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Home My WebLink About2016-01392 - siding , ' CITY OF ORONO * z 0 1 6 - 0 1 3� 2750 KELLEY PARKWAY DATE ISSUED: 1U04/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 440 BROWN RD S PIN : 03-117-23-42-0012 LEGAL DESC : STRONGHOLD : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 52,000.00 NOTE: REPLACE: SIDING,DOORS&WINDOWS APPL[CANT PERMIT FEE SCHEDULE 731.68 STATE SURCHARGE(VALUATION) 26.00 REVISION LLC TOTAL 757.68 153 E LAKE STREET Payment(s) WAYZATA, MN 55391- CHECK 12730 757.68 (952)540-7150 Minnesota State License#: BUIL-BC639027 OWNER SULLIVAN, TIMOTHY 440 BROWN RD S WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for Hhich this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This pcnnit is for only the work described and docs 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�vill expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construetion is suspended for a period of l80 days at any time after work has commenced. The applicant is res nsible f assuring all required inspections are requested in onf an the State Building Code.This pem�it may be revoked at ny e f r cause. � .--�, I 1��I -I �v � / , , /-� App i nt Permit ignature Date 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: - j , �� c PO Box 66 Permit number: -L � � � � r Crystal Bay, MN 55323-0066 Date received: �—�� n .. Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: `� � Orono, MN 55356 f� `qkfSH�� T(� 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 INFORMATION: Job Site Address: y�Q �rp�,�y1 r'j 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 INFORMATION: Name: �Eyt�I(�n L�_ State License# "�� (o3cjp Z—� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (o� , , 3 (office) . �, �p� Mailing Address: - �, City: ZIP: SS Contact Person: �l L �SmOI��IF Applicant is: Contrac r / Homeowner (Circle One) Email and/or Fax: NlG �I RL�I/ISIOK�i'Y1 N �('��1 PROPERTY OWNER INFORMATION: Name: /�m � �J�Yi�/ SU��tV�rt Phone (day): 71,U07e2- Address: c, f3r��h ^ City: o(�y� ZIP: �'3c�f _ Email and/or Fax: PROJECT INFORMATION: Overall pro�ect 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) �Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ .ri2,DC7(�. CJ� 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 enerally cannot be given to either the public or the subject of the data. Our purpose and intended use of this informati is nnually update our records and records of other governmental agencies required by law. If ou refuse to su I the � fo ,the a lication ma not be issued. Applicant's Signature: �:.. " � � � Date: (I- l - )(> Owner's Signature: Date: Last Updated:January 2016 � DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED -�-�� PERMR NO.�� ,`3Qa COMPLETED 5f-� �!/ AD�iESS �/y0 d.�o�•� /20S O'WNER � , TELEPHONE NO. CONTRACTOR R+Cv��.s w, f�LG �' DESCRIPTION �'�i•r� `� a1�iYd� rC��• � ❑ 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 '�'IIQICL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWNE111COKTRACTOR TO MEEi 1f�U:_YES_NO y COMMENTS: W n � 4 C Ylov��c _v,c,�4•%s �rF ��,..�v - o �' oPl•/° ��05 �/Dl�/�a " �..x��ar 5�� e� a'� �J6< � �t.�o�¢s�s _ a!L o � W � Q ? � rl�G ��/w�.� ��llon d�G S � r'�L f eVCcP � j ud, o w�K s�nsFncroRr:�oceen ❑a�aEcr coM�.� W�pECT VNORK 3 PROCEED ❑ISSUE CFATIFICATE OF OCCUPYINCY 0 ❑CORRECT VMORIC,CALL FOR REINSPECTION TEIAPORARY V BEFORE CO�VERINO pERMANENT ❑CORRECT UNSAFE OONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �pTAT10N ISSUED ❑INSPECTtON RE�l11RED.CALL TO ARRAN(iE ACCESS. Caa for the next inspection 24 houra in advanoe. (952) 249-4600 OwneNContractor on site: Inspeator: �k.!w� Whits CoPYAnapector's FIM C�nary Cop�IlSib Nodee