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Home My WebLink About2013-00347 - siding •� �' CITY OF ORONO * 2 0 1 3 — 0 0 3 4 7 * 2750 KELLEY PARKWAY nATE [ssuEn: OS/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1590 LONG LAKE BLVD PIN : 26-118-23-33-0026 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 012 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,000.00 APPLICANT PERMIT FEE SCHEDULE 162.25 NAHAS&TIM JORDAN, RABIH STATE SURCHARGE(VALUATION) 4.00 1590 LONG LAKE BLVD LONG LAKE, MN 55356- TOTAL 166.25 OWNER NAHAS&TIM JORDAN, RABIH 1590 LONG LAKE BLVD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which[his permi[is issued shall be performed according to the approved plans and specific�tions,applicable City approvals,and the Sta[e Building Code. This permit is for only[he work described and does not grant permission for additional or related work�vhich requires separate permi[s. 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 construc[ion authorized is no[ commenced within 1 SO days of the date of issuance,or if construction is suspended for a period of 180 days a[any time�fter work has commenced. Tlie�pplicant is responsible for assuring all required inspections are requested in contb[ur�+ce with[he State Building Code.This permit may be revoked 1[any me tor due cause. �----__ � j l l l 7 ��—iY rt�'Ir l l A p ant Permitee Signature �te Issue� By ignature Date / SEPARATE PGRMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. y . � ' City of Orono � Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) _�� O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 }' Date received: � Street Address: Received by: y� ` 2750 Kelley Parkway �`` � Plan review fee: i t �,�' Orono, MN 55356 �;._ �KBSHOS� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ° t This application form must be completed in full and all required information must be submitted. �-; �;: Incomplete applications wilt be returned. (Please print) `' GENERAL INFORMATION: ,- . - Job Site Address: r � ��7 ��vi;,� �� (i- �'� ��, � ; �'�—v 1,t ^ ,� 1�� ..� � �� Will this be a Parade of Homesx Remodelers Sh wcase 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � . CONTRACTOR/APP ICANT INFORIU�ATION: L��, ° +� � Name: ;, �S, t�� C_�� State License# Expiration Date: y�. Lead Certification Number: Expiration Date: t� (for work on homes that were constructed prior to 1978 � � ,; ` Phone: (cell) ,;/ Z "�� ; c:, l (office) �s Mailing Address: ,,- /�:�1 City: ; r ��-r-,�-- ZIP: � �— 3 � � �`� Contact Person: ,,�, Applicant is: Contractor / - omeowner� �c��ie o�e> � Email and/or Fax: ��c�_ ' „��' C�r---� E;� : PROPERTY OWNER IN��MA,-T`ION: � v., Name: � , N�,� n��, ,. Phone (day): ,�/L .�'o/ S� d � � Address: ��-T,� _;�.,,,�,1 �.� �� ,/of City: 0�� ,,� � ZIP: � � T�—� Email and/or Fax: �;.:; PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require e. ` ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: �e., Minnehaha Creek Watershed District(MCWD) � ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage „ 18202 Minnetonka Blvd � ;: ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �° ❑ Re-roof, other(specify) [�iding ❑ Other: (specify) Phone: 952-471-0590 �: Fax: 952-471-0682 s. , ❑Window(s) www.minnehahacreek.org �` Estimated Construction Valuation of Project(excluding land) $�r,� f� 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 complete; � f. • 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 govemmental agencies required by law. If '��:`` ou refuse to su I the information,the a lication ma not be issued. ` i ApplicanYs Signature: � Date: � �'' i �. ' Owner's Signature: � ��" Date: ,' �i ?/ / ? �` Last Updated:03/06/2013 �� I DAT TIME V CITY OF ORONO CALLED IN 5-3� INSPECTION NOTICE SCHEDULED '� _�� PERMIT NO. aD��—��COMPLETED ADDRESS �S9D L� L lv� OWNER � TELEPHONENO.I�� 27� 9�O9T CONTRACTOR . �� : DESCRIPTION `5��" � lV ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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 � COMMENTS: � W a ouc.� �s-� � c � A�� ,N (3�6G�e� �S �' � �T I�a.� i'r M�.2�5 �}-� W A c� � � --� ��-f� � d P�.s � �� /�a0 or�t�� cN s ec,T S W � Q � Z W � W � � GW WORKSATISFACTORY:PROCEED PROJECT COMPLETE � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETIJRN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTfONRE�UIRED.CALITOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContra o o . Inspector. White Copyllnspector's File Canary CopylSite Notice