HomeMy WebLinkAbout2016-01190 - siding repair � �
CITY OF ORONO * 2 0 1 6 - a 1 1 9 0 *
2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 100 LUCE LINE RIDGE
PIN : 31-118-23-34-0009
LEGAL DESC : PAINTERS CREEK
: LOT 007 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING REPAIR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 5,000.00
NOTE: REPLACE TWO WINDOWS AND REMOVE AND REINSTALL SIDMG-REPAIR ROTTEN FRAMING
APPLICANT PERMIT FEE SCHEDULE 123.87
STEVEN CRAIG JANSMA STATE SURCHARGE(VALUATION) 2.50
TOTAL 126.37
14848 KRAL RD Payment(s)
MINNETONKA,MN 55391- CHECK 4685 12637
OWI�TER
PASSOW,MR.&MRS.
100 LUCE LINE RIDGE
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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws 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 t SO 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 responsibie 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.
�26' 2��6 � � � �� ���
A i t P itee Signature Date Issued B ignature Date
s� �
1��/ O rC>!l0►
Building Permit Application for Maintenance 1 Replacemenfi / Remodel — Residential ONLY
��.�� �v��c����. r:����, �id����, ��..m.���§ ����. m ���.� ��`���� r..�.��:,�i� ����i�����;
���` Mailing Address: Permit numbe . � ^ �
;/�-��T/� PO Box 66 /�
f �/ Crystal Bay; Pv1N 55323-0066 Date received: "/—�-
� � Received by: '
4 � �� � Streef Address:
y ;�1 2750 Kelfey Parkway Plan review fee;
`�l , ti� Orono, MN 55356
�"�fSti�� ` " 1 ����
_w,__ Total Fee:
Main: 952-249-46Q0 Fax: 952-249-4616 �vw�vv.ei.c�ronc�.mn.us
This application farm must be compie#ed in full and all required information must be submitted.
Incomplete applications will be returned. (Piease prrnt)
GENERAL INFORMATION:
Job Site Address: 100 Luce Line Ridge
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
!f yes,a specia!event pennrt is required wifh Polrce De/�artment and Crfy Councit approvat 60 d�ys prior fo the event. Shuttle bus seivics will be
requrred unless applica��t demor�strates sufficient on-site parking rs avarlable. Non-permifteci evenfs will not be alloared.
CONTRACTOR/APPLICANT INFOF2MAT10N:
Name: Steven Craig Jansma
Stat� License## BC 431870 Expiration Date: march 2018
Lead Certification Number: tvaT-��72ss-1 Expiration Date: octs,2a2�
(for work an homes thaf were constructed priar to 1978
Phane: (cell) (office)
Mailing Address: 14848 Kral Rd __ C�� � tonka Z�P__.__��45_.�_.__
Contact Person: Craig.lansma � Applicant is: antract r / Nomeowner (Circls One}
Email andlor Fax: � craigjCc�theiegacybuildin_qco.com
PRUPERTY OWNER INFORMATION: •
Name: Craig Passow
Phone (day}: 952-472-6275
Address: 100 Luce Line Ridge ��tY�rono Z��'�
Email and(or Fax: passow,�yahoo com
remove and reinstall siding after installing house wrap on front
PROJECT INFORMAT[ON; Overall project description: of house reoair rotten framinc� replace 2 windc�ws
______ _________......._.._.......______ _.___� _.
Type nf Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage N1CWD review&permits:
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(N1CWCli
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restaration ❑Water Damage Minnetonka, MtV 55345
❑ Re-roof, other(specify) Q�Siding ❑ Uther: (specify} Phone: 952-471-0590
Fax; 952-471-0682
[�Window(s} wwv�r.minnehahacreek.orc�
Estimated Construction Valuation of Project{excluding land) $ 5000.00
APPLICANT ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building I7epartment; ��
• Certifies that the information suppfied is true and correct to the besk of nislher knowledge. The a�plicani recognizes that they are
soleiy responsible for submitting a complete application being aware that upon failure to do sa, the staff�ias no altemative but to
reject it until it is complete;
• Some or all of the information thaf you are asked to provide on this applicatian is classified by State law as either private ar
confidential. Private data is infarmation which generally cannot be given to ihe public but can be given to the subject af the data.
Confidential data is inforrnatior� which generally cannot be given to either the pub[€c or the subject of the data. Qur purpose and
intended use of this ir�form�tion is to an��ually update our records and records of other governmental agencies required by law. If
au refuse tU sup�l the ir�fon�rakion, the applicakic�n may not k�e iss��aE:9,
ApplicanYs Signature: _ — Date: �-25-2016
Owner's Signature: %��- � <' Date: J���
Last Updeted:,lanuary 2016
� � \��/"�' TIME V
CITY OF ORONO cnLLED IN "' �
INSPECTION OTIC SCHEDULED — — �—O�
PERMIT N / �O COMPLETED� ` '
ADDRESS �
OWNER TELEPH '���
CONTRACTOR �
� DESCRIPTION — ���NJ
�y ❑ FOOTING ❑ DEMO-FINAL SEP II(/(L
Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNERlCONTAACTOR TO MEET Y�OU:_YES_NO
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Q��JqfORK SATISFACTORY:PF�CEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFlC/1TE OF OCxUPANCY
O ❑CORRECT WORK����R REINSPECTION TEMPORARY
V BEFORE COMERING PERMANENT
O(�RRECTUNSAFECONDITIONWRHIN HOURS. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTION REQl11RED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advance. (952) 249-4600
OMmerfContra on site:
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� D TIME
CfTY OF ORONO CALLED IN ��' �/
INSPECTION N TICE SCHEDULED /D- -/ �:—�
PERMfT NO. � COMP ETED
ADDRESS
01AtNER TELE � � � 3�/
CONTRACTOR
� DESCRIPTION �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINl3
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
��SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
r FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4�1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OIMNBtlCOffTRACfOR TO MEET YOU:_YES_MO '
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� ❑VMORKSATISFACTORY:PROCEED �FiOJECT COMPLETE
W O OORRECT VMORK 3 PROCEED O ISSUE CERTIFICATE OF OCa1PY1NCY
O ❑(�T y1pFiK,CALL F�i REINSPECTION TEMPORARY
V BEFORE COVERINO PERMANENT
❑()pRRECT UNSAFE CONDITION WITHIN H��• p p►{pT0 TAKEN
INSPECiOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECT�i ❑aTAT10N ISSUED
❑INSPEC710N REQUIRED.CI1LL TO ARRAN(iE ACCESS.
caN ror the next�spect�on 24 hours in advanoe. (952) 249-4600
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