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Home My WebLink About2010-00951 - siding CITY OF ORONO PERMiT No.: 2010-oo95i 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/OS/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1280 NORTH ARM DR PIN : 07-117-23-41-0009 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : IZESIDENTIAL CONSTRUCT[ON TYPE : SID[NG ACTIV[TY : O/S BUILDING -UNDEF[NED VALUATION : $ 10,465.00 NOTE: REMOVE AND REPLACE SIDING FOR HOUSG AND A"I'7�ACHED GARAGG APPLICANT PERMIT FEE SCHEDULE 206.50 SELA ROOFING& REMODELING, INC. STATE SURCHARGE(VALUATION) 5.23 4100 EXCESIOR BLVD ST. LOUIS PARK, MN 55416- TOTAL 21 1.73 (952)915-7227 Minnesota State License#: 0001050 OWNER PANCHYSITYN, T[MOTHY&JEAN 1280 NORTH ARM DR MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 shal!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 thc date of issuance,or if construction is suspended for a period of]80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in wnformance with the Sta[e Building Code.This permit may be revoked at any time for due cause. ��'_ �!�! � � /�� p"p� � e� " e ignature Date , j Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �� -�d C! �� PO Box 66 � ^. 'Q� Crystal Bay, MN 55323-0066 Date received: �v �/C� ,� �`��"��-�;�, s,l� StreetAddress: Received by: '�',F, '� °"�� ti 2750 Kelley Parkway Plan review fee: ��kESHOg� Orono, MN 55356 Total Fee: �l�, 7� 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: 1 Job Site Address: � �� _; �\�'J� �-�� 'u�� v ��-� C� U' � Wilt this be a Parade of�omes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If 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. CONTRACTOR/APPLICANT INFORMATION: � Name: ��__1 �_� ��-�,_��.�y°� t, State License# i v j�c.i Expiration Date: Phone: �� i�.— �;�;� �j - '�� fs� (office) (cell) Mailing Address �Gli.t; ��<<�� 1�(�� City:��{,�(r'•.� �s "(y�� ZIP:<,'y 1E=. Contact Person: Applicant is: Contractor / Homeowne� (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: "�' ..� �,, Name: .� c, v� 1��v,C_.1�� i ��.i; ✓� Phone (day): � t- - ,. �!_. �v�p � ( � Address: /:�.,�"�� /�'i�r�'�, I��'Gr� ��' City: r', ;�� C�� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 �Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: ,- ' I " } J - - V L r'v-i'... r:_ V t ,I .6. ` � i�C�' l,^ �`�,li�`�t l%� �L:t��'i.^x!f �-�.`1 L"��E, Estimated Construction Valuation of Project(excluding land) $ �'; , L�(:, � � �"J ��' 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. '� i / ApplicanYs Signature: �� / Date: ,�t% � � l � , / LastUpdated: 05-04-2009 � DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. O�b� '��Qlf COMPLEfED '3�'� ADDFiESS_lo� $0 �O�t� QrM d r. OWNER TELEPHOPIE NO. CONTRACTOR s�� '.c� �I ��a��.� A DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ; ¢ � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION I ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP � � ❑ DEMO-FtNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL I ,J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL ', � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: y10 �ca,-o�'.f' ,n�o��,,. �cr�eQ q *OLD PERMIT - NO FINAL INSPECTION REQUESTED. � J O � , _ o� f�f/i� vc.r�,/ �o� �.��n�� , o ; � ; e - - ��s lb�►.�l��c ' � � w � rr.+�3` 2,n.�/�P � � J d � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL iNSPECTOR �CITATION ISSUED ❑ INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS_ Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlCoMractor on site: Inspector. _ Q, � � White Copyllnspector's File Canary CopylSlte Notice � � DA �j J TIME V CITY OF ORONO CALLED IN `� �v INSPECTION NOTICE SCHEDULED � PERMIT NO. a0lD'�OD�° �COMPLETED ADDRESS �Z�1J ,/UD7'�i �YI'�'l Or OWNER TELEPHONE NO.gSz 4is 7Z�o CONTRACTOR �a- � DESCRIPTION S�� ❑ FOOTING ❑ PLUMBI FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 � J O � � O � W � Q � 2 W � W � � � W ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑COHRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. w �` � J �� White Copyllnspector's File Canary CopylSite Notice