The URL can be used to link to this page

Home My WebLink About2013-00260 - siding � CITY OF ORONO * 2 0 1 3 - PJ 0 2 6 PJ * 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3325 CRYSTAL BAY RD PIN : 17-117-23-41-0018 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 005 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 4,510.00 APPLICANT PERMIT FEE SCHEDULE 118.00 SELA ROOFING& REMODELING, INC. STATE SURCHARGE(VALUATION) 2.26 4100 EXCESIOR BLVD ST. LOUIS PARK, MN 55416- TOTAL 120.26 (952)915-7227 Minnesota State License#: BC 1 O50 OWNER JENSEN,THOMAS&C;HRISTINE 3325 CRYSTAL BAY RD WAYZATA, MN 55391- 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 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 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 time for d ause. � � � � ^� / / / App � ant�er it Sign re Date Issued By Si ture SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED AB V . City of Orono Buiiding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: � Street Address: Received by: y� G�` 2750 Kelley Parkway Plan review fee: Orono, MN 55356 `�kFSN�� 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 ��"�,} �-�,!<� �� _ Will this be a Parade of Homes, Remodelers Showcase Home or oTther 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: �;�� ;;�L�, fi� ` � ` State License# '��; �� ^- Expiration Date:3 �j � ^ Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: � pp ��,/ City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNEf7 INFORMATION: Name: `� ' ,�1'��P-�.1n 5 C`v� Phone (day): ��` ��1^ �1 _�� _ � , Address: �Z�'��.S � l '��+ City:(o�u'�(i'vtC=� ZI P: �.� 3`"1 / Email and/or Fax: � PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also 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) $��, 1 C� t 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 atternative but to reject it until it is camplete; • 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 Y the inform ion,the a lication ma not be issued. Applicant's Signature j �- - ` Date: ��3 _/ �. Owner's Signature: _ Date: Last Updated:03/06/2013 " II" ' �D TE TIME � CITY OF ORONO CALIED IN � INSPECTION NOTICE /� SCHEDULED "1�'I�J' PERMIT NO.C��1 �— �D��/ COMPLETED ADDRESS 33 2 S OWNER TELEPHO NO. l,�'r/Z �l� 72�5 CONTRACTOR � �: DESCRIPTION ��' `�"� �' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ''�.PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlConVactor on site: � , ; Inspector. 'e �- '� � � �' ., White Copyllnspector's File Canary CopylSite Notice