HomeMy WebLinkAbout2012-00484 - siding � � � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 4 8 4 *
DATE ISSUED: 06/04/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 85 LUCE LINE RIDGE
PIN : 31-118-23-34-0005
LEGAL DESC : PAINTERS CREEK
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 40,000.00
NOTE: REMOVE STUCCO/SIDING AND REPLACE WITH ALL SIDING
APPLICANT pERMIT FEE SCHEDULE 574.25
SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 20.00
12366 RIVER RIDGE ROAD
BURNSVILLE,MN 55337- MAIL-IN FEE 2.00
(612)861-7000 TOTAL 596.25
Minnesota State License#:20593656 PAID WITH CC# 1521
OWNER
BALZER,BARRY&JACQUELINE
85 LUCE LINE
MAPLE PLAIN,MN 55359-
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 sepazate
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 Building Code.This permit may be
revoked at any time for due ca�.
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Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
06/O1/201� 7:01 AM FA% 16125796615 SIMON CONSTRUCTION f� 0002/0002
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. City of Orono .
Building Permit Application for Maintenance / Renovation
(windows, doars, sidin , re-roof, etc.)
Mailinq Addross: � ..�`...•".:.....: "
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. Main: 952-248-4600 Fax: 952-249-4616 www,ci.orono.mn.us ��� '
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This application form must be comploted in full and all required information must be submitted.
Incomplete applications will be returned. (P/oase print)
Jo Si Address:NWTION: � � LU�� L��v� l��dL` . Q�'C'�o �f V ��J� f
Will th' be a Parade of Womes�Remodelers Showcasa Home o her Display Nome� Yes No
K a apedel ov�enr pomdr!s roou�roar w�tn vo►;ce oepertmonr and ehy,Councl�approvmi sp daya prlor ro che eironc shumo ous sonrie,wi�oe
roqulred uMoss npplken!dw►�onshs(�ea sufyicier�t on.slto pn�k/n�Is avpll�0le. Non-psrmifted evcnts wlll not be allowod.
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. 0�17 CTdR/APP ICAN`�"I FQ1,2MATION: �_
Name: ..� r� ✓� �. rn �wC �r'on �
State nse# ., q 7� Expiration Date: � /
Lead rtification Number: � �-j�j �� Expiration Date: f S
' (for rk on homes that�conabucMd prior to 19T8 �
Phone: � 'Z- .S� I - �70C G� (��e) (cell)
Mailing dress: '3 � 'v� � l� v� . City: ;;/'h �v�� ZIP: �j >"�
Contac erson: Y�,.�,�„� �,.,.,�,,.�,� Appli nt is: on / tiomeowner �cacie one�
Email a d/or Fax: ' �12�• 573 ���, /.�
�;r� c 4�rv�C✓i[o/�_S'1�C�/cn Cc�,,, _
PROP TY OWNER ORMATI N;
Name: �j,� � �►�-
Phone aY)� I2— -. �. IZ3 •-• ^
Add SS.S LVCt �:.-�.' �G�cl�..r�_� City. �%+�er1.c� ZtP: S'S 7 Jr 7
Emall d/o�Fax �
PROJ T INFORMATION: �
�Type o1 roject: ����r Ariy eBRh movem�nt rriay roqulro
❑Ooo ) ❑Romodol ❑Fire DamaBe MCWD rovlow&paRnit6:
Minnehaha Craok Watershed District(MCWD)
❑R� f,asphalt ❑Ropair Q Storm Dama�e 18202 Minnetonka Blvd
❑Re- f,ceda� ❑Restoratan ❑Wator pamage � �eophaven, MN 55391
❑Ra ,other a c ) � Sidin Phone: 952-471-0590
( P� KY 9 �Otherr.�(sPecitY) Fax: 952-471-0682
❑1Mndow(s) �'� I�r ��,.��. �me�minnehahacreek.ora
overa�� ro'ect�escription: /'�n�o✓� s � % S � �� � /��P �� ��:::�.� a l s i ��
Estim d Conslruction Valuation of Projec!(excluding la d) � S l.(Q�'OO�j � �
APPLI NT ACKNOWLEDGEMEN7: '
• grees to providv all fnformation required or roqucstod by the Building�epartrnerrt; ���
• ertifies Ihat!ho ir�tonneGon supplied is true and correct to the best of his/her knowl�dge. The applicant rocognizos tfiat they
solely responsiblv tor submitGng a complete apptiption being aware that upon failuro to do so, the staff has no altomaavs
� t to rejett It untfl it is complete;
• me or all oi the Information that you are asked co provide on this applic.ation Is Gassified by State law as el�her ptivate or
nBden6al. Private d� is iniOrtneGon which penerally cannot bo glven te the public but c�n be glven to the subjed of the
ta. Confidential deCa ls information whkh yeneraly cannot bo glven to e'ither the public or tho subJeCl o! the data. Ou�
rpose and intended use of this informaUon is to annually update our rorards and reoords of other govcmmontal agencies
uired b law. If refuse�su I thp(nformetion,!he a lication ma not be Issued.
Applica s Signature: --�' Date: C� � ( z
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" I � �"'�"' DAT TIME �
CITY OF ORONO CALLED IN / �
INSPECTION NOTICE SCHEDULED � /� �
PERMIT NO. Q� ' � C MPLETED
ADDRESS �s C!��GC
OWNER ELEPH NE NO.�,_�-77` — �1�.�
CONTRACTOR rYl� � ���t�YL,
>; DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI�LING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W/�iMORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL{NSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
Owner►Contractor on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
�/ � / D E � TIME V
TY OF ORONO (� CALLED IN
INSPECTION I E �(Q SCHEDULED �t��
PERMIT NO. � �' �Z_� COMPLETED
ADDRESS � � e
OWNER TELEPHONE N .��� �� �� �C�
CONTRACTOR I rYY�� �C�'7►1fif-
>; DESCRIPTION � �� ' �-� r� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA I G/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTIQN
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � ❑ HARD COVER REMOVAL
J ❑ PLUMBING E FINAL ❑ FOUNDATION/REMOVAL
� OWNERICO RACTOR TO MEET YOU• YES_NO
� COMMENT :
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W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED C i ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site: r �
Inspector. ' �
White Copyllnspector's File Canary Copy/Site Notice