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Home My WebLink About2011-00591 - siding � CITY OF ORONO PERMIT NO.: 20��-0059� , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUE�: 07/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3600 LIVINGSTON AVE PIN : 17-117-23-34-0026 LEGAL DESC : NAVARRO : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTNITY : O/S BUILDING-LTNDEFINED VALUATION : $ 15,000.00 NOTE: SIDING,PATIO DOOR&WINDOWS APPLICANT PERMIT FEE SCHEDULE 265.50 GRIMM, MARIE STATE SURCHARGE(VALUATION) 7.50 3600 LIVINGSTON AVE TOTAL 273.00 WAYZATA, MN 55391- (612)655-1379 OWNER GRIMM, MARIE 3600 LIVINGSTON AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or rclated 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 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. i, ( �% � ', " ;, ,�."��; (' ;r_; �i��..�-f��n i i r'�._�� C��'� i � � �� Applicant Permi�e� Signature Date Issued By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,0,�. PO Box 66 � ,, � Crystal Bay, MN 55323-0066 Date received: a �j��'�,� :: �,;� StreetAddress: Receivedby: 's'�,L,�� f�`�,_ Gtiti 2750 Kelley Parkway Plan review fee: .�� ¢�� Orono, MN 55356 kESII� --�- 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: ,_ " , � �';r,c�� ,�� Job Site Address: ��L �- �-' �- '� r"�' r � � `- , `' 2 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes [�-N6 If yes,a special event permit is required with Police Department and City Council approval 60 days pnor 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/APP ANT INF ATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: )��)��,�,-:-r, ��'� 1'I'��!"] Phone(day) ;c •' s,(�c��to�`7�.J ��s._d, - �J�`/-- (:�i ;> r' �v') Address: �i; ,,.1, L� J=��,5 ;,>.� y: � �'�. �.i`-._ ZIP: �-� �'�%/ �/k,r-¢__- C it Emailand/orFax l'r� . ;r _G,��., �n �w �:�.r �i ;' '�. <<r�� PROJECT INFORMATION: Type of Project: Any earth movement may require �l: ' MCWD review&permits: [�}Door(s) `f`�' ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) 0'�Nindow(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd [�iding ❑ Restoration ,�'Other: (specify) Deephaven, MN 55391 - Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage �� "`�� `r�� Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: �JZ �.� . r�� , �� ,�<:��s ! �� ,%�,,zi, ,,- -:�k6_ ,�� ,.� .a ,� �:,�,,_ �-E-,. Estimated Construction Valuation of Project(excluding land) $ ,;- �,,, 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 confdential. 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 update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information,the a �ication ma not be issued. ApplicanYs Signature: � / � �-�� r�'-=�� !.`��i��^�,�� Date: ��" �� ✓�=� // � Last Updated: 03-01-2011 (� �� `.�""`� LS 5✓�-- �l�la L + nrs� 4� ' -7� 6 -1 ( �� ATE TIME � ��CITY OF ORONO CALLED IN �` Z� � � INSPECTION N TOI�� J�I SCHEDULED � �� , '� PERMIT NO. � COMPLETED ADDRESS � � O L� � l 1/; vl(��y� �•� OWNE'F��l � � �� ►'Y� TELEPHONE NO..-r'�r7� —�i�'%ti�(,`�� CONTRACTOR I�,,,, f� _ `�-�-"OI�t''Yt Oc.:r' �-z � DESCRIPTIO �� ` � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD G/FILLI_NZi� Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTIONNU Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ��-y'Y��r {or � � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ��j�, ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETY�O'U:��ES cN0 ��y��,l �i� � COMMENTS:�l,L �� '� � �`�Uf 1"Yl �'.0(— W a o � TC t� ./� i�'f 1��'`.'t'� - �}-f� c.i � � S'7� �--r l�_� '�a � �,� ��— � l'n/�i,A c � % � �P Gr/��1 iv � Q .—f-- �/ ��- � `-( �'( — �--��C:�o `�C� Z � ��`—� I �_'��r .�,�,� � w � j �j � G�,��5 �A/�c� LA, ;� c1Gi �1.S G lC. a - W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT RRECT UNSAFE CONDITION WfTHIN HOURS. � pH0T0 TAKEN OR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. . f /�� White Copyllnspector's File Canary CopylSite Notice