The URL can be used to link to this page

Home My WebLink About2013-01005 - siding replacement/widows CITY OF ORONO * Z p� 1 3 - 0 1 0 0 5 * ... 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2013 � ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1153 ELMWOOD AVE PIN : 07-117-23-14-0069 �� LEGAL DESC : SKARP& LINDQUISTS FERNHILL LA : LOT 000 BLOCK 000 2 (�I� PERMIT TYPE : MINOR ALTERATIONS , � f PROPERTY TYPE : RESIDENTIAL � �,�� CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 15,000.00 NOTE: SIDING REPLACGMENT&4 WINDOWS REPLACED IN EXISTING OP�NINGS APPLICANT PERMIT FEE SCHEDULE 265.50 ELLESTAD, EMMY STA"I'E SURCHARGE(VALUATION) 7.50 1 153 ELMWOOD AVE ORONO, MN 55364- TOTAL 273.00 PAID WITH CC# 9350 OWNER ELLESTAD, EMMY 1153 ELMWOOD AVE ORONO, MN 55364- 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[he work dcscribed and does not gran[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."I'his permi[will expire and become null and void if construction authorized is not commenced within 180 days of the date ot'issuance,or if construction is suspended for a period of f 80 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 Por due cause. �� l �� , _l � � �L-.� � 13 .� � < ��c �,�� A plican ermi ee Signatur� Date Issued By Signature Date ` SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Replacement / Renovation jNo structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: Z � 2750 Kelley Parkway Plan review fee: `� L Orono, MN 55356 lqkfSHv�� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 w�,vw.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: :.`S�� ,l y�,��d(� 1(�t�vC. , (Y�,n�`(�(�e�v�� 11n�N S3�lo'--i Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes �No If yes, a special event permit is required wrth Police Department and City Council approval 60 days prior to the event Shuttle bus se ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: _� �� State License# � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �,i� �� 5�� (office) Mailing Address: �t S 3 �.�� y.� n}� City: �� ZIP:SS3i� Contact Person: '��o jL/�� Applicant is: Contractor / H eo f (Cirde One) Email and/or Fax: ��2� r �,,,ls�t �,,�,`, ��c_u. PROPERTY OWNER INFORMATION: Name: �mN �,1c,SExc:1. Phone (day): �p �.� o �S -�c Address: 115--3 ��,�,�w�� ►�c., c�-�tx�� yy��V City: �rw�.c� ZIP: 5�3ccy Email and/or Fax: �� z 1 e �-,rnu;�.Evvr� PROJECT INFORMATION: Overall ro�ect descri tion: �`'�a��'`'"`j S��`�`�' 5�� - ��-L'�` 11�fc�`�`"` `E �r`uK� i% i Type of Project: An arth movement may also require�� . ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: J7- ❑ 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 t+t�: c�otd�� Fax: 952-471-0682 �IVindow(s) www.minnehahacreek.orq Estimated Construction Valuation of o ect(excluding land) $ 1�'��e� 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 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 information,the a lication ma not be issued. Applicant's Signature: ��,E�Zs�{� Date: �'` Z--S� 1 3 Owner's Signature: �� f C��, Date: `�' -Z��i� Last Updated:03/06/2013 � DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED PERMIT NO. ' � «' � COMPLETED ��S �� ADDRESS_,�1.�-3 ��N�-'�� OWNER �/1'��f��C�.��ELEPHONE NO. CONTRACTOR � DESCRIPTION �flJi�'IL� � 4� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE flEMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS _ �'FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � J�O DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a /�-'�"yrr<� ��,� ��,l�� G� /� ��'�� r o �i�,�G i��5�>��c�� W .lC�� Kf� �� .��= - r P s�� - z Q /� �i�.�/� f��u��' ��/ �av,�� , t��:�v�i�t�t ''Y � _ . Z C�r .�l c'✓' � r��.., ��f.a�, [�v�t�� - W � �f� v'N'� � � ` ✓ W �- f • � C c�, l � �c ; t ( '�u / ��'t s.��c^c�ic�-� (.�_`�ta -� d <<�:�. ( �'E� W ❑WORKSATISFACTORY:PROCEED O PROJECT COM�E7E � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �NSPECTION REQUIRED. . Cail for the next inspection 24 hours in advan . (952) 249-460 OwnerlContractor on site: Inspector. ��-- White C yfinspector's File Canary CopylSite Notiee