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Home My WebLink About2011-00859 - siding , CITY OF ORONO PERMIT NO.: 2011-00859 - 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 08/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 315 CRESTVIEW AVE PIN : OS-117-23-14-0030 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 005 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 1,200.00 APPLICANT PERMIT FEE SCHEDULE 47.75 ENGEBRITSON, REGINA 315 CRESTVIEW AVE STATE SURCHARGE(VALUATION) 0.60 LONG LAKE, MN 55356- TOTAL 48.35 PAID WITH CASH 48.35 OWNER ENGEBRITSON, REGINA 315 CRESTVIEW AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The wark for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separa[e 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 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 requircd inspections are requested in conformance with[he State Building Code.This permit may be revo at any time for du cause. �/ �1��/ �� / / App�c ermitee Signat e Date [ssued By Sig ture ate SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. , City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �\ PO Box 66 O 9 01,, Crystal Bay, MN 55323-0066 Date received: ,� i i� �� r? �,i; Street Address: Received by: �',�c,t � 't pa�'��. �� 2750 Kelley Parkway Plan review fee: �"� Orono, MN 55356 9kESH�4 — 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. (P/ease print) GENERAL INFORMATION: /� y�, �� Job Site Address: �1 s l, ��v� � � �7� ��-D m� `r'��-�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servi ce will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: u6yy�dWnPl�� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��G�1r1Gi �J��4P�ri'"�So1�l Phone (day): � �� c-f�a, Address: �'��S' C��w City:�i'jSYLp ZIP:sS3� Email and/or Fax q �,�� g-e�r�b�Q� I�.C oN� 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 ❑Window(s) www.minnehahacreek.orq Overall Project Description: �Qla.c�- rhQ-t-��d s��►-�,n� rn, ar.c 5�d�.dv�- -f� -��,� r�K-�-��/ Estimated Construction Valuation of Project(excluding land) $ /�o� -- 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 re e to su I the information,the a lication ma not be issued. ApplicanYs Signature: f r Date: �� '�� Last Updated: 08-09-2011 � � D T TIME CITY OF ORONO CALLED IN O I INSPECTION NOTICE SCHEDULED PERMIT NO. �//- ��.�COMPLETED � ADDRESS OWNER � � T �2�NE NO. � - �� /��' CONTRACTOR i�� >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING F�NAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO • � COMMENTS: � -(�Of �� W a � � O �. � �-O(� � o Q ` � Q �G� S � l/U� . ��1!G'�rC'A� , � � c- , a W � W � j d W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W �ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice