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.
.
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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:
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�'�,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
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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 �
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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