HomeMy WebLinkAbout2014-00379 - siding CITY OF ORONO ����
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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.
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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� ' � � �( ��
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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
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. ,��5' -l���� COMPLETED /� - .�C� •�/y
ADDRESS , �-3d �f� ,� �
OWNER �,��� -1����` TELEPHONENO.
CONTRACTOR
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� 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:
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� ❑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