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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�. � ^ `�/ � /l � 4�/ "Z� / l02-'� 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 � . ��. . . City of Orono . Building Permit Application for Maintenance / Renovation (windows, doars, sidin , re-roof, etc.) Mailinq Addross: � ..�`...•".:.....: " � O.� POBox66 ���Pe,r,r.n�t��ii7rtjber::��•;:;..�'����-.'�":..:.:$',. :,.....,..,,.:.,........ ... ,.� � .,.......,..:..,.... :-::::.::... �............... . . ..... ... .....,.•,...... .. 0 � Crystal Bay.MN 55323-0066 :��sCe;�eqei'v,ed�:;;�;";.;;""•"::::`•:�� :.�.,�'l:'��'J:�. �� � ,.y.....�......�.n....r �e.�N ..�............n...n...��� ....... �► � .�l.n..i(:�u�i��r�•�iu��. �. .....�..�'�...�................:'. �....�.. �...r. .�:i�n... r.............�..� �. SlrcotAddress: �;�i�'��;:�::�':�.;:;�..... �;;�;"'':"a''' :°��'.;::::: ..,,,,........_.....;.,..,. ..... .. ..` ..... • 2750 Kelley Parkway � ,,,,,,,,,,,,,,,,,,,,,,,•,��,,,.,,,,.,::...-.„•••:,......... . ..:.�•.. .,.,.,.........,. � E►' . '�F�lan„rev�w:�D'ec'...;:W��.:::,.:',,::.;::,,ci.;. '� oa4 Orono.MN 55356 -a:�°°°�... ..� .......................... ............... . .....,.....:...... ........ ..........•,..:...,...,....... . . ..... .... ` ar,s's• „ .. .� .... .� ..... • :•: .,.Ta!t�l.;f..�::::::'..,.�� : . Main: 952-248-4600 Fax: 952-249-4616 www,ci.orono.mn.us ��� ' ., . ���:�:�:�,: ............. .. ... .. .. ;,.. .... . .......... ... .. 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. ._ - - - , ... __ . 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 � �sc upda : oe-os-zo�, " 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 � � ❑ 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: � W a � � O a � O � W � Q � Z W � W � � d W/�iMORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �/� ❑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 : � � ����,��"� � �"l�� f" z.-1 Lj?� � o � _�rf� �. � 0 � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED C i ISSUE CERTIFICATE OF OCCUPANCY W 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