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Home My WebLink About2016-01135 - siding CITY OF ORONO * 2 0 1 6 — 0 1 1 3 5 * t • 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4380 NORTH SHORE DR PIN : 07-117-23-42-0040 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK O16 PERMIT TYPE : NIINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,882.00 APPLICANT PERNIIT FEE SCHEDULE 294.26 STATE SURCHARGE(VALUATION) 7.94 TJ EXTERIROS TOTAL 302.20 16150 DUTOIT RD Payment(s) CARVER,MN 55315- CREDIT CARD 7616 302.20 Minnesota State License#:BUIL-BC077969 OWNER SCHOENING,WII.,LIAM&BARB 4380 NORTH SHORE DR MOLJND,MN 55364 AGREEMENT AND SWORI�T STATEMENT 1'he 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 graat permission for addirional 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 construcrion 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 rec{uested in conformance with the State Buildiag Code.This permit may be T � revoked at any ' e for du cause. ♦ � �� ' i �i l p ant Pe itee Signature Date Issued By Signature Date City of Orono Buil�.�ng Permit Application for Maintenance / Replacement / Remodel — Residential ONLY ' (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: �� / � O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � a Street Address: Received by: � y G� 2750 Kelley Parkway Plan review fee: '� F t �, Orono, MN 55356 q kES H�� Total Fee: '� �•, , �G> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��C/� 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: �� ,y�_ �S'/"GUV� �l/ �• Job Site Address: �{�;/��l Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATI N: , Name: �/ State License# � 6 Expiration Date: --�pl Lead Certification Number: Expiration Date: (for work on homes thaf were constructed prior to 1978 Phone: (cell) / . 7 - g 2 (office) lol Z - 2�'Q ,,3Z6� Mailing Address: p , City: �,�� ZIP: ,S ,3/ Contact Person: �p jy? Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: T ee i�f� «lriC4J'7� Yt�� PROPERTY OWNER INFORMATION: f- � Name: �/�t- ,��-,b SGn('j8f�l/� Phone (day): Z - � Address: rj , �)^, City: �/�ylU 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.or 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 information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the ' formation,the a lication ma not be issued. ApplicanYs Signature: ��'�� Date: �` `/ ` Z�` �o Owner's Signature: Date: Last Updated:January 2016 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2��g'�� COMPLETED _i'� r ADDRESS y"38O �Dr'�Li ��N�C /�lli'P� OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION lL ❑ 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 i ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERlCONTIiACTOR TO MEET YOU:_YES_NO c�., COM NTS: a �eca�e��i� u�e � �o� � � 0 � � 0 � W � Q � 2 W � W � � J W ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORHECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContrac on site: Inspector. White Copyllnspector's Ffle Canary CopylSfte Notiee /V A / �� V D TE TIME ITY OF ORONO C LLED IN `� INSPECTION N T C SCHEDULED � - PERMIT NO. o LETED ADDRESS OWNER TEL'EPHONE NO. ��° ' 7 ,� CONTRACTOR � �.�S � DESCRIPTION � ty ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN RI ❑ EXCAV/GRADING/FILLING �j ❑ FOUNDATION WATERPROOF ❑ PLUMBIN FINA ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANI I ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOI�ITRACTOR TO MEET YOU:_YES_NO � COMMEN � ��D��(�� oG�u�cs � h0 6C f J � ' � 1 � . � �✓jCG✓.i+��o K� is�c Sc�lr� �O ' /�2�y� O� �..-"a✓lG 4�/.�G�j,i} � W � � Q � W � W � J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CaNERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �NSPECTION RE(�UIRED.C��. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site:, Inspector: � WhiM Copyllnapector's File Gnary CopylSits Notics