HomeMy WebLinkAbout2015-00204 - siding ' CITY OF ORONO * z p� 1 5 - 0 0 Z 0 4 *
2750 KELLEY PARKWAY DATE ISSUED: 02/17/2015
ORONO, MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 4755 BAYSIDE RD
PIN : 06-117-23-22-0021
LEGAL DESC : CHADWICK
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTNITY : O/S BUILDING -UNDEFINED
VALUAT[ON : $ 15,988.00
NOTE: REMOVE&REPLACE SIDING ON LF.,FT,R[GHT& RGAR ELEVATIONS
APPLICANT PERMIT FEE SCHEDULE 29430
STATE SLIRCHARGE(VALUATION) 7.99
MINNESOTA EXTERIORS INC. MAIL-IN FEE 2.00
8600 JEFFERSON HIGHWAY
OSSEO, MN 55369 TOTAL 304.29
(763)391-5508 Payment(s)
Minnesota State License#: BUIL-BC002877 CHECK 201137 304.29
OWNER
MEAKINS, SHAWN&CATNERINE
4755 BAYSIDE RD
MAPLE PLAIN,MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifica[ions,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 not specified herein.This permit will
expire and become null and void if construction authorized is no[
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days a[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. l���
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Applicant Permitee Signatur Date Issued By Signature Date
Ci�y of rono
; Building Per�mit Applic�tion for Maintenance / Renovation
{windows, doors, siding, re-roof, etc.)
,�-��A�� MailiPO Bo�r66� Permit number
r/oy �yO\ Crystal Bay,MN 55323-0066 Date received:
'.� `�''"�',i�="�i a,� Street Address: Received by
�� i,��" ti 2750 Kelle Parkwa
�'� �, -=�����'� � Y Y Plan review fee:
�^''����5'�'"�°
�qkE58�4 Orono,MN 55356
—_� Total Fee:
Main: 952-249-4600 Fax: 952-249-4618 tvw�v.ci.orono.mn.us
This app{ication form must be completed in fuil and all required information must be submitted.
IncompEete applications will be returned, (Please prinf)
GEf�tERAL lNFORMATION:
Job 5ite Address: � 5 l� � � � C�.
Wifl this be a Parade of Homes, Remo eler howcase Home or other Dispfay Home? ❑Yes o
!f yes,a special event permrt is requrred wrth Police Department and Cify Council approva!60 days prior to the event. Shuftle bus service will be
requ;red unless applrcant demonstrates sufficient on-sr,e parkrng is available. Ncn-permrtted events wifl n,ot be 3Dewed.
CONTRACTOR/APPLICANT INFORMATfON:
Name: ��. �=�X�� ��Cr-�S -L l�C�
State License# 1��...C�__g�'� '�� Expiration Date: �_"-�',�
Lead Certificafion Number. �/jT3ri�;65�� Expiration Date: ��';�y,�
(for work on homes that were consfructed prior to 7978
Phone: �_ '..�I/. 5_��-6 {office) �C • -. � �ZsO �cell)
Mailing Address: ��- �y� J'� e/5 c,�.� ' �, CitY: i ���, ZIP: "����
Contact Person: ��y� ���5�� Applicant i�: Contractor__� Homeowner (Circie One)
Email and/or Fax: �G� �/S dh �i y�J�CKf'C'c�i�7 fc;u�c,. 7.� ;'� �l��- c3 i d'�
PROPERTY OWNER INFORMATIQN'
Name� ��,r c��n � �� �h y /���'��4r�.S
Phone(day):
Address: ��� '�SS % ' '-j$� e � City:�/'�.-;>?�% �_ ZIP: S��S��
Email and/or Fax
PROJECT lNFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Fire damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,asphalt ❑ Repair ❑5torm Damage 18202 Minnetonka Blvd
❑ Re-roaf,cedar � ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof,other(spec;fy) iding ❑Other:(specify) Fax: 952-4'71-0682
� ❑Window(s) www.minnehahacreek.orq
Overall Project Description: �/�J�/� � � � ;ry <<� �- r �, j . �'_ .2/c-�.>c� :E;=�2.�
Estimated Construction Valuation of Project(ex uding land) �'�'��,�
APPLICANT ACKNQWLEDGEMENT;
• 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 soiely responsible for submitting a compfete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Some or a[I 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 su6ject 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 ou refuse to supply tha�fr�for tion,the ap 'cation ma not be issued.
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Applicant'sSignature: ;G� '���/� Date: � `��/
Last Updated: OS-09-2011
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CITY OF ORONO CALLED IN �
INSPECTION, OTIC SCHEDULED �
PERMIT NO. �� COMPLETE
ADDRESS `�� �� �� � ��
OWNER 51 �-�''� �►�"S TEL�PHOPIE NO. ��3 �� S���
CONTRACTOR 1 i� ���
� DESCRIPTION �l � �
ll� ❑ 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
Q �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC I TALL
2 OWNERICONTRACTOR TO MEET YOU:_YES O
c�.� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site: /1�0/YL-
Inspector. �T�
(�(j! White Copyllnspector's Flle Cenary CopylSfte Notice