HomeMy WebLinkAbout2012-00190 - siding MUHMMIRM
CITY OF ORONO * 2012 - 00190 *
• 2750 KELLEY PARKWAY DATE ISSUED: 03/13/2012
t ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 4705 NORTH SHORE DR
PIN 07-117-23-32-0058
LEGAL DESC TRISTANA COVE
LOT 001 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE SIDING
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 16,600.00
NOTE: REMOVE EXISTING SIDING&RESIDE
APPLICANT PERMIT FEE SCHEDULE 295.00
CRAFTSMAN'S CHOICE,INC. STATE SURCHARGE(VALUATION) 8.30
26219 FREMONT DRIVE#105
ZIMMERMAN,MN 55398- MAIL-IN FEE 2.00
(763)633-1390 TOTAL 305.30
Minnesota State License#:20384780 PAID WITH CC# 3783
OWNER
RASCHER,ANDREW&NANCY
4705 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. 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
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 required inspections are
requested in conformance with the State Building Code.This permit may be AW
revoked at any time for due cause. C
Applicant Permitee Signature Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address:
0 130 Box 66 Permit number.
Crystal Bay, MN 58323-0M Dale received: v ��
SbreetAddress. Received by;
�+ 2750 Kelley Padiway Plan review flee: �-'-
1�� Orono,MN 55356
Main; 952-248 600 Fax 952 249.4618 www,ci.orvno.mn.us Total Fee:
This application form must be completed in full and all required information must be subt iltied.
GENERAL INFORMgT10incomplete applications will be returned. (Please print)
�1;
Job.Slte Address: �}
WHI this be a Parade of Homes.Remodelers Showcase Home or other Display mom—e? Y No
11YOV,a soeda/eventpemtlt requfied with Pmrce Department and Cay councb approval 6o days pftrto the evanL S&A buy aendoe wff be
Mu/red unless applkarn demonsbares sufWern orr-&%--parer M is evalabla NwPpbnntlted events wRl Trot be dowed.
CONTRACTOR/APPLICANT INFORMA N:
Name: e
ftm
State License* Expiration Date:
Lead Certification Number. �q _ Expiration Dste:
(for work on homes Matwere consHacted prlorto 1978
Phone; RSI 0- (office)
•
Mailing Address: (con)
C = $
Contact Penson: IP: �Applicant is: Co / Ho er (cirdsoee)
Email and/or Fax _hu
y
PROPERTY OWNER INFORMATION;
Name: PKqk
Phone(day): -
Address:
_ Email and/or Fax City P. �5
.PROJECTINFO
mov
Door(s)
` W .` Arty earth ement ay requ n _
s) ❑Remodel ❑Fire Damage MIND review& ermits:
❑Re-roof,asphalt ❑ itMinnehaha Creak Wateish DlWct(MCwD)
❑Re-roof,cedar ❑'tD""image 18202 Minneton Blvd
❑Restoration ❑Water Damage Deephaven,MN 5391
❑Re-roof,other(specKj►fSiding ❑Other.(spediy) PFmc 952-4.471- 590
❑Window(s) WM.mlnnehahhac nr
Overall Pro ect Description:
Estimated Constructlon Valuation of Project(exclu mg land $
APPLICANT ACKNOWLEDGEMENT:
• AMN to provide all information required or requested by the Building Department;
• Certifies that the imbrrndon supplled is true and correct to the best of his/her knowledge. The appocar t recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so; the ff has no altemaiive
but to reject it unSl it is complete;
• Some or all of the infbrmation that you are asked to provide'on this application is dasslfied by Siete k A,as either private or
confidential. Private data is information which generally cannot be given to the public but can be gival D the subject of the
date. Confidential data is information which generally cannot be given to either the public or the sub e et of the detL Our
Pu PCW and aired b law. Ifid re ofd is info tae on Is to 0 the agcatloUpdate our records and records of other g emmer>tal agendas
may not be issued.
Applicant's Signature:
Date:
Last Updated; 0&09-2011
llr�
D4�ATE TIME
CITY OF ORONO CALLED IN �`-
INSPECTIONOTIC > SCHEDULED
PERMIT NO. 5 -1910` fl�)COMP ED
ADDRESS
OWNER TELEPH NO.
CONTRACTOR C9 Ge
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA j1N:ZILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAK SHORANDS❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE V
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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4j ❑WORK SATISFACTORY:PROCEED 4MR�OJECTCOMPLETE
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W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours In advance. (952) 249-4600
Owner/Contractor on side: OP
Inspector.
White Copy/lnspectoes File Canary Copy/Site Notice