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Home My WebLink About2016-00782 - siding i' ; CITY OF ORONO * z 0 1 6 - 0 0 7 8 2 * 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 715 FERNDALE RD N PIN : 36-118-23-11-0017 LEGAL DESC : REG. LAND SURVEY NO. 1031 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING VA��rr v,�-F�i /S �� `� UATION : �24,000.00 NOTE: RESIDING APPL[CANT PERMIT FEE SCHEDULE 418.18 STATE SURCHARGE(VALUATION) 12.00 BILL KROUT CONSTRUCTION TOTAL 430.18 7088 LEE STREET Payment(s) GREENFIELD,MN 55357 CREDIT CARD 1356 430.18 (612)839-3024 Minnesota State License#: BUIL-BC634424 OWNER LYMAN,RICHARD 715 FERNDALE RD N 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 Building 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 goveming 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 not 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. Gy � �� Applicant P ee gnature Date Issued Signature Date �- C i ty of O ro n o � Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, door�, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number:��c�C�/ ��- ��L� � O PO Box 66 � Crystal Bay, MN 55323-0066 Date received: — � —/ , � � Street Address: Received by: ti�, G� 2750 Kelley Parkway Plan review fe t �, Orono, MN 55356 AkES H�� ,/ Total Fee: �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us P � 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: � - '�yj � ��- �;�`, j��. � � yl•�. Will this be a Parade of Homes, Remodelers Showcase Home or other Display 4�1 me? Yes No /f yes, a special event permit is required with Po/ice Department and City Counci/approval 60 days prior to the event. Shutt/e bus service wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permrtted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: �/ Name: � �^��-�.-7� o�Jli+kc� i� •z State License# /�(' ( 3 tf 1�„� l� Expiration Date: / � Lead Certification Number: �j'��-. f='�/ (o, 73 �� j Expiration Date: /L'J �p � - (for work on homes that were constructed rior to 1978 Phone: (cell) � ;,� — � �' — �a,Z (office) ..�� t' Mailing Address: �'j � �� , _ City: /'f , ; � ZIP: j^3S" Contact Person: , �l �.�,�� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ,- �- , ,.,.1�t ,l t � � PROPERTY OWNER INFORMATION: Name: e�?;� �i�C•^i(. �--'MK.1li dJ L 6n � Phone(day): �S"�„L y 7 (� - �� t �/ Address: '7f �` j-�.,,,Z�/c�,/c. �� / City: �i. � l��r ZIP: Email and/or Fax: ' PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 Phone: 952-471-0590 ❑ Re-roof,other(specify) �Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orp Estimated Construction Valuation of Project(excluding land) $ ' ll�" `�G --� 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 lica'on ma not be issued. Applicant's Signature: G�iI/c �� Date: 7 l�"� Owner's Signature: Date: Last Updated:January 2016 �� ' � DATE TIME CITY OF ORONO CALLED IN -�� INSPECTION NOTI E SCHEDULED PERMIT NO. ` " COMPLEfED ADDRESS � l� ��-E�'2«�G� C-C' ��/V/ OWNER TELEPHONE N p (2�� CONTRACTOR � � � DESCRIPTION � / ��l ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION J ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL�y eS��J'�9 ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ S PTIC INSTALL 2 OWNERICONTMCTOR TO MEET YiOU:�YES_NO y COMMENTS: ��/"�=��f' C'CC�c�' �C�� ! � f�._ � � �1� ��t �� J ��S��ii1G? /U f7 ��0/�S' .�i� O � W � / . Q /�i 2 /-_in W � W � � J v � ,�l WORKSATISFACTORY�PFi9eEEB �PROJECTCOMPLEfE �(�CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CaNERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advanoe. (952) 249-4600 OwnerfContractor on site: Inspector. '��q�'� G - Whits Copyflnapector'a Ffle C�n�ry CopyfSits Notice