HomeMy WebLinkAbout2017-00677 - siding CITY OF ORONO * z a 1 _ a 0 6
2750 KELLEY PARKWAY DATE ISSUED: 06121/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2505 OLD BEACH RD
PIN : 21-117-23-22-0018
LEGAL DESC : THE MARSH AT LAFAYETTE
: LOT 005 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE SIDING
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 63,000.00
NOTE: RESIDING
APPLICANT PERMIT FEE SCHEDULE 818.36
STATE SURCHARGE(VALUATION) 31.50
LINDUS CONSTRUCTION INC TOTAL 849.86
879 HWY 63 Payment(s)
BALDWIN,WI 54002- CREDIT CARD 4371 849.86
(715)684-4647
Minnesota State License#:BUIL-BC007644
OWNER
SHERMAN,MR.&MRS.
2505 OLD BEACH RD
WAYZATA,MN 55391-
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
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By 9iinature Date
0612012017 13:58 I:AX) P.0011001
City of O ro n�
Bullding Permit Application for Maintenance / Replacement / Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�QA rO Mailing Address: Permit number: dZI
<V PO Box 66
Crystal Bay, MN 55323-0066 Date received —,7-1-17
Street Address: Received by:
ti 2750 Kelley Parkway Plan review fee
F
7 � Orono, MN 65356
Main: 952-248-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fea:
This application form must be completed In full and al! required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: Q
Job Site Address: 1a�5 d �� !� ✓�c. � `�l�
Will this be a Parade of Homes, Remodelers Showcase Home or other DlspI y Home? Yes 7No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bu rvrce will be
required unless applicant demonstrates sufficient onsite parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �/A a,
State License# .7 Expiration Date:
Lead Certification Number: �����cf" 2 Expiration Date: �1
(for work on homes that were constructed prior to 9978
Phone; (cell) -7 G (office)
Malling Address: City: e ;v� zip:
Contact Person: r•.` Applicant is; � / Homeowner (ciroh•0n•)
Email and/or Fax: r� �� �.r"v. 3[o �a
PROPERTY OWNER INFORMATIO
Name: iLl�-- b .pLLAL11 .
Phone(day): -• nnab
Address: ,<� , n1�1 CSS l City: ` zip:
Email and/or Fax:
PROJECT INFORMATION: Overall project description: L 5
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) Slding ❑ Phone: 952-471-0590
Other: (specify) Fax; 952-471-0682
❑Window(s) www.minnehahacreek.ora
Estimated Construction Valuation of Project(excluding land) $ chra
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,thea (i ation mly not be issued.
Applicant's Signature: Date: .1
Owner's Signature: Date:
Leet Updated;January 2016
DATE TIME
OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED77T- o
PERMIT NO. 020-I -00le ' COMPLETED
ADDRESS �2
OWNERTE PHO E NO.4/2VP-4 9 0
CONTRACTOR L/
DESCRIPTION J
❑ 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
❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT
❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
r
[3 DEMO-SITE [3 SEPTIC INSTALL
a OWNERICONTRACTOR TO MEET YOU:_YES_NO
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4jt]WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C O CORRECT WORK.CALL FOR REINSPECTION TEMPORARY
V BEFORECCVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
O CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS-
ca tor tnI'next Inspection 24 hours in advance. (952) 249-4600
OwnerlContraator on site:
Inspector:
white Copynnepsetoft File Carm Cop mft Nodes