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Home My WebLink About2014-00795 - siding � • • CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 4 - 0 0 7 9 5 * DATE ISSUED: 07/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1586 LONG LAKE BLVD PIN : 26-118-23-33-0030 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,850.00 NOTE: RESIDE WITH WINDOW&DOOR WRAPS,SOFFIT AND FASCIA. APPLICANT PERMIT FEE SCHEDULE 132.75 STATE SURCHARGE(VALUATION) 2.93 PURPOSE DRIVEN RESTORATION TOTAL 135.68 18334 JOPLIN ST.NW Payment(s) ELK RIVER,MN 55330- (763)633-4737 CREDIT CARD 4800 135.68 Minnesota State License#: BUIL-20636655 OWNER GRONWALL,-STEVEN 1586 LONG LAKE BLVD LONG LAKE, MN 55356- AGREEMENT 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 permit 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 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 Buifding Code.This permit may be revoked at any time for due cause. C � + - / �/ Applicant Pe itee Signature Date Iss d By Signature Date � Prom:PURPOSE DRIVEN FFax:(8i7)7254737 To: Fax: +1 (952j 249-4616 Page 2 of 4 07l2512014 1:33 . . . City of Orono Building Permit Application for Maintenance / Re ment 1 Renovation (No structural expansion. Only windows, doo sidin , e-roof, etc.) ,�O�TO Mailing Address: permit number. / �� y PO Box 66 � Crystal Bay,MN 55323-0066 Data received: — Street Address: Re�wed by: � �' 2750 KelEe Parkwa ti�. G� Y Y Plan revlew fee: t �, prono,MN 55356 � '�kFs HO�` Total Fee; � /�j�l' �� 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 appllcatlons will be returnad. (Please p»n� GENERAL INFORMATION: � � ��Iv 1 Job Slte Address: � C1 Will this be a Parade of Homes,Remode ers Showcase Home or other Dlsplay Home? Yes No p yes,a special evenf perm�is requirad wrth Pofice Department end CJty Counal approve!60 days prior fo the event. Shutf/e bus service will be r�equlreC un(ess applrcant demonsbates suh7cfent on-site psrking is available. Non-permifted events wiU not be albwed. CONTRACTOR/APPLICANT INFOR A 10 � Name: '� ��Q„�jpy� State License# �� Expiration Date: ��31 ZatS Lead Certification Number: N�}'r 79(y� Expiration Date: �U ?0l5 (for work on homes fhai+vere »sbuc�d p�ior to 1978 Phone: (celq Z�y�j•�$ � (offce) 7G37(o"�-�1737 Mailing Address: �,�j � � City: ,�,� ZIP: �3� Contact Person: 1 ;,n Applicant is: ontractor / Homeowner (Grele One) Email and/or Fax: ; fM�.� � PRpPERTY OWNER INFORMIATION: Name: �� G�anWI�,{� Phone(day): �Z �-�7"IJ Address: _ ��(o Lo�r�[f � C�Y��COYtD ZIP: �J� Email and/or Fax: " _ ' ;��i4. PROJECT INFORMATION: Overall ro'ect descri tion: i►�� c�wt Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review 8�perm(ts: ❑Re-roof,asphalt ❑Repair ❑Stortn Damage Minnehaha Creek Watershed DiaVict(MCWD) 18202 Minnetonka Bbd ❑ Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑ Re-roof,other�speci(y) Siding ❑Other.(specify) Fax: 952-471-0682 ❑Wirxlow(s) www.minnehahacreek.ora EstPmated Construction Valuation of Project(excluding landl 5 APPLICANT ACKNOWLEDGEMENT: 0 Agrees to provide all informatian required or requested by the Building Departmenh, ❑ Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are salely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative but to reject it undl it is comp�te; ❑ Some or all of the information that you are asked to provide on thls application fs classified by State law as either pnvate or confidential. Private data is intormation which generally cannot be given to the public but can be given to the subjecf of the data. Confidential data is iniormation 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 gavemmental agencies required by law. If ou refuse to su t 'nforma' th lication ma not be issued. Applicant's Signature: Date: Z �J � Owner's Signature: Date: Last Updated:03/06/2013 pATE TIME � CITY OF ORONO CALLED IN ��! INSPECTION NOTIC SCHEDULED — _��J PERMIT NO. oZD/�(��IS COMPLETED ADDRESS� �� - � OWNER T�LEP N NO. 7 '�3-�7'37 CONTRACTOR ��- � � " � � DESCRIPTION "`''� � � O FOOTtNG 0 PLUM8ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BUHNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS:, � Prc'�u�s a� ,(a4��ca F�d .er��.e . � � 0 O {aJp�L . �/c�G � _ i � W � �Gr�.� �rK�Clerl� Q � 2 W � W � � J � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT YVORK 8 PROCEED ❑IS UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: White Copyllnspector's File Canary CopylSfte Notice