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Home My WebLink About2009-00897 - siding CITY OF ORONO PERMIT NO.: 2009-00897 2750 KELLEY PARKWAY S ORONO, MN 55356- �ATE ISSUEn: 12/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 160 CYGNET PL PIN : 04-117-23-22-0020 LEGAL DESC : SWAN LAKE ADDN : LOT 003 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING -LINDEFINED VALUATION : $ 8,700.00 NOTG: SIDING APPLICANT PERMIT FEE SCHEDULE 177.00 TWIN CITIES SIDING PROFESSIONALS STATE SURCHARGE(VALUATION) 4.35 664 TRANSFER RD. SUITE 22A MAIL-IN FEE 2.00 ST. PAUL, MN 55114- TOTAL 183.35 (651)255-2844 Minnesota State License#: BC-20311 10 OWNER DEBERNARDI, OLSON& PAUL 160 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AIVD SWORN STATEMENT The work for�vhich this pennit is issued shall bc performed accordino to the approved plans and specitications,applicable City approvals,and the State Building Code. 'Chis 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 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 cons[ruction 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[3uilding Code.This permit may be revoked at any time for due cause. � ��%i�t.Q-c-� �-J�, l l �-1'►�-�� l l Applicant Permitee Signature Date Issued By " nature Dat SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED ABOVE t•!�, r ^� / I 3 3 S , , - _ _ _----- — -- � � - ,---E��--__—� � L�1`.`"�_l� t t e ,=� —�.�r"'7 /,_ � ,.'�\ �v1 (�- Ii�CE'��,. _ .— ��1�� _._-- ---- C i ty of O ro n o ' �.l ,_�,l� RE ' , �l�uilding Permit Application for Internal Work �-��'�'�` �� F� '� (windows, doors, siding, re-roof, etc.) R Mailing Address: Permit number: �� PO Box 66 � Crystal Bay, MN 55323-0066 Date received: /O O \ �; �'�a ��✓ ,�j; Streef Address: Received by: � � :� ��'�� '� 2750 Kelle Parkwa ��L � ° Y Y Plan review fee: `�kEsxo4''� Orono, MN 55356 �- — Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www ci oronomn �s This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: � �:'��c''�u� ' � � � Job Site Address: �� L �- ��C•,E`' �� L; -( ��'�C � �-, `�', �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No /f yes,a specia/event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service wi/l be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: , _- ' � _. N8f11@: �� ` lt�i L- �� i ��i � �<<j�,, ;(.� ��,�._�.� `�l(" `��`--`� State License# 1 � �� C `, Expiration Date: 3 � ?,�:;1 c� Phone: (,r51 - Z-`_:>7 " y � (office) (cell) MailingAddress: (�� l�z;�.��=�-:� �� > Ciry: - ; , ,%:<�;�. ZIP: � � , � i � / Contact Person: _E� th�> +_--�� -�v� Applicant is: C(ontractor� / Homeowner (Circle One) Email and/or Fax: (; �� t �- > �( �(� �_�i PROPERTY OWNER INFORMATION:. Name: ` i��_�-- l��C��4�-,�-,'t�i-i� ( Phone (day): ; ?� (- >`� � �� Address: 11cr�. �(C..�ti�� ;1cE City: �'��t t�. �- ZIP: � ,.. -.,��::- Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage i Minnehaha Creek Watershed District(MCWD) ❑Window(s) �Repair ❑ Storm Damage 18202 Minnetonka Blvd �/ Deephaven, MN 55391 L�4 Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 T � Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ' "�(�%'L; ' -- 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. i��_% _ --- ApplicanYs Signature: - Date: �2- f C"�� ZC�_ �j � � �.- ,�.,, Last Updated: 05-04-2009 � �---__ �- � � C�� ATE /O TIME , / CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED !D PERMIT NO. �O'�l��1�7 COMPLETED ADDRESS �� OWNER C R � S�'`�I TELEPHONE N0. — �� 7 Q� � � DESCRIPTION %�%�� '� < � ❑ FOOTING � MECHANICAL RI ❑ EXC / ADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � d � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOF REINSPECT�ON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on sit • Inspector. White Copyllnspector's File Canary CopylSite Notice