HomeMy WebLinkAbout2015-00728 - siding CITY OF ORONO * z 0 1 5 - 0 0 7 z 8 *
2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3290 NAVARRE LA
PIN : 17-117-23-44-0110
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 12,000.00
NOTE: SIDING
APPLICANT PERMIT FEE SCHEDULE 232.34
STATE SURCHARGE(VALUATION) 6.00
SCHAUMBURG, STEVE JOHNSON&BONNIE TOTAL 238.34
3290 NAVARRE LA
WAYZATA, MN 55391- Payment(s)
CHECK 8143 238.34
OWNER
SCHAUMBURG, STEVE JOHNSON& BONNIE
3290 NAVARRE LA
WAYZATA, MN 55391-
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 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoke at y time for ue cause:-
-_�/. _ �
' � - gi �� � . � � / /
Applicant Perm e Sig Date Is Signature Date
� _
C�/ ��
,
, City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �
�OA TO Mailing Address: Permit number:
1 y PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
y � 2750 Kelley Parkway Plan review fe �
F �,
t �, Orono, MN 55356
�kfSH�� ` /� U� ��l
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. (P/ease print)
GENERAL INFORMATION:
Job Site Address: ,��� ��f �('��2� �v�'
Will this be a Parade of Homes, emodelers Showcase Home or other Display Home? ❑ Yes ,�No
/f yes, a special event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) ��� _ � 7� -- �� �� (office) � �2 - S7Q 3/S 3
Mailing Address: 2 �,v City: ZIP:
Contact Person: s' �—" Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: s P P c -F�r c 13 ��i�a . rorr�
PROPERTY OWNER INFORMATION:
Name: Sf'e�� P � � o/�iJSdi(1
Phone (day): -
Address: �¢ City: ZIP:
Email and/or Fax: �
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) �Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $�, c`Y.Y>
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 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 required by law. If
ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature: Date:
Owner's Signature: , _._.�,_�ate: � � � ' ���
Last Updated:January 2015
��
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE�r�y� SCHEDULED � '`��
PERMIT NO.�d�5 / COMPLETED
ADDRESS �a'�� �'�a-�`Y� �
OWNER TELEPHONE NO. �)2-� ���'
CONTRACTOR ��'`L-Q_� � 4��
� DESCRIPTION ��� L�"� � S�"'�-
LL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
W
a o'Z r G�GcPc ✓ —
J � 1'v` ���G� �4 f"i�.- �l` � raq 6 a-r cf¢���� �--
O _
" w�e p ���e�S ,p�o vtt��'1 ��a/�. tiS —
a .
° -�� �•s�C, /h St4l(,..�s- r,���c C.���C o�. o��
� �ol�.,�,,��
Q
�
z _
� C�f �t�. -c � � �4- CC>h,-F��c.G
w
�
j
d
W� ❑ RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ECT YVORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
a11 for the nex s ion 24 hours in advance. (g52) 249-46�0
Owner .
Inspect . '""
White CopyAnspector's File Canary CopylSite Notice
�- � �-- ✓
DATE TIME
CITY OF ORONO CALLED IN ///2��S
INSPECTION NOT�Eo 07�� SCHEDULED l�—�3�S !: !7
PERMR NO.��� C MPLETED
ADDRESS ��.�"1� G�I/�
OWNER S�U'�-����ITELEPHONE NO��a-a.�0-1 �9y
CONTRACTOR
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RAD SLAB ❑ MECHANICAL RI ❑ SITE INSPECT�ON
Q ❑ F MING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 ONfNERfCOMRACTOR TO MEET Y�OU:_YES_NO
v�i COMMENTS:
�
a
�
0
�
o �;
W
Q *
�
�
W
aC •
,
d
W ❑VYORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Ca�l for the next inspection 24 hours in advance. 249-4600
OwnerlCorrtraotor on site: �"
Inspector:
WhiM CopyAnapector's Fils Canary CopylSke Notke