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Home My WebLink About2016-01142 - siding � - CITY OF ORONO * 2 0 1 6 - 0 1 1 4 Z * 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3375 CRYSTAL BAY RD PIN : 17-117-23-44-0018 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT O15 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : S[DING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: RESIDE HOUSE APPLICANT PERMIT FEE SCHEDULE 201.32 STATE SURCHARGE(VALUATION) 5.00 VILLAMIL CONSTRUCTION CO. TOTAL 206.32 5535 COUNTY ROAD 151 Payment(s) MINNETRISTA, MN 55364- CHECK 16153 206.32 (612)221-75ll Minnesota State License#: BUIL-20633780 OWNER JABS,JASHUA&NICOLE 3375 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro 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 governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction audiorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time atter 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 revoke any'�TiiftE-fe e cause. r - , � ,/9 ,/� �___-_---� � � Applicant Permitee Signature D e � Issued Signature Date _ . City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: — // � PO Box 66 Crystal Bay, MN 55323-0066 Date received: Cj — .� � > Street Address: Received by: V y�, � 2750 Kelley Parkway Plan review f� t � Orono, MN 55356 �kESH�� Total Fee: ��lp,3� 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 submittedC�--� Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION:� _ � � � Job Site Address: � Will this be a Parade of Homes, Remodelers howcase Home o other Display Home? Yes o If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus serv e will be required unless applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � - � ' � - , � � State License# F� � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior to 1978 Phone: (cell) �� (office) Mailing Address: Cf- � ' City: � ZIP: 'S G� __._ . Contact Person: f ' � � � Applicant� ontractor.r-� Homeowner (Circle One) �._ Email and/or Fax: � . . - c , Ej.� ----"""�� PROPERTY OWNER INFORMATI N: Name: � <, ��T, ;�� i .�C,c.�S Phone (day): �`IS 2, SF�y .�1�� Z StX7.Z�� S Address: 3' t � City: �, ZIP: � �- -' Y Email and/or Fax: �� ` , �.. �. ., �(_� _ , L,,,�� 1 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 ❑ Re-roof,other(specify) ,�Srding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ 1 f�. Lk�, C�'O 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 upda� our rec ds and records of other governmental agencies required by law. If ou refuse to su I the information,the a licati ' a no issued. ApplicanYs Signature� Date: 1 � Owner's Signature: Date: Last Updated:January 2016 �� DATE TIM ��CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� ,l�- �`> PERMR NO. COMPLEfED ADDRESS ' �7 � a OWNER TELEPHONE NO � ��''� a'�� / CONTRACTOR � � `�� DESCRIPTION �-y� �� j�� t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ S�P/�C INSTALL 2 OWNENCOHIiMCTOR TO MEET YiOU:_1/YES_NO �""'� J� � COMMENTS: � /1Qt t�.�� - j o . � �/'fJ✓l/,G ,�i(�il!/GS D� .5/�C�l�i�Kc � frQl4lc i✓11.,c� �I `1U45��'� ' W � Q � 2 � w � J W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ��69RFiECT VMORK 8 PROCEED ❑ISSUE CERTIFI�ATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pF{OTO TAKEN INSPECTOR W{LL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: White CopyAnspsctoPs FII� C�n�ry CopylSfN Hotks ✓ D/!�� DATE TIME CITY OF ORONO �` CALLED IN INSPECTION NOTIC SCHEDULED �"7 � �' 3C� PERMR NO. � COMPLEfED ADDRESS ��"-7 � C l`�, <S'�.I �� O'WNER TELEPHONE NO. �� I CONTRACTOR % �� T � DESCRIPTION �� a � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OlMNERICONTRACTOR TO MEET YiOU:�YES_NO �,l.r � COMMENTS: � W � � � i n C r� j ' �- O '' ! �a � 3 � � 0 � 4 � v W • , 'v,� o,�• oC -� ( r Q 2 �O��,�- a � - w �� d � � ❑VMORK SATISFACTORY:PFiOCEED ROJECT COMPLETE � O OORRECT WOHK 8 PROCEED O ISS E CEATIFlCATE OF OCCUPANCY O �CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN H��- ❑p►{pTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REUUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectbn 24 hours in advance. (952) 249-4600 OwnedConfractor on�e: Inspector. 'b � WMb CcPrMspecfa's FlI� C�nary Copy1SM�NoUa