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:
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� ❑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