HomeMy WebLinkAbout2014-01289 - siding � .�, CITY OF ORONO * z 0 1 4 - 0 1 2 8 9 *
2750 KELLEY PARKWAY DATE ISSUED: 1U04/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2820 DEER RiJN TR
PIN : 04-117-23-24-OO15
LEGAL DF,SC : OLD CRYSTAL BAY ROAD ADDN
: LOT O10 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 90,000.00
NO"I�E;: S[D[NG
APPLICANT PERMIT FEE SCHEDULE 981.75
STATE SURCHARGE(VALUATION) 45.00
SUNSET CONSTRUCTION GROUP, INC TOTAL 1,026.75
5101 HWY 55 SUITE 5000 Payment(s)
MINNEAPOLIS, MN 55422-
(763) 546-1100 CHECK 6477 1,026.75
Minnesota State License#: BUIL-BC375069
OWNER
DILLON, TCHRISTOPER & KELLY
2820 DEER RUN TR
LONG LAKE, MN 55356-
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 Buildin�Code. This permit is f'or only the work described and docs
not grant permission f�or 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�vithin 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any timc after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e Building Code.7'his permit may be
revoked at any ti e for due cause.
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Ap 'cant Permite .�gnature Date Issue 3y Signature Datc
. .. City of Orono ���7
Building Permit Appiication for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number: V��� `�" —
PO Box 66
Crystal Bay, MN 55323-0066 Date received: l —/
Street Address: Received by: ���
��'r � 2750 Kelley Parkway Plan review fee:
`�t L Orono, MN 55356 � � ��r„ �
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�KESH� 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.
fncomplete appiications will be returned. (Please print)
GENERAL INFORMATION: �
Job Site Address: ���-�-��� p�'-E'� /��` �� / t' � <�. '
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes,a special event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus servrce will be
required unless appficant demonstrates suffrcient on-site parking is avaifa6le. Non-permitted events will not de allowed.
CONTRACTOR/APPLICANT INFORMATION:
�
(vame: Stti✓1 S�zJ-�- ���ns r�,��-, ��-. ��;-v�,,t� �ri r .
State License# � �]��, �� Expiration Date: 3 - �/ - ��
Lead Certification Number: Expiration Qate:
(for work on homes that were constructed prior to 1978
Phone: (cell) (.'c� �� - j'�, (_, -.;Z < 3 �i (office) �� 3 - ��/C-//U��
Maifing Address: S�c� i � .55 S c+.i�� S�c����� City: �,,, ,:n�.« e%s ZIP: SSy�,z
Contact Person: Sos�l. ,�L,,,y,w,-,,, Applicant is: Contractor Homeowner (Circfe One)
Email and/or Fax: ����,,,�`n,� � s �.�h y�.7C.c�� , c�s�-�
PROPERTY OWNER INFORMATION:
Name: �-/;t'i S � /�e��i> � -���c'Y�
Phone (day): 1S..Z - �3;� - `� G
Address: ��,�,t� p��e.,� rj�✓1 Tr-zA-� � City: p�''�3YJ� ZIP: ,5",�35�,
Email andbr Fax: ���;s�Q ,//�,-�-, � �r,-��r-�� , c.�, ;-,-.
PROJECT INFORMATION: Overall project description:
' 'Type of Project: �iny 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(excfuding land) $ 1v rna� -`'"
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 taw 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 I the ' rmat� n,t a ' ation ma not be issued.
Applicant's Signature: -� � Date: /�` – � �
Owner's Signature: Date:
�as:Uodated: 03/06l201;,
/����— ` DATE TIME �
ITY OF ORONO CALLED IN `��r,r.�
INSPECTION OTICE SCHEDULED �
PERMIT NO. ' cOMPLETED
ADDRESS 2�ZC ��� �I�l(l� ��=
OWNER TELEPHONE NO.�.L'�Z"�6�z�3`�
CONTRACTOR ��-'�n�� �.�5��
�; DESCRIPTION � � -
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SE R HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE S TIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTiiACTOR TO MEEf YO : YES_NO
� COMMEN :
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W ❑WORK SATISFACTORY:PROCEED �♦ ���C� PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pf{OTOTAKEN
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� 249-46��
OwnerlContractor on site:
inspector_ �/�---� ��
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