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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. ��� ,.--���_ �� __ /� 3-�� /l i i / _� 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„ � � F �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 : � a �ra � -� i�r r� r'av ' - p ��rl� , �e✓ r �J r � O� �dG� ci� � ✓G�t ��va✓ t,��r�✓- � G � !'l�''��, 4/IE-e✓ �- /� dN-e.evS �G G� �' �� W � GaN�'►�I G!/�r/ Q z ��µ1 K ���� se✓vrc� �Dar v�� o� � s�c,�rcv ��c�e - � /�,L� �Q m�C j �S� C���/�l� � Gcrr��Z'T �f ,{.,'�� � ,��. . n . � W ❑WORK SATISFACTORY:PROCEED �♦ ���C� PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑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_ �/�---� �� White Copyllnspector's File Canary CopylSite Notice