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Home My WebLink About2013-00957 - siding CITY OF ORONO * 2 0 1 3 - 0 0 9 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2265 BLAINE AVE PIN : 17-117-23-34-0024 LEGAL DESC : NAVARRO : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 10,000.00 NOTE: RESIDF APPLICANT pERMIT FEE SCHEDULE 191.75 ROYALTY REMODELERS STATE SURCHARGE(VALUATION) 5.00 3062 121ST AVE NW COON RAPIDS, MN 55433- TOTAL 196.75 (612)414-8199 Minnesota State License#: BC274044 OWNER WILCOX, ROBERT 2265 BLAINE AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for�vhich 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 dcscribed and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this typc of work shall be compied with whether or not specitied herein.This permit will cxpire and become null and void if construc[ion 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 commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time for due cause. ��l�z l ��_ ��' � �f' � �J� � ' L �/ / � �� Applican Permitee Signature Date Issu d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: c�U� % -�-,�-- � � � �� PO Box 66 � Crystal Bay, MN 55323-0066 Date received: - -/ � Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: F �' Orono, MN 55356 �a ��KFSHOR�` Total Fee: �� p.�s 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: �a�;� %-,��_ �1�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a specia/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/A PLICANT INFORMATION: Name: ��`��-/�� Y �r'.�, � ��-�C'• I State License# �j L ��j,� y y Expiration Date: 3-3 i - /S Lead Certification Number: Expiration Date: (for work on homes that w re constructed prior fo 1978 Phone: (cell) �/��- � y_ ��y� (office) �. �i- ��`�--/�/�o Mailing Address: _ —_ .. '.:...-:i - - U�� l�/srfi�, .µ,City: � ..n,i ZIP: S S ` •.� Contact Person: ' ' � Applicant is: Contract Homeowner (Circle One) Email and/or Fax: � '��5_ t:t j�,.,r' Y . c. f,d�-, PROPERTY OWNE�INFORMATION: l Name: �'j C��, �( �;�r� Phone (day): ��}- �f I`! - -�S 5 G Address: City: ZI P: Email and/or Fax: � � / / !� PROJECT INFORMATION: Overall projectdescription: e�� E�� << � ': -�N ( �,�� S`c�� Type of Project: Any earth movement mayalso require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ 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) $ �l;: r;�, : �- � 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 to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: ��"� � Date: ��-�� Owner's Signature: Date: Last Updated:03/O6/2013 � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�/-3-C�,r'[5T COMPLETED ld afl� ADDRESS oto�ls S� �l�r.it e /�v�- OWNER TELEPHONE NO. CONTRACTOR 20l�91� /��'�' � DESCRIPTION S�Q�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ��NAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEfl REMOVAL J ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � �- a �c�u.�.� /FalaPe� t4�lc� �- G.QII �or F � �''H/Q� /�'1S�C1 tGGtlerr � T ° //f•s �_o r,,.��L -�� /!�rwr�� '�`o��r,3-�qs�- W � d r1 /a '�`J�'/.3 11.�� Q � 2 � �k�DI�3� �o.� � � .s.E..re ��..�� ,rs aa55 6/.�,�,� �� W � , � � ❑WORKSATISFACTORY:PROCEED ,�'PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContracto n site: . Inspector. � White Copyflnspector's File Canary CopylSite Notice