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Home My WebLink About2016-00481 - siding CITY OF ORONO * 2 0 1 6 - PJ 0 4 8 � * 2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2016 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 128 CHEVY CHASE DR PIN : 36-118-23-41-0041 LEGAL DESC : H1LL O'WAY MANOR : LOT 007 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE . RE�S�D�NTIAL �•--� r� r-/ [a t ci �° COI�ISTRUCTION TYPE : SIDING / VALUATION : $ 5,000.00 APPLICANT PERMIT FEE SCHEDULE 123.87 STATE SURCHARGE(VALUATION) 2.50 BALANCING ROCK DESIGN TOTAL 126.37 3277 190TH ST E Payment(s) PRIOR LAKE, MN 55372- CREDIT CARD 7060 12637 (952)484-6561 Minnesota State License#:GENR-20543820 OWNER NELSON,TODD&JANA 128 CHEVY CHASE DR WAYZATA,MN 55391- 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 Building Code. This 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 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 within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at an time for due cause. � S _S I� � �� f ,��U �i i 1 0 =Applicant Permi ignat re D te Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ' �O� Mailing Address: Permit number: 2.��— O PO Box 66 — Crystal Bay, MN 55323-0066 Date received: Sfreet Address: Received by: y �� 2750 Kelley Parkway Plan review fee: � F t �, Orono, MN 55356 �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. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: �ag e,f�l��J� Cl�AS� �R. . �l�p�j � �� ,�„�9'� ' �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permrtted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: /� Name: ��C.r�l'� 12p�k ��S l6�(.( C.,O�tCZR��C,e/� .lill e . State License# ��r��`� �' Expiration Date: a,p(,'Z Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) q - �$ - s�( (office) � � - (� - ,jSg Mailing Address: �, - fi�- , City: p �,/�, � ZIP: � Contact Person: �J � Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: � �u��@ '�jq��C1l�G 4�C1,� ��SI�R.I . ,'�Owl PROPERTY OWNER INFORMATION: Name: �t'� �t-�iA,�c A /�1 �L5'�� Phone (day): 7(�,� ' �� - 3�7 ( Address: I�g ('i�F EU 1� eff�L�(,� �7�, City: (�p,�D ZIP: �'j�j�� Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) �Siding ❑ Other: (specify) Phone: 952-471-0590 \ Fax: 952-471-0682 ��E'�( D� 1 ❑Window(s) www.minnehahacreek.or4 Estimated Construction Valuation of Project(excluding land) $ 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 generalty 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 informat' 's to annually update ecords and records of other governmental agencies required by law. If ou refuse to rmat' n,the a licat' ma n t be issued. Applicant's Signature: Date: �/�� I � Owner's Signature: Date: Last Updated:January 2016 l. � � �`�`Cil - D TE TIME CITY OF ORONO CALLED IN - — ,� INSPECTION Np�ICE_ G SCHEDULED - PERMIT NO. oc / a COMPLETED ADDRESS l � r OWNER T PH NE N� " � . �S� CONTRACTOR � � DESCRIPTION � l� ❑ FOOTING ❑ DEMO-FINAL ❑ SE TI FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCA GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ �S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � . � . y � ��es.'- ba(A/ /n. 5��1� f�,D u.��cr OCsnt�lC✓�i i� rG4✓ _ �. � - ' ` � �1 rQYZSvt� P� ��G�i4��S �— /lD�C�fJ��C� O � W � Q Z �G��i � G�.�'l� �b�p��L� � � -rc�oD•c�a. S G�� - � -- ��wL d�r.,,�.�G �-e✓ ��ct�..�a5 r�c�� a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK, TEMPORARY C.1 �6' PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ` II forthe next inspection 2�hhours in advance. (952� 249-46�� Owne ontractor on site: �'�� tor. !� �� White Copyllnspector's File Canary CopylSite Notice DATE TIME� ;% CITY OF ORONO CALLED IN �` INSPECTION N TICE SCHEDULED � PERMIT NO. �Ul(r: (��`Ig� COMPLETED ''/c3/� ADDRESS ��I �P�v� G/�Sc �Oi'� OWNER TELEPHONE NO. CONTRACTOR 4�,C� ��`�C //'1Ci IZC�� DESCRIPTION 5�''k �� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �� ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO ��., COMMEN - � � a , v -� a w rn ro�� ' - � � 0 � �// �,<Jc�/,� c2,,••�c�ol�t��- 0 � W � Q � 2 W � W � j � ❑WOHKSATISFACTORY:PROCEED �RB�JECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice