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Home My WebLink About2015-00879 - siding CITY OF ORONO * 2 0 1 5 - 0 0 8 7 9 * 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2015 � � ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1210 LOMA LINDA AVE PIN : 07-117-23-41-0087 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 000 PERMTT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING VALUATION : $ 3,500.00 NOTE: SIDING ON GARAGE APPLICANT PERMIT FEE SCHEDULE 108.42 STATE SURCHARGE(VALUATION) 1.75 UDELL,DONALD&CAROLYN TOTAL 110.17 1210 LOMA LINDA AVE Payment(s) MOLJND,MN 55364 CHECK 1092 110.17 OWNER UDELL,DONALD&CAROLYN 1210 LOMA LINDA AVE MOLJND,MN 55364 AGREEME1vT 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 pertnit is for only the work described and does not grant permission for additional or related work which requires sepazate , permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pertnit 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. � � �- 7=/� —/� s�[/4 �i /(v i / Applicant Perm tee Signature Date Issued By Signature Date . City of Orono � Building Permit Application for Maintenance / Replacement / Remodef (i.e. windows, doors, siding, re-roof, etc. -- NO STRUCTURAL EXPANSI�N) Mailing Address: � �� ?� ��0 PO Box 66 � Permit number: �� Crystal Bay, MN 55323-0066 Date received: / Street Address: Received by: '��. � 2750 Kelley Parkway �qx�s��,�.�' Orono,MN 55356 Plan review fee: Total Fee: �/�D , %� 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: p L �(,�, , j'}'� 0 (,(�{�L� /vVjf ��;3�o Witl 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 se will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: G� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: Zlp: Contact Person: �a,y O.iu ��, � �l��10 Applicant is: Contractor / Homeown (Circle One) Email and/or Fax: PROPERTY�YJYER INFORMATION: Name: � d�l/A-� l� 2. �- �A� �2.O L � /Y l.= . �.Q �L.L. Phone(day): c��—a - c�7/- �� Address: /��p L a ,,,�q L iiy�0 -9 /-� �--• City: �'Jp/.Li,✓p ZIP: SS�6� Email and/or Fax: G► � �Q,l� �� o.� � �i � , C o rr/ PROJECT INFORMATION: Overall ro'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) ❑Re-roof,cedar 18202 Minnetonka Blvd ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) �iding ❑Other: (specify) Phone: 952-471-0590 T Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ ,3 D � Pp 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 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 required by law. If ou refuse to su I the inforrnation,the a lication ma not be issued. ApplicanYs Signature: Date: Owner's Signature: v ' l'�� Date: �� —�—' Last Updated:January 2015 �� DATE TIME� CITY OF ORONO CALLED IN � � INSPECTION NOTI�E �� SCHEDULED PERMIT NO. �_� COMPLETED ADDRESS �' � � � � OWNER V �� -<<TELEPHONE NO. CONTRACTOR ✓� 2'Z'�� f I D� ti,�� ; DESCRIPTION �� a I ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA �- Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING ILLING � O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INS ALL 2 OWNERICONTRACTOR TO MEET YOU:_YES�NO c�., COMMENTS: � W C � � O � ,��7� � v�.A�,��c- -� w��%�� 0 � W � Q 2 � � ,�� W _ . � j �/ � ❑WORKSATISFACTORY:PROCEED /�TRQ,�CT COMPLEfE v w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. �-- White Copyllnspector's File Canary CopylSlte Notice