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Home My WebLink About2016-00384 - siding CITY OF ORONO * Z 0 1 6 - 0 0 3 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2016 ,,,.. ORONO,MN 55356- • � (952)249-4600 FAX: (952)249-4616 ADDRESS : 2060 NORTH SHORE DR PIN : 10-117-23-31-0003 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 9,000.00 NOTE: RESIDE HOUSE&GARAGE APPLICANT PERMIT FEE SCHEDULE 185.83 STATE SURCHARGE(VALUATION) 4.50 SELA ROOFING&REMODELING,INC. TOTAL 190.33 4100 EXCESIOR BLVD Payment(s) ST.LOUIS PARK,MN 55416- CHECK 36734 19033 (952)915-7227 Minnesota State License#:BUIL-BC1050 OWNER GODFREY,LYLE&NORMA 2060 NORTH SHORE DR 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 dces not grant permission for additional or related work which requires separate 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 requ'ved inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �a ^1 �,l//r/JG �� .�.Q--F-S V � i � �i lh plicant ermitee ignature ate Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY •t- (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) '� �O� MailiP Boxr66. Permit number: ' d� '� 3 • 0 Crystal Bay, MN 55323-0066 Da te receive d: �� 'i�0 Street Address: Received by: y �� 2750 Kelley Parkway Plan review fee: � `� � Orono, MN 55356 �qkESH�� Total Fee: ��o ,�j3 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: � O S �� -\ �� Job Site Address: Y Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permit is required wifh Police Department and City Council approva160 days prior to the event. Shuftle bus se i will be required unless applicant demonstrates su�cient on-sife parking is available. Non permitted evenfs will not be allowed. CONTRACTOR/APPLICANT INFO ATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were cons ructe prior fo 1978 � Phone: (cell) (office) � Mailing Address: Cit : N, s ZIP: Contact Person: Applicant is: tracto / Homeowner (Clrcle One) Email and/or Fax: :� PROPERTY OWNER INFORMATION: Name: Phone(day): ' - . � � Address: �lp () ��Q � �l (� �-�i �� City: ��[-�l () ZIP: �j �j C1 � Email and/or Fax: PROJECT INFORMATION: Overall project description: �., Type of Project: Any earth movement ay also require ❑ Door(s) MCWD review 8 permits: ❑ Remodel ❑ Fire Damage ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar r�❑ 'estoration ❑Water Damage Minnetonka,MN 55345 ❑ Re-roof,other(specify) �Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.or4 Estimated Construction Valuation of Project(excluding land) $ 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 i is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su the nform i ,the lication ma not be issued. Applicant's Signature: Date: �� l�' Owner's Signature: Date: Last Updated:January 2016 � / � ;% � „� � �— DATE TIME� CITY OF ORONO ; CALLED IN --�� INSPECTION NOTI E SCHEDULED � PERMIT NO. � COMPLETED ADDRESS ' C\ � ' OWNER TELEPHONE NO. `J�`� �� 7�;� �� CONTRACTOR � DESCRIPTION � i�l " / � tl� ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:�YES_NO c�., COMMENTS: � . . � Ictc.�.rcS rp ro�r�� -��r �v�Scc�� o _ � _ S�ce� �S��P•.�s -� �/- ��<4. -� S�-F��S � 0 W � - �o r K �-d ,�,�,o/�t e - Q - - � Z W � W � J d ` � W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE �� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notiee