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Home My WebLink About2013-00665 - siding liiiiiiiiiiiiiiiiiiiiillillillillillillilliilligo CITY OF ORONO * 2013 - 0066S * 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2013 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 4075 OAK ST PIN 06-117-23-41-0096 LEGAL DESC MINNETONKA SUMMIT PARK LOT 000 BLOCK 008 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,500.00 APPLICANT PERMIT FEE SCHEDULE 118.00 HOFFMAN WEBER CONSTRUCTION STATE SURCHARGE(VALUATION) 2.25 3515 48TH AVE N BROOKLYN CENTER,MN 55429- TOTAL 120.25 (866)970-1133 PAID WITH CC# 3609 Minnesota State License#: BC443250 OWNER PETERSON, BRIAN&MARNIE 4075 OAK ST LONG LAKE, MN 55356- 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 requeste a conformance w' the State Building Code.This permit may be revo d at n time for du ause. pplic�Pertmitee e I Date Issued By Siture D to SEPARATE PERMITS REQUIRED FOR WORK OTHER TITAN DESCRIBED ABO / City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O • O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: Orono, MN 55356 �gKFSH°��. Total Fee: 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. (Please print) GENERAL INFRJob Site AddreOSMATION: '" 75 ©c;k Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ��lo If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 0 ekak 0 State License# 4430-5'40 Expiration Date: Lead Certification Number: N1kir _ aExpiration Date: �o 0 (for work on homes that were constructed prior to 1978 Phone: (cell) l a - 3-9/' �5v (office) Y&& `j70- /133 Mailing Address: '� City: ZIP: y Contact Person: ,yQ n•r Applicant is: ontractor Homeowner (Circle One) Email and/or Fax: 02&A4Vy C14 PROPERTY OWNER INFORMATI Name: /3r,Lu-n d- r)i Rt-��OY) Phone (day): Address: — s ypv�p City: re94 9 Email and/or Fax: /v ,A 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) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) iding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org 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 you refuse to supply the information,the application may not be issued. Applicant's Signature: Date: �3 Owner's Signature: Date: Last Updated:03/06/2013 a - ATE TIME v CITY OF ORONO CALLED IN J �3 INSPECTION NO I /�/� SCHEDULED PERMIT NO.< ' tl 6:)COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O EI FRAMING El MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ El DEMO FINAL ❑ SEPTIC INSTAL El HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA4 ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: CC _ / w Q. J O cc O W CC Q Z W W J d Uj ElWORK SATISFACTORY:PROCEED 01,P4ROJECT COMPLETE W ❑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 RETURN ;CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice