HomeMy WebLinkAbout2009-00357 - siding ,,
CITY OF ORONO PERMIT NO.: 2009-00357
E 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssvEn: 06/25/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2325 LONGVIEW CIR
PIN : 03-117-23-22-0024
LEGAL DESC : LONGVIEW 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 20,000.00
NOTE: WINDOWS,DOORS&SIDING
APPLICANT PERMIT FEE SCHEDULE 339.25
BENNETT, WILLIAM STATE SURCHARGE(VALUATION) 10.00
2325 LONGVIEW CIR
LONG LAKE, MN 55356- TOTAL 349.25
PAID WITH CC# 0505
OWNER
BENNETT, WILLIAM
2325 LONGVIEW CIR
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 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 I 80 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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App ca�t ee Signatur Date
��� Issued Ey Signaturc Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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. City of Orono
�,� Building Permit Application for Internal Work �
�- (windows, doors, siding, re-roof, etc.) �
'�° � Mailrng Address: �
�Q�� Permit number:
� ' PO Box 66
�f" �� Crystal Bay, MN 55323-0066 Date received:
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�-ak� ��a r � �-�?� s, ,' Street Address: Received by:
�; \ � ' �'�, ��i' 2750 Kelley Parkway Plan review fee: �
z �; �9k�SHo��� � Orono, MN 55356 �
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�*4.; 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:
Job Site Address: � 3 z s� G�:<.�c�� �i� � ��.��- < <'� �„�-.�;� �_,�,�� � -�, S_S s�S��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
/f 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.
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�'" CONTRACTOR/APPLICANT INFORMATION:
� Name: /
�' 3c�-:�; �
�`" State License# Expiration Date:
�� Phone: `��Z �-'7 � 9 y �, �, (office) ��� z �-��� S� �y(cell)
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Mailing Address �-�,� Cit : _Z1P:
Contact Person:
�,�' v�-C� ��,.-�`� Applicant is: Contractor / omeow 2� (Circle One)
Email and/or Fax: �✓,//,�,,.., ,�;., ;/� �2,,,eM��; , c�.-�-�
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�;: PROPERTY OWNER INFORMATION:
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��; Name: �-'��..,.���
: Phone (day): - i 2- �� i q � 7 7 9 ���,c
��"� Address: � 5�-S l�.:.✓G v� c� c-r.�c � � Cit j � 3s �
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PROJECT INFORMATION:
�' T e of Pro'ect:
: ; YP J I Any earth movement may require
�'.6 ,��
� ' �uoor(s) MCWD review&permits
��� ❑ Remodel ❑Water Damage
'` Window s Minnehaha Creek Watershed District(MCWD)
�R�; O ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Sidin Deephaven, MN 55391
r L�' g ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
�<'^ Fax: 952-471-0682
�"`'= ❑ Re-roof I
��, ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description:
° Estimated Construction Valuation of Project(excluding land) $ �(' �� �b�
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APPLICANT ACKNOWLEDGEMENT:
f'; • 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
� re uired b law. If ou refuse to su I the information,the a lication ma not be issued.
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' ApplicanYs Signature: (ti� �__-� ��� _ , � Date: �S _rU•�� �E'�'� .o
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Last Updated: 05-04-2009
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TIME v
CITY OF ORONO CALLE IN ��
INSPECTION N TIC SCHEDULED �
PERMIT NO. - b �COMPLETED
ADDRESS a�a5 �l ��L���
OWNER C(JYVI CONTR.
TELEPHONE NO. �O� �- `�`� �7 79
� DESCRIPTION L D'�' �lh��-� r�Z� ,�L>
� ❑ FOOTING ❑ ME ICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPAN
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN \
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �.�c,,,� 1�7r
White Copyllnspector's File Canary CopylSite Notice