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HomeMy WebLinkAbout2013-00290 - siding r �-: CITY OF ORONO * 2 0 1 3 - B PJ 2 9 0 * 2750 KELLEY PARKWAY DATE ISSUED: 04/26/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1945 FAGERNESS POINT RD PIN : 17-117-23-23-0018 LEGAL DESC : FAGERNESS GREEN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR AC,TERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 750.00 NO"I'G: DGCORA"I'NE SIDING APPLICANT PERMIT FEE SCHEDULE 34.75 MCINTOSH, DANIEL STATE SURCHARGE(VALUATION) 0.38 1945 FAGERNESS PT RD WAYZATA, MN 55391- MAIL-IN FEE 2.00 TOTAL 37.13 OWNER MCINTOSH, DANIEL 1945 FAGERNESS PT RD 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 Buiiding 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 no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within]80 days of the date of issuance,or if construction is suspended for a period of l80 days at any time afrer work has commenced. The applicant is responsible for assuring aIi required inspections are requested in conformance with the State Building Code.This permit may bc revo at any time for due ca e. / i -Zl.�l � 4��o2�i /� plicant Permitee Sig re Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . ., �,� I►� City of Orono �� �►� Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O Mailing Address: Permit number. ���� ���T � �O PO Box 66 Crystal Bay, MN 55323-0066 Date received: `� � Street Address: Received by: - y�, �� 2750 Kelley Parkway Plan review fee: �,�' Orono, MN 55356 � �. `�'CBSH�� `_� �� 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. (Please print) GENERAL �NFORMATION: Job Site Address: � � `� � -�� �u�N� S S 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 approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMA�ION: Name: �, W ,lv� � State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �� ,� /"� c1�e�� Phone (day): (,�, qs1-Sq�1 Address: / s -�„„ rr �:�-� �d� City: „�� ZIP: /�'i�r✓ sr�'91 Email and/or Fax: �,h�;�f,,� �w r��,j.�o,.�., PROJECT INFORMATION: Overall project description:U-����-�1.U'e- SIL�-1 n �JY(- '� Type of Project: Any earth mo ment m Iso requ r ❑ 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) �iding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 7S � oa 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. ApplicanYs Signature: Date: � Owner's Signature: Date: �o� �'�� Last Updated:03/06/2013 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. o��l,�' " �9v COMPLETED ��d '!� ADDRESS /PS'S^ �y�.-.c�sS /�`'P�• OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION .5/O��'16 ����. � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v � DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � 1 ` �1 '`�— �4!/' �� � a P�/�Mi� /ldl��er �4�l��S/ � -�i•�l�/ //2 S��L�.�t O /� L � /70GlSt � s e��i i.e ly STi[1�G G � � l�lllu �rC �i�_✓� � �� �f_�� Q G�D�1.� !''s /lFf✓ /v� .�'1a�0 ��ac��D ��'ts� z �6�r � W � C�,olk �,�✓1!��'✓� �'o f K P✓� 7Y p�Pve v� H'bt�a rt � f�l�M��K, l'u'��-f ,� G�rt/v'�"� },4.e✓Q� � � ❑WORKSATISFACTORY:PROCEED y�PROJECT COMPLEfE ��,�p9RECT WORK 8 PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY �" ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PEfiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ��'!N'' White Copyflnspector's File Canary CopylSite Notice