HomeMy WebLinkAbout2015-00662 - siding . � CITY OF ORONO
2750 KELLEY PARKWAY * DA�TE I SUED: OS/6/O15 *
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3845 NORTH SHORE DR
PIN : 17-117-23-22-0045
LEGAL DESC : SHERRI LAKEVIEW ESTATES
: LOT 001 BLOCK 001
PERMTT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 4,350.00 ,
NOTE: RESIDE GARAGE ONLY
APPLICANT PERMIT FEE SCHEDULE 123.91
STATE SURCHARGE(VALUATION) 2.17
MINNESOTA EXTERIORS INC. MAIL-IN FEE 2.00
8600 JEFFERSON HIGHWAY
OSSEO,MN 55369 TOTAL 128.08
(763)391-5508 Payment(s)
Minnesota State License#:BUIL-BC002877 CHECK 201736 128.08
OWNER
FRITZ,LOREN
3845 NORTH SHORE DR
MOUND,MN 55364
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. T'his pertnit is for only the work described and dces
not grant permission for additionai or related work which requires separate
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 I80 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
revoked at any time for due cause.
�!/li�Q,!�o� � .J /`"Y l/`--'
Applicant Permitee igna Date Iss By Signature Date
� M
Cl�y Of orOn�
�uilding Permit Application for Ii�aintenance / Renovation '
(windows, doors, siding, re-roof, etc.�
Mailing Address: Permit number:
��.,�,�'�� PO Box 66
Crystal Bay,MN 55323-0066 Date received:
� � ���, � Received by:
,� ,�.� �'� ,�,� Sfreet Address:
1��" >
�'�, �; ����'�"�,���� ti� 2750 Kelle Parkwa
�� � Y Y Plan review fee:
�R����' �^�g�G Orono,MN 55356
k�sKo
��-- Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 ww�v.ci.orono.rrtn.us
This app{ication form musk be completed in full and all required information must be submitted.
Incomplete applicafiions will be returned. (Please prinf)
GENERAL INFORMATION: �y��.,
Job Site Address: p��f ��O/2 �1`IG�C�
Wifl this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes,a spec%a!evenf permit is required wifh Police Deparfinent and City Counci!approva!60 days prior fo the event. Shuffle bus service wd!6e
required unless applicanf demonstrafes sufficient on-site parking is avaitable. Non-permitfed events wi!!not be allowed.
CONTRACTQR 1 APPLICANT INFpRMAT[O •
Name: �i/J/���SU�a� ,��e�/D�"s
State License# �J � 7� Expiration Date: ,3�j �
Lead Certification Number. �' _��3D -,� Expiration Date: ,S�p �Q
(for work on homes thaf vvere consfructed prior fo 1978
Phone: ����39'%,�j�v {ofFce) (cell)
Mailing Address: (Q pQ �' �j Ciky: ZIP: �
Contact Person: ����fj�-�• 5��� Applicant i . Can ractor Homeowner (Cirde One)
Email and/or Fax: ' fj��cS��-� � yy����.���
PROPERTY OWtJER 1NFORMATION:
Name. ,G p�-'�/7 �j�Z
Phone (day}: /� _� � � d,�
Address: .3�jr� D`� �CJC.�i C��'/�jf��� ZiP:�J��IQ �
Email and/or Fax
PROJECT fNFORMATION:
Type of Project: Any earth rnovement may require
❑ Door(s) ❑ Remodel ❑Fire Damage MCWQ review&permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,asphalt ❑ Repair ❑5torm Damage 182Q2 Minnetonka Blvd
❑ Re-roaf,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof,other(specify) �,Siding ❑Other:(specify} Fax: 952-47i-0682
❑Window(s) www.minnehahacreek.orq
Overal{ Project Descrip#ion: (�-
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 hislher knowledge. The applicant recognizes that fhey
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 a!I 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 ef other governmental egencies
re uired b law. If au refuse to supply the information,the application ma not be issued.
ApplicanYs Signature: ���.[�C� Dake: ��� ��
Last Updated: 08-09-2011
����
DATE TIME �/
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ���GOL6.Z COMPLETED a—a��
ADDRESS 3sy.s- /S� S�fi�e Q')r .
OWNER TELEPHONE NO.
CONTRACTOR m�` EX�e'"o's'
� DESCRIPTION 2�-S�aPc-
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADING/FILLING
�Q ❑ 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 �INAL ❑ WATER HOOK-UP ,,0'.�OLLOW-UP
41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINEMCO�fTMCTOR TO MEET Y�Wl:_YES_NO
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� ❑YMORK SATISFACTOFtV:PFIOCEED �PROJECT COMPLETE
W ❑(�ORRECT YMORK�PROCEED ❑ISSUE CERTIFIC/�TE OF OCCUPIINCY
0 ❑CORRECT YMORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECd�Nd PERMANENT
❑OORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TA710N ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caq Mrri�e next inspection 24 hours in sdvance. (952) 249-4600
Owr�IConfractor on site:
mspect«: � �^-• -7�--
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