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Home My WebLink About2009-00199 - siding , �. CITY OF ORONO PERMIT NO.: 2009-00199 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: OS/1 U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 265 CRESTVIEW AVE PIN : OS-117-23-14-0022 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENT[AL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,500.00 NOTE: WORK BEING DONG: RESIDE GXTERIOR,INSTALL WINDOW AND DOOR IN BACK BEDROOM,VAULT BACK BEDROOM CEILING AND REROCK. ELECTRICAL PERMIT REQUIRED-ISSUED THROUGH THE STATE INSPECTION REQUIRED BEFORE WORK RESUMES APPLICANT PERMIT FEE SCHEDULE 57.50 PETERSON, COLIN STATE SURCHARGE(VALUATION) 0.75 265 CRESTVIEW AVE TOTAL 58.25 LONG LAKE, MN 55356 PAID WITH CC# 0120 OWNER PETERSON, COL[N 265 CRESTVIEW AVE LONG LAKE, MN 55356 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok t an time for duc cause. , � .� � � � �--- �' �� -�--� ��/ // / � Applicant Permitee Signature Date � ed By Si nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . , . City of Orono Building Permit Application �--_ Mailing Address: � �_ �v� ��g,�� PO Box 66 Permit number: �� ,. �� Crystal Bay, MN 55323-0066 Date received: ��U/ D 9 �'�+� '�� Received b il,� �'s �,�„� ,,�, Street Address: Y� � �-c,. \�',�, ,� 9� �j 2750 Kelley Parkway Plan review fee: N/!q � J� t`�gESH�- Orono, MN 55356 — Total Fee: �Q/ �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us U 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: Z l�;> CR-��:� ��/ i;LW �v� 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 Po/ice Department and City Counci/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 I APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INF0�2MATION: Name: (.�v L> >a ��_ �F_2S ��. Phone (day): ��SZ �a —(�8j AddfeSs: _ Z�S C�=g'-Vi��w ,r�vr� City: ,�`��;{o ZIP: ,,� S�3j� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits � Door(s) �Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 �Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: (��;,,�r E`k`��_2�c� ��Srit�C Wr��Dir,� t �o�'�'t- ��v �}cK 13;�0 I�A�t.L; i3�� i3K� C�� Estimated Construction Valuation of Project(excluding land) $ f 5��} �-,� �Qr n�'�jC 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 pubfic 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 you refuse to supply the information, the application may not be issued. ApplicanYs Signature: ` Date: � 5�� . . + CHECli OFF LIST FOR ISSL'.4.NCE OF PERMITS FOR OFFIC� L'SE ONL�' ADDRESS OR LEG_AL: _ Z� �, �st-��. a� S PID: DESCRIPTIO�'OF Gf'ORfi: �y��,..� ZONING REL7Ef�"BF: /v/� ' DATE.4PPROI'ED: B UILDI.NG RE I'IE N"B F: �� __ DA TE APPR O i�ED: �'- �/—v 9 FEES TO BE CKqRGED: � Misc. Fees Calculated Bv: �� PERMIT ��es _� No � � PL,AIv REVIEN' �es No o/ SEN'ER CO_NNECTION � ST�17'E SURCK4RGE I es � No NATER CONNECT70N INT'ESTIGATI07�'FEE I es No PARI�FEE SA C �"es IVo SITE INSPECTI01�� Numbe�� of S_AC Units OTHER (spec�) ZOIVING CHECIi LIST Zoning District: �U N �.�-+q.�„� � � �� Firc Deparrmerzt: Post O ice: `-' .f✓ School Dist,-icr: Lot Area: Sq,ft. Acres � Yt'idth Depfh Survey Submitaed: 3�'es � �� No � Date ofSurvev: Proposecl Setbaclrs: �\ Front(Lake): Right Side: _j , . � Rear(Street): Left Side: � Aa_'iacent Structa�res: Netiand: Building Height: Def Hgt p�ak Hg� Lo/Coverage: Gradir�g Staf,7`App�•oval Date: B1: Counci(Appi-oval Date: , Septic: StaffApprova!Date: � gj, Zoning File r Resolutio�; .`: Resolutior�Date: Shor•eland l�istrict h�CN'"L�Permi�: _9v� Setoack: Biaf�Setoacl: LorC,overage: :aisting Froposed Hardcover: C--i' � -,;_,;�, ��C-�00' .i00-1000' Nai-aco»er I�aria�zce Reyzrir-ed: ]'�s i'�� Date ofCozmcil.9pproi•al: RE�1L4R�iS jin house): 33 I' � . B UILDING REVIEN'CHECIi LIST UBC: lz- COh�STRUCTIONTYPE; 1/ Sg Footage �Per Sg Fto Basement x = 1 st Floor z = 2nd Floor x = � Ga�-age z = x = TOTAL � � Estimated Construcrion G'alue: � �1 4�c� � Inspections Required: W'ork Requirin;Separezte Permits: Site Piumoing Fire • Hardcover Remova/ Mechanical G�'ater Connection Footing Septic Sewe�•Connection �Framir2o Fireplace Lawn Irrigation '"""' �_Insulation (Masonry) Other Yt'all Board (Affg.) YY"ell(State Permit� _�Final Grading/Filling _p�Electrical(State Permit) Oiher REiYLARIiS(I.�'HO L'SE): � REVIEN'B F OTHERS: DATE: Access: Existing Neu .9ccess,4pproval: Date Bl� REMARIiS (TO BE.1VOTED Ol\'PERMIT): �NS? t�.�.�U�rt,v�l0 f3t�t a IZG L✓OR(�- /Zx.SvM L�1/.) �� ATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � l-'U"U PERMIT NO. -DU�� COMPLETED ADDRESS �l� OWNER CONTR. TELEPHONE NO. 1��' ��%�'� � DESCRIPTION ��—_�,��%�� ❑�ING ❑ 1GIEGHANICAL RI ❑ EXCAV/GRADING/FILLING Q FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. � COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J � PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � a j o G S � � 0 � W Q � G �� 1�A t-�. �'� J � �.� , , (..�...J , � �,�,��n�..�� Cv�( t�iJ,� r C; (',� ,,- 2 W � W � � d W�;�"WORK SATISFACTORY:PROCEED f7 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W{LL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTIONREQUIRED.CALITOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on sit Inspector. � � d � White Copyll�spector's File Canary Copy/Site Notice