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HomeMy WebLinkAbout2015-00660 - siding ! � CITY OF ORONO * 2 0 1 5 - 0 0 6 6 0 * 2750 KELLEY PARKWAY DATE ISSUED: 05/26/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 255 LANDMARK DR PIN : OS-117-23-23-0037 LEGAL DESC : BAYSIDE LANDING 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 15,825.00 NOTE: SIDE FRONT LEFT OF LAKESIDE APPLICANT PERMIT FEE SCHEDULE 294.30 STATE SURCHARGE(VALUATION) 7.91 MINNESOTA EXTERIORS INC. MAIL-IN FEE 2.00 8600 JEFFERSON HIGHWAY OSSEO,MN 55369 TOTAL 304.21 (763)391-5508 Payment(s) Minnesota State License#: BUIL-BC002877 CHECK 201740 304.21 OWNER CASEY,MARK&KARENA 255 LANDMARK DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT 1'he work for which this permit is issued shall be perFormed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and dces 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. . � /�'�P/ �� Applicant Permitee Signature Date ssued Signature Date � � Ci�y of �rono Building Permrt Application �or Maintenance / Renovation ' (windows, doors, siding, r�-roof, etc.) P✓Jailing Address: ��.cL�0 �� PO Box 66 Permit number Q� ��j— C�C� �p (/Qy �O\ Crystal Bay,MN 55323-0066 Date received: "Z —� T; ,� U�'�„�z �, �,� StreetAddress: Receivedby: 1��` �'�,c, ��1����,���,.. ti�' 2750 Kelley Parkway Plan review fee: ��s��'��Y��^4�G Orono,MN 55356 k�s�o �a`��l J Total Fee: Main: 952-249-4600 Fax: 952-249-4616 ww�u.ci.orono_mn.us This applicafion form must be compleked in fuil and all required information must be submitted. IncornpEete applications will be returned. {Please print) GEt�ERAL INFORMATION: / / /n ,,, Job Site Address: c�,�Jr L�/1Gt�dI"� Nc�v Wifl this be a Parade of Homes, Remodelers Showcase Home or other Dispfay Home? ❑ Yes No If yes,a specia!event permrt is requrred with Police Department and Cify Counci!approva!6D days prior fo fhe evenf. Shuftle bus service will be required unless applicanf demonstrafes sufficient on-site parking is avaifable. Non-permrtted events wi!!noY be allowed. CONTRACTOR I APPLICANT INFORMATlO ' / Name: ' /�e�o�C� � 1"P1"/D/�5 State License# �eDOag�� Expiration Date: � � l Lead Certification Number. n/��� �p � . ,� Expiration Date: �����d0 (for work on homes that were consfructed prior fo 1978 Phane: , � �,-r'�� (office) (cell) Mailing Address: � Ciky: �'s p ZIP: Contact Persan: Applicant is: 4ntrac or Homeowner (Circle One) Email and/or Fax: � PROPERTY OWNER WF RMATI Name. �j^� �S Phone(day): �� _�j8 , Address: �?` �I2�I�1L/�� �L�-- C��� (/�D�d Z1P: 5,5,35� Email and/or Fax PRf3JECT iNFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑Remodel ❑Fire Damage MCW�review 8 permits: Ntinnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑Repair ❑5torm Damage 98202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof,othef{specify) ,�Siding ❑Other:(specify) Fax: 952-471-0682 ❑Window(s) www-minnehahacreek.orq Overall Project Description: - P / l 2/��5/` � Estimated Canstruction Valuation of Project(exctuding land} $ ,' ��_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 altemative but to reject it until it is complets; • Some or a[I 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 cannof 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 re uired b law. If au refuse to sup ly the infor ation,the ap licatian ma not be issued. Applicant's Signature: Date: -� �� �� Last Updated: 08-09-2011 �`��� � � C � Cri�� DATE TIME CITY OF ORONO CALLED IN -�� INSPECTION N TICE SCHEDULED PERMIT NO��5'���n COMPLETED ADDRESS 2 5 S � � D'1CI (� � � �„ OWNER TELEPHONE NO. � �� ���r'�(�L� CONTRACTOR ' �-'�L(�� � DESCRIPTION '(T�� ��� c--� I �(n� 4i ❑ FOOTING ❑ DEMO-FINAL ❑ $EPTIC FINAL � ❑ 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 e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP �'"_!/ FO�JN REMOVAL v ❑ DEMO-SITE ❑ iC INSTALL �D `� Q ONfNERICOlRRACTOR TO MEET YOU: YES_ _ r_ y COMMENTS: T/ �--t � W �q�.. � j O � O W � Q � 2 � w � j d W ❑WORKSATISFACTORY`.PROCEED ROJECT COMPLETE � ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑(�RRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WFIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 2a hours in advanoe. (g52) 249-4600 OwnerlContractor on site: Inspector: Whits CopyRnapector's File Cenary CopylSits Notks