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HomeMy WebLinkAbout2014-00379 - siding CITY OF ORONO ���� j 2750 KELLEY PARKWAY * Z 0 1 4 - 0 0 3 7 9 * DATE ISSUED: 04/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4030 DAHL RD PIN : 07-117-23-11-0022 LEGAL DESC : PIRATES COVE : LOT 018 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTNITY : O/S BUILDING - UNDEFINED VALUATION : $ 2,500.00 NOTF,: SIDING PER'.VII"I' APPLICANT PERMIT FEE SCHEDULE 88.50 GILBERT,JAMES& MARY STATE SURCHARGE(VALUATION) 1.25 4030 DAHL RD TOTAL 89.75 MOUND, MN 55364 Payment(s) CHECK 7567 89.75 OWNER GILBER"I',JAMES & MAKY 4030 DAHL RD MOUND, MN 55364 AGREF,MF.NT AND SWORN STATEMENT I�he work for which this permit is issucd shall be performcd accordin�to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. 'I�his permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions o1 laws and orJinances governing 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 wi[hin 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. The applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revoked at any time for due cause. n ; �,�. ' � �'���,��.�-(.� ,��;/ Applicant Permitec Sig�ure Date Iss d I�y Signature Date � ` City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) ,� ['�A, MeiNng Address: Permil number 1�*-'•VO PO Bax 68 Crystal Bay, MN 55323-0066 Date received: St►t�et Address: Received by: � � 2750 Kelle Parkwa S'�, G. Y Y Plan revl�nr�: 1,�k�s„o��, Orono, MN 55356 �G Total Fee� ��, !" 1 Main: 952•249-4600 Fax: 852-248-4616. www.ci.orono.mn.us /v This applicat�on form must be completed in full and all required information must be submitted. Inc4mplete applications will be returned. (Please print) GENERA�1NFORMATION: �D�D ���� ��� . �� ��� Jcb Slta Address: Will thiS be a Parade at Home6, Remodelers Showcase Wome or other Display Homea Yes No K yas,a speael evenl permif is required wrth Police Dapertmant and Crty Counal epprovel 60 deye p�lor'lo the eveM. Shutlle bus i will De required unless appliCant demOn6trdles suf�iCient on-siha paricing is svailabfe. Nan-pertnitted events will not be ellowed. CONTRACTOR!APPLICANT IPIFORMATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date= (for work on homas that were constructed prdoi to l978 Phone: (cell) (office� Mailing Address: Ciry� ZIP: Contact Person: Applicant is; Contractor ! Horneowner �c���a onB� Email and/or Fax: NaOe ERTY OWNER INFORMATlON� ' � � �( �� G Phone(day): Gj� Address: City: �� ' �j ZtP: �� ��P� Email and/or Fax: �'(? � PROJECT INFORMATION: O�verall ro ea descri tion: �G�X ��� ��a �� Type of Project: Any ep�movement may also r�quire ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD revlew 8 permfts: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonke Blvd ❑ Re-�oof, cedar ❑ Restoration ❑Water Damage Deephaven,MN 55381 (] Re-roof,other(spec�f�+) �Siding ❑Other.(specify) Phone: 952�171-0590 Fax: 952-471-0882 ❑Window(5) www.minnehehecreek.orq � Estimated Construction Valuatfon of Project(excluding land) S _ � � > > G� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Depaitment; . Certifies that the information supplied is true and correct to the best of hislher knowledge. The epplicant recognizes that they are solely�esponsible for submltting a complate application being aware that upon failure W do so,the staff has no atternati�e but to rejed it until it is complete: . Some or all of the informabon that you are asked to provide an this appllCation is classified by 5tate Iaw as either private or con6dential. Private data is infarmation which generally cannot be given to the public but can be give� to the subject of the data. Cor�fidential data is information which generally c�nnot be given to sither the public or the subject ai the d8ta. Our purpose and intended use of this informaaon is to a��uslly update our records and recprds of other govammental agencies required by law, If ou refuse to s I the ir�formation,the a lication not ba issued. Applicant'S Signature: % - � � � f Date: �'� � Owner's Signature: � Date: Lasc Updated:03/06/2013 Z0/I0 3�Jt7d ONO2i0 .�0 l�lI� 9Z976bZZ56 9L�60 CiOZ/SZ/h0 �,_v��s-��i DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. ,��5' -l���� COMPLETED /� - .�C� •�/y ADDRESS , �-3d �f� ,� � OWNER �,��� -1����` TELEPHONENO. CONTRACTOR � � DESCRIPTION 5/d� h5 ��'�✓� l� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS ��INAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ H RD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ��r�,��.� �1���� �.✓F� J�5 G�// �/ �F o �.-7�/ i •��/.J�� �io.-c �. � ° ;T/�.s �►- „��� ����� r�l% . /�s ;�y,-���- W ' � � �ojy-��3� �,� 7 - 3 �-/� Q � z W � � �����I' //l9�� �r H.p �t�,/ � � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerfContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notiee