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HomeMy WebLinkAbout2009-00892 - siding � CITY OF ORONO PERMIT NO.: 2009-00892 � 2750 KELLEY PARKWAY ORONO, MN 55356- �A7'E ISSUEn: 12/14/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3409 EASTLAKE ST PIN : OS-117-23-13-0036 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 008 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCT[ON TYPE : SIDING ACTIVITY : O/S BUILD[NG - UNDEFINED VALUATION : $ 4,563.00 � APPLICANT PERMIT FEE SCHEDULE 118.00 HOME EXPRESS REMODELINC STATE SURCHARGE(VALUATION) 2.28 1239 CARTWAY ROAD CHAMPLIN, MN 55316- TOTAL 120.28 (763)576-5358 PAID WITH CC# 8452 Minnesota State License#: 20635544 OWNER OVSYANNIKOVA, MIKHAIL& ELENA 3409 EASTLAKE ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT 'I�he work for which this permit is issued shall be perYormed according to the approved plans and specifica[ions,applicable City approvals,and the S[ate Building Code. This permit is for only the worh described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of�+ork shall be compied with whether or not specitied herein.This permit will expire and become nuli and void i}�construction au[horized is no[ commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after 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 any time for due cause. f -� '' / � ' „ �l / , // / ----- � �, . � l '�^ I\' �� �W��L�` /� /� �(�''L .' (� ! gplicant Permitee ignature Date ��- � ����� ` ��� �� ��� ��'��� � � Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. c:ity oT uron � I� r Buildin Permit A lication f r (nternal Work 9 pp r (windows, doars, siding, r oof, etc.) �O� MBiIiP ��. Pemlit number '�a� �p�.� � � Crystal Bay,MN 55323-0066 Date received; I �a /� e, Sheei Add�ss: Received bY: ,� 2750 Kelley Parkway Plsn review tee: �.����G Orono.MN 55358 — Totsl Fee: l �Q, �� Main: 952-249-4604 Fax: 952-249-4816 www.a, rono.mn_us This application fvrm must be oompleted in fuU and all required iniormation must be s�ubmitted. incamplete appllcations will be retumed. (Please print) I j GENERAL INFORMATION:, Job Site Address: ,3��1 D.� � � �e �,�001�� /'Y� /1� Will this be a Parade of Homes, Remodelers Showcase Mome or other Display Home? Yes Na� ff yes, e speCJa!evern permit is req�iugd with Aorice Aepartment and C1tY Ccuncil approve180 days prbr to the svenG Shutde bus a�rvfae wiN ba requir6a wlAass appticant demonstrelas sulFiCfent on-aRe parking!s aver7ae►e. IVor,-parminea e►renrs will nor be allowed. CONTRACTOR 1 APPLICANT INFORAAA710N: Name: OryLe �.�-�' Li� � I StaDe License# O Expiration O�te: Q ' / .� v I Phone: G 2� - E S= office G ' ��--S 3 S (�II) I Mai�ing Address: /. "�c1�� . Ci : ' m�l�/✓ ZIP� �:5 3/G I Contact Person: ��; ✓' � R, r�GS t l� Applicant is: Coniractor 1 Homeowner �c����e on.� Email and/or Fax; vrr�� ,�X�/��e S'S� ,�����,�G�L�'�,/G �? �rn,9�/� Con� � PROP�Rn owNER INFORMAnON: � I Name: �/c� ✓I!a ��/S'V D �i7ii(O ifE} , ' � Phone(day): ���_O ) a� � `�6 f 6 ��; ��fl�0 , ZIP: I Address: 3 y DJ�-' _F• Gacu� Email andlor Fax --1— PROJECT INFORMATION: Type of Project: Any es�th movement may require i MCWD review 8►permits ❑Door(s) ❑Remodel ❑Water Oamage Minnehaha Cr�ek Wstershed District(MCWD) ❑Wirldow(s) 0 Repair ❑Storm Damage 182U2 Mln tonka BNd � ,�/ Deephave MN 55381 ■t Siding ❑ Reatof8tion ❑ Othor•(spedty) Phone' 8 -471-Ob90 Fex� 71-0682 ❑Re-roof L.7 Frs Damage www.minne ove�at�Proje�t DescriPt;en: . Estimaied Construction Valuatio� of Projeci(sxcluding land) ; . 5�3 APPLICANT ACKNQWI�EDGEMENT: . • Agrees to provide all 1Mortnatian required or requested by the Buildinp Departmen� • Certifies that the infarmalion supplieQ is true and corre�t to the best of hisJher knowledge. 'fhe a licant cecognizes that they are soley responsible for submitting a oomplete applicatio�being aware thet upon failure to do so the staff hae no attarnat{'ve but to reject it until it is oomplete; • Some or all of the informatlon that you are a6ked tfl provide on this appliC1ti0r1 is dassibed by S law as elther prnrate or c0A6deMial. Private dara is informetion which generaNy cannot be given to the public bu1 can b �iven to 1he�subj of the dats- Confldential data is irtformation which generalty pnnol be given to either the public or th subject of the d ta. Our purpase end intended use of ihis information is tn annualty updata our reoords and r�corvs of a er govemmental �genctes t uired b 18w. lf ou reluse to su I the irtfonneAo the a 'cabon ma nal be issued. . ' A licant's Si nature: �:/ ��— Date: � I� /�/��QJ PP 9 � ; last Updated: 05-04-200e T 'd �9TEEZEE9L eipeN e6S =60 60 bi � Q � /�/ TIME �/ CITY OF RONO CALLED IN / �v � INSPECTION N TICE �D B�! �EDULED / U � �� PERMIT NO. � COMPL D ADDRESS OWNER C TR. �� � �� TELEPHONE NO. < � ^ f � � DESCRIPTION � � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/G A ING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESH ENJETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBI ❑ FOUNOATION/REMOVAL � OWNER/ NTRACT EET YOU�YES_NO , � COMMENTS: r � � � � � � • O a � ��f � '�1 —(z? C� � c3 � 1�� .�Q `� Q (•�(..J,�/� cg�� ���'r(�' �� � _. .� � z W � W � � d W ❑WORK SATISFACTORY:PROCEED L i PROJECT COMPLETE � ��@RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on sit : Inspector. j White Copyllnspector's File Canary CopylSite Notice