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Home My WebLink About2011-00864 - siding ` �. �, CITY OF ORONO PERMIT NO.: 2011-00864 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 08/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1925 CONCORD[A ST PIN : 18-117-23-14-0014 LEGAL DESC : FAGERNESS : LOT 013 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : S[D1NG ACTIVITY : O/S BU[LDING-UNDEFINED VALUATION : $ 12,500.00 NOTG: REFACE SOFFITS&TEAR OFF&REPLACE SIDING WITH HARDI APPLICANT PERMIT FEE SCHEDULE 236.00 JCH CONSTRUCTION LLC STATE SURCHARGE(VALUAT[ON) 6.25 3005 KAGEN AVE.NE TOTAL 242.25 ST MICHAEL, MN 55376- (612)702-2688 Minnesota State License#: 20638871 OWNER KONAT, THOMAS 1925 CONCORDIA ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd 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 tor additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or notspecified 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 atter work has commenced. I'he applicant is responsible for assuring all required inspections are requcsted in conformance with the State Building Code.This permit may be revoked at any ti for due cause. �' Cil /$ l �! i i App 'ca ermitee Signature Date Issued By Si ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A . � _ , City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��,0,�� PO Box 66 �;, Crystal Bay, MN 55323-0066 Date received: �;��y i a � '�� ,�� Street Address: Received by: �'.�c� �' -'�� 2750 Kelle Parkwa � Y Y Plan review fee: LqkESHO�`'� Orono, MN 55356 --� 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. (Please print) GENERAL INFORMATION: Job Site Address: �� -S (ro„�co :c. S< • �'j n� S35 6 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a specral 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-sife parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: \�.s o�.� 1-�;rs�L .�G{�-� C67�.5-h''u�l D+�� (�(,� State License# a,p 6 3 S$ 7 I Expiration Date: �j �a Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (� �a _ -�o �_�6 �p (office) (cell) Mailing Address: od 5 �A � City: 5�. M;�,y,�c� ZIP: � 53� 6 Contact Person: j��,., �;�� Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: �G� �,�5� �L � ��„�,,,oa Goti. PROPERTY OWNER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: 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 ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) [�]'Siding ❑ Other: (specify) Fax: 952-471-0682 `��t www.minnehahacreek.orq ❑Window(s) ��L-,o,c•.c,P.w Haola Overall Project Description: �,� �c� sos'C?ts a- �c� o.� � ��lacc s�A:n.�. �..:t�. N v,.ti Estimated Construction Valuation of Project (excluding land) $ �a. �,� 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: �c.� • Date: _$�/��// :.ast Updated: 08-09-2011 ` � DA E TIME ✓ � / CITY OF ORONO UI`��CALLED IN ( INSPECTION NOTICE SCHEDULED � PERMIT NO. �U - � conn�LETED `� ADDRESS L L�- OWNER TELEP ONE � `�� CONTRACTOR �� Y " � i � � >; DESCRIPTION �- � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTQR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED. C, ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice