN 55359- AGREEMENT A1vD 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 goveming this type of work shall be compied with whether or no[specified hereia This permit will expire and become null and void if con�truction authorized is not commenced within 180 days of the d e of issuance,or if construction is suspended for a period of l80 day t any time after work has commenced. The applicant is responsible fo uring all required inspections are requested in conformance w' e State Building Code.This permit may be revoked at any time for cause. � �+ � ° l � ` � � l i �6i A itee Signature Date Issued By S' ature 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 Addr�ss: Permit number: — �L PO Box 66 Crystal Bay, MN 55323-0066 Date received: /Z" �`� Street Address: Received by: � � 2750 Kelle Parkwa y�, G� Y Y Plan review fee: � / Orono, MN 55356 ��, /� 1� �kESH04 ' Total Fee: �T � 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: � 'J � S� �"�� - l, Will this be a Parade of Homes, Remodel�rs Showcase Home or other Display Home? ❑ Yes ' No If yes, a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATIQN: ,. r� �(� ,� , Name: �- � � �'�,��--� � Gc�� '�� ' ., State License# _ ,,,,��", Expiration Date: Lead Certification Number: � >_`, Expiration Date: (for work on homes that were constructed prior to 1978 Phone: cell � �� '�� ( ) ( ) r= �. ;�� i �' 7 office � Mailing Address: - (�:C J �,f-��, ��i City: ;'�� 1� .s - � ZIP: ir` �,�,� Contact Person: � „�z�___. Applicant i : Contract r / Homeowner (Circle One) Email andbr Fax: { ,-- ,` `, ,^� �. j J <<. ,,� 1 _ ___-� �-% ! . �",'e�,_.�-,�-, G'� ✓�- _i-,l`W �ti�J ,' PROPERTY OWNER INFORMATION: Name: �;1�- ��` __.: %1�., L Phone (day): ` Address: P. ' r � CitY: '� it�;��,J ZIP: „ � �j � Email and/or Fax: PROJECT INFORMATION: Overall pro'ect 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) � Sidin � ❑ Other: (specify) Phone: 952-471-0590 9 �c3.°- r; Fax: 952-471-0682 ❑Window(s) i� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ � �r�J 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 tq�nnually update our records and records of other governmental agencies required by law. If ou refuse t su I the informa�ion, the a lication ma not be issued. ApplicanYs Signature: -�"` � �� Date: Owner's Signature: Date: Last Updated:January 2015 DATE TIME CITY OF ORONO �Ol�-D�4D°ALLED IN INSPECTION NOTICE ^ SCHEDULED r� PERMR NO. ��r�� 0 COMPLETED 4��OZ�`�/ 9%.� ADDRESS y37� �kys�� R�. OWNER TELEPHONE NO. CONTRACTOR 4 C rt �S�•2s 1��''&r�"� lo�2-- ?6Q- ��Y ln�F�a�ir'�Y /�"r' � DESCRIPTION S� ' , G� ' 'L�-S 3 j 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 Q �FINAL ❑ WATER HOOK-UP �OLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERKAKTRACTOR TO MEEi Y�OU:_YES_NO � COMMENTS: , �•'� �e✓ �4-C� � �� ^ � �i•�t.tG !ils ��o � � 0?!3!�" " ��J' D ' /' a�cQ d � /il �c�`/a.�, �' G`av�ri'��fa v �'s-�� '� Ga� — G'��wr:� e�,p.rcD o -- s�an� v�.zee r - W . - Q �1 a.d/�'D/�S' �`��K��.�6av �./c.O � .oio ti,�g►Q. 2 —D�-r`ics � /EDo�c•J�o�O— ��y",r:�.�x,d•roB � — Gc�Pu✓ sli.f.F.'e i-�s.� W � j W ❑WORKSATISFACTORY:PfiOCEED ❑PROJECT COMPLETE � ❑CORRECT YYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑OORRECT WORK,CAII FOR REtNSPECTION TEMPORARY V BEFORE COWERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOFi 1MLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. can ro��xt�s��2a no��n aa�►a�. (952) 249-4600 ownedco�trector on site: Inspector: �•�� White CopyAnapecto�'s Flle C�nary CopylSib Notke