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Home My WebLink About2012-00968 - siding � # � CITY OF ORONO * Z 0 1 2 - 0 B 9 6 8 * 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3350 FOX ST PIN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : S[DING ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 35,000.00 APPLICANT PERMIT FEE SCHEDULE 520.50 STEINER& KOPPELMAN STATG SURCHARGE(VALUATION) ]7.50 18340 MINNETONKA BLVD DEEPHAVEN, MN 55391- TOTAL 538.00 (612)473-5435 PAID WITH CC# 1072 Minnesota State License#: 3721 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- ACREEMENT 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 pennit 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 specified herein.This permit will expire and become null and void if consVuction authorized 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 after work has commenced. fhe applicant is responsible for assuring all required inspections arc requested� onforma with[he State l3uildin�Code.This permit may be revo at an ti� o duc cause. � l�� l 1�. l i A licantPermitee Signature Dale [ssued 13y Si ature Dale SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. . � �� f ��°c�� E�� E�� .�a��r� �� f�� er�Q�a�� (vvic�ao�.ps, �ioa�s�, si�iic�g, �-a-rar�f, ��c.} �� Mailrng Ada�-ess: I o o �-U l Z",G;C;��.�ol(y „ � P„rmitnurrib„r: d i'��`r' � � PO Bo>:oo � /� (�� Crysial Bay, MN 5532�-0�66 i Date received: �' 2' / � , I, i �„� �� ;�,�' i a (.Receiv�d b� � � � � ,� , Srr,.et Address: � \r `�n' 'wr�'" <4 ' �� '� . ��/ 27�0 Keliey Parkway Pfan:review ree: �---� `�.rr ��'''g^� Orono, MN 55356 ESH� � � G o-� To�al;Fe�: -,`�-��/ • D U _ Main: 952-249-4600 ax: �_-249-4016 www.ci.orono.rnr..us This appli�ation rorm must be completeo in r"ull and all required informafion must be submitted. incompfefe appiicaiions will be returnec�. (Please print) u`h�P.A� INFORMATIOh�: Job Site Address: 3�j�j0 �o�c �j�-v�e-�� Q�-r,,,�o /Vt� �'� �j�j(a Will tnis E�e a Parade of Fiomes, Remodeiers Showcase Home or other Disp{ay Fiome? [; Yes � No If yes, a specral event permit is required witn Foiice Depanment and City Council approval 60 days prror to the event. Shuttie bus service wif!be required unless app(i�anf demonsrrates sufiicienf on-site parking rs available. Nor-permitred events will not be allowed. CONTRAC�'OR//�PPLICANT INrOP.MATIOt�: tvame: �jt-�-��,r � �o �l �,.��.�-�. l,�--�- _ S,ate License # F3L pd3� a � Expiration Qate: 3 3 � �o Lead Certiiication Number: �cJ�ps Expiraiion Qate: (for work on homes that were constructed prior io 297B Pnone: c��j� - �-� 3 - S Y 3� (of�ice) �� a — �r y - S 1 f 3 (c�ll) Naiiing Addr�ss: ( �3 D IM:,,",�-t-�w�.c� I�� vc� , City: � Z�-I-z�IP: �5 3� Contact Person: �� ,,,.,,�,�, ,�� Appiicant is: ontractor / Homeowner (�ircle One) cmail and/or Fax: ��( ",,,;„�,;Sk„c� � r a� 5-�-�;,,��-� (�n „�,.� V�p e- ��.�. • c,o - � � PROP�RfY OWN�R INrORMaTl01�: � Name: �a�c. ..� i �1°S Phone (�ay): . Ada��ss: 33�o 'Fox. �✓��-t� Ciiy: �,�o v�.� ZlP� r'J�J�J �(p Email and/or Fax PRQJ�C�' IN�ORM�eTl01�: Type of Project: ', i i Any eartn movement rray require ❑ Door(s) � ❑ Remodel , ❑ Fire Qarrage i MCWD review&permits: ❑ Re-roof, asphalt i ❑ Repair Ninnehaha Creek V1/atersned District(MCWD) ❑ Storm Gamage I 1 E202 Ninnetoni:a Blvd II ❑ Re-roof, ce�ar � ❑ Resto�ation ❑V1(ater Damage I Geeohaven, MN 55391 � �, Pnone: 952-471-0590 ❑ Re-roof, other(speci"ry) � �Siding ❑ Other: (specify) I r-a>:: 852-47i-Oo82 I � ❑Window(s) � ww�n�.minnehahacreek.orq ; � ; i Ove�all Fro�ect �escnpi�ort: lZ�v�o�e- -2X. is-Fi I,o�r��l� �.�c1 1'e.- (o+'i�l� �stirrated Cor.strucfion �`afuaiion o` Projecf (er.cfuciing fan � �j� c_�jp . �� 4PP�IC�t�T l-iC��f�OVI�L�aG�M�hE i: • Agrees to provide afl inTorma'tion required or requested by fne Building Department; , • Ceriifies that the inTormaiion suppfied is irue and correct to the best or" nis/ner knowledge. Tne appficant recognizes tnat they �� i are solely responsible for submitfing a complete appfica'tion being aware that upor failure to do so, tne staff ras no aliernaiive ! but to reject it unfil it is complete; i I � Some or all o�the informafion that you are asked to provide on tnis aopiication is classifiec by S'tate iaw as eiYner private or I confideniia;. Private da;a is inTorrrafion wnicn qeneraliy cannot be qiven to the pubiic but car be qiven to the subiect of the � data. Confidenfial daia is informafion whicn generatiy cannot be given to either the pubiic or tne subjec: o` tne cata. Our ', � purpose and intended use of this informaiion is to annually update our records and records or otner povemmen;al agencies reauired b�� faw. If vou refuse t supo f n rmafion,the a�oiication mav not be issued. flppli�anf's Sigrature: Date: �j /o2G� 1 2� Las:upcated: DE•-OS-201" DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _�,�'r� � -QO PERMIT NO.��' �� COMPLETED � ADDRESS �� TT/u-- OWNER TELEPHONE NO. CONTRACTOR • i DESCRIPTION ` � � ❑ FOOTING ❑ PLUMBING FIN L ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � D FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: � �" �/'�G� �E��.�1 r��!' ./Qr*'�� J �— O �. ` o� _- I�JC�dS ,O fZ�vG.d P�� 0 W _ Lz'21 ,(G� �43 �-,u �an�� Gt��' Q �r� �4 S� S c�P — �Lr�c25- C�� 2 � �,e��K �e�T C�� J d W� d WORK SATISFACTORY:PROCEED �lROJECT COMPLE7E W �ARECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary CopylSlte Notice