HomeMy WebLinkAbout2015-00144 - siding CITY OF ORONO * 2 0 1 5 - 0 0 ��
� 2750 KELLEY PARKWAY DATE ISSUED: 02/03/2015
�` ORONO, MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 3083 FARVIEW LA
PIN : 04-117-23-33-0005
LEGAL DESC : FARVIEW
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 10,450.00
NOTE: SIDING ON BACK SIDE OF HOME ONLY
APPLICANT PERMIT FEE SCHEDULE 216.85
STATE SURCHARGE(VALUATION) 5.23
MIDWEST GUTTER& SIDING, INC. MAIL-IN FEE 2.00
12610 53RD AVE N
TOTAL 224.08
PLYMOUTH, MN 55442-
(763)550-1685 Payment(s)
Minnesota State License#: BUIL-221 176 CREDIT CARD 1086 224.08
OWNER
EDWARDS,MIKE
3083 FARVIEW LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved pians 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 rela[ed 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 no[
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance wi[h the State Buiiding Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature a e [ssued By S�gnature Date
Feb 02 15 09:36p Midwest Gutter & Siding 763-694-8989 p.1
' � City of Orono
Building Permit Applica1tivn for Maintenance / Rep�acement 1 Rer�odel
� � 1 MailiPJ Box 66. Permit number. C S - ' � 1 `�
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�� � � Crystal Say, M N 5 5 3 2 3-0 0 6 6 Da te receive d: 'L - � ` ��
� ( Received by: i��C� r�
��`1 a � 5treet Address: __
\ �l� �� 2750 KelEey Parkway Plan review fee_
�� � Orono, MN 55356
��CSti��Q'�.
„�- 7otal Fee: Z'ZL� • ��
Mai�: 952-249-4&QD Fax: 952-249-4696 �.^,�vnrl.ci��ro�o,mr_us
This appfication form must be completed in fu11 and aH required informatio�must be subm�tted.
Incomptet�e appl�catior�s will be retumed. (Piease prinf)
GENE��AL INFORMATiON: � r'` � y�
Job Si9:e Address: , �`'� � C�Q r�L �-�,C-.� �,(� �� �'�(�c_��-' L� l '� �
Will this be a Parade of Homes, RemodE:lers Showcase Home or other Display Home? ❑Yes No
K yes,a special event pemat is requrred with Po/;ce Depa�trnent and City Council approva160 days pnor ro the evertt Shuttfe bus s wa'!ba
required unless applicarrt devnorutrates sufficient onsrte park�g is available. 1Vorrpem�itted evenPs will not be allowerl
CONTFtACTOR 1 APPLFCA11tT {NFOR ATION:
Name: �--� �r' �� �� (�-��-�� �f- S•����.�-� y�� --
State l.icense# �_�a;�-� `Z Expiration Date: G�� 3,, - ( �,
Lead Certification NUmber: �j_ ,���J - � Expiration Date: f;(� _ /S�' - ��,
(Yor��vork orr homes Lfrat were construct�d prior ra i978
Phone: (cell) 's�,� -S�� . ��R.� (office} ` ,t�
Mailing Adctress_ ,�t, �'�- ���� . J�-� � Ci � � ZIP: . �./ 'L
Contact Person: ; ,� ;k�j� Applicant is: Contra or / Homeowner tcu�ie o�a�
Email c�nd/or Fax: 1��'-►`�(.�e S'] : �r��-�?Z�1�n.� ��' f�"�b. -('` � -_----
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PROP@=RTY OWNER 1�11FORMATION:
Name: ���:rP�rZ`�S � ► f��� _
Phone (day): ''Z � � �� _ r �`�
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Address: ' 'jc� �'� �a�L��-�� �.n� ��� C�'/1-����,�1�IP: Cj,?j _
Email andlor Fax: ? / -
PROJECTINFORMATIOI�: OveraN ro"ectdescription: `�� -> ��� �� l-�x-r� �
Type o1(Praject: � Any eaHh movement may also require
❑Doa�(s) ❑ Remodel ❑ Fire Damage � MCWD review 8�permits:
❑ Re-roof,asphalt ❑ Repair ❑ Storm Oamage , Minnehaha Creek Watershed C)istrict(MCWD)
18202 Minnetonka Btvd
❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55331
❑Re-raof,other(spec'rfy} �Siding � ❑Other.(specify) Phone: 952-471-0590
cen�� Fax� 952-471-Ofi82
❑Window(sj ���w�;�., innehahacreek.orq
Estim<rted Construction Valuation of Project(excEuding lancf) ; �--'� Ci"if'=f�
APPLdCANT ACKNOWLEDGEMENT�,
� Agrees to provide alt information require�i or requested by the Building DepartrnenT, �
� Certifies that the infarmation suppiied is tnae and carcect to the best of hislher knowledge. 7he applicant recognizes ti�at they are
solely responsible for submitting a complete application being aware that upon failure to da so,tt-re siaff has no alternative but to
reject it until it is complete;
❑ Some or al� of the informa�on tYsai yau are asked to provide on th+s appfication is cfassfied by State iaw as either private or
conFdential. Private data is infnrrnation which genera4ly cannot be given t�the public but can be given to the subject of;he data.
Confidentia) data is infarmatior� which generally cannot be given to either the public or fhe sub}ect�f the data. Our purpose and
inter�ded use of tfiis informaroon is to ar�nually update our records and records of other govemmerrtal agencies required by law. !f
ou refuse to su e inforrnation e licatiom m �otbe issued_
ApPlic2int's Signaiure: ' �-�� '��'�5'�L "-' Date: � � �` ' ��
Owner's Signature: ��e'
Last E7pdated:January 2�15
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DATE TIME
CITY OF ORONO CALLED IN —
INSPECTION NO I E CHEDULED ' '
PERMIT NO J��� COMP
ADDRESS GZ.GLe�
OWNER TEL PHONE NO ° �`�^� O�V
CONTRACTOR �
� DESCRIPTION � —�a�
W ❑ FOOTING ❑ DEMO-FINAL ❑ PTIC 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �'FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMEI�TS:
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W ❑WORKSATISFACTORY:PROCEED (� PROJECT COMPLEfE
C�T WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP OiiDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on si�e:
Inspector_Q� �(/�^'
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME . /
�CITY OF ORONO CALLED IN v
INSPECTION OTICE SCHEDULED
PERMIT NO. D/ � /y COMPLETED �S'-/�7�
ADDRESS �O � 3 �rs•r �ieccJ L/l .
OWNER TELEPHONE NO.
CONTRACTOR �/�k/��� �w�'°� �S'�^�-*
�; DESCRIPTION �/ Qr�'LL � ✓ ����
�
ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
�
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS: _
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� ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pF{OTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: -
�
Inspector. --�--�
White Copylinspector's File Canary CopylSite Notice