HomeMy WebLinkAbout2012-00387 - siding `� � CITY OF ORONO
2750 KELLEY PARKWAY * 2 B 1 2 - 0 0 3 8 7 *
DATE ISSUED: 05/10/2012
ORONO,NIN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 4200 NORTH SHORE DR
PIN : 07-117-23-43-0016
LEGAL DESC : SAGA HILL REVISED
: LOT 008 BLOCK 014
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 37,031.00
NOTE: RESIDE WITH SEAMI,ESS STEEL,SOFFIT,FASCIA AND REPLACE EXISTING WINDOWS
APPLICANT pERMIT FEE SCHEDULE 552.75
TWIN CITY EXTERIORS INC. STATE SURCHARGE(VALUATIOl� 18.52
9060 ZACHARY
MAPLE GROVE,MN 55369- MISC FEE 0.00
(763)425-4737 MAII,-IN FEE 2.00
Minnesota State License#:2535 TOTAL 573.27
PAID WITH CC# 0515
OWNER
RYAN,DAN&MARY JO
4200 NORTH SHORE DR
MOiJND,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. 1'his 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 goveming this type of work
shall be compied with whether or not specified herein.l'his permit will
exp'ue 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 are
requested in conformance with the State Building Code.This permit may be
revo d at any time for due c use.
� •�i � � / 'oi- 5/ /O/ o�
Applicant Permitee Si ture Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�a��9 12 02: 12p TWIN CITY EXTERIORS CO 763 425 6457 p. 2
City of Qrono
6uilding Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
a,,�o� Mailing Address
PO Box 66 Permit number:
O Crygtai BeY� MA155323-0066 Date received:
� a Sfresf Address: Received by:
� 2750 Kelley P8rlcway
�`$ Orono, MN 55356 Plan review fee:
Main: 952-249-0660Q Fax: 952.24g.�g�g ww�,,G.orono.mn.us T�Fee:
This application form must be compieted in ful(end all requfr+ed information must be submitted.
Incomplete application�will be retumed, {P/ease print)
GENERAL INFORMATION:
Job 9ite Add�ess: � � S
Wtll thia be a Parade of Homea�Remodeler�s�howcase Home or oH��r Display Home? Yes Na
��,a��e��I p�m►�t is requinal wrrh Po/k�Qepe�ent and City Counti!apProval 60 days priorto M�e even� Shulde bus�rvice wrll be
iaqul�ed unless applicent demonsbates sul8cfent on s�9 Pedd�g!�evallab/e. Non
CONTRACTOR/APPLICA IIVFORMATION: �pe��d e������ot be a1loWeal.
Name: J
State License#
Lead Certificetion Number. �� �p���n Date: .,3
(for work on homes that were con�n,cted S� ExAiration Date:
Phone: � Arior to 1978
Mailing Address: p
5-4� 3 (office) (cell)
Contac�Person: � ���Y� ZIP: .��-
-�'��d"� ����+���� Appticant is / Homeowner
Email and/or Fax: �s�,�,;,J,��h �ci�c��o,re�
�-�C �'�,fess o/Y1
PROPERTY OWNER INFORMATION:
Name: I ^
Phvne(day): ��'�7_a_�,��
Address: �S/�f- �''�
Email and/or Fa�c � ��� ZIP:
PROJECT INFORMATION:
Ty�of Project
❑Door(s) ❑Remodel A�Y�rth movement may requlre
❑Fire Damage MC1AlD revl�w 8�parmlls:
❑Re-roof,asphalt ❑Repair Minnehaha Creek Watershed Distrid(MCWD)
❑Storm Damage 18202 Minnetonka Blvd
❑Re-fooF,cedar ❑Restaratfon
❑Water Damage �eephaven,MN 55391
❑Re-�oof,other(spectfy) Sidin Phone: 952-471-0580
9 ❑Other.(specify) Fax: 952-471-0B82
ndow(s) www.minnehahacreek orq
Ov�rall Proj�ct Desc�i ' n:
Estimated Constwctian Valuatlon of Project(excluding fand) $ ,3 D I,
Da
APPLICANT ACKNOWLEDGEMENT:
• A9�s ro provide all informaUon required or requested by the Building Deparhnent;
• Cer�fies that the infurmaticn supplied is true and c�rrect to tl�te best af hislher knowledge. The appGcant rc�ognizes that they
are salely rasponsible f�or submitting a c�mplete applica�on beirtg aware that upon failure to do sv, t�e staff has no altema6ve
but to rej�t it until lt(s�mplete;
• Some or ail of�e informatlon that you are asked to provide on this applfc�tion is classified by State law as either private or
confidentlal, P�tvate data fs infoRnadon which generally pnnot be given ta the public but can be glven to the subje�t of the
data. Confide�rtial data Is Informetion whfch generally cannot be given to ei�er the public or the subjec�of the data. Our
Iwrpose and 'mtended use of this i�ormation is to annuall u �
uired b law. if au refuse to su I the irt ormation tk�e e li��tion ma�not���BSU��ds of other govemmental agenaes
ApplicanYs Signature: ����� �_�__ �,�- n � �,..�
��� � ���� �
DATE TIME
CITY OF ORONO CALLED IN �I��O
INSPECTION NOTICE SCHEDULED 9-// ��
PERMIT NO. �'� �'"`'���7 COMPLETED
AD4�iESS �-�°` Nc�C�., �.�Lo•r.�. Gti.-
jv,�
OWNER � � TELEPHONEN0. ��-3 � �� �7�j
CONTRACTOR �'�� ��S ���'�-'''T�
.
�—
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �y�3P�ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED -�ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REOUtRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. '/' ,.
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