HomeMy WebLinkAbout2017-00410 - siding CITY OF ORONO li 111111111 II III II II IIII III U
* 2017 - 004 10 *
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 625 OLD LONG LAKE RD
PIN : 36-118-23-32-0003
LEGAL DESC : UNPLATTED 36 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 35,000.00
NOTE: REPLACE SIDING,SOFFIT,FASCIA AND SELECT WINDOWS AND DOORS
APPLICANT PERMIT FEE SCHEDULE 546.57
ALLSTAR CONST&MAINTENA E,LLC STATE SURCHARGE(VALUATION) 17.50
O ILAIL-IN FEE 2.00
5145 INDUSTRIAL ST
SUITE 103 TOTAL 566.07
MAPLE PLAIN,MN 55359- Payment(s)
(763)479-8700 0c`1l.9to/47-5 CREDIT CARD 9070 566.07
Minnesota State License#: BUIL- C690350 6,Lrree-1-6-b
OWNER
LONG, BILL&MARTHA
625 OLD LONG LAKE 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.
fr*i a-c, to is ,a5, /7
Applicant Permitee Signature Date Iss -•0.ignature Date
From: 04/25/2017 10:27 #245 P.002/002
4 .. w
City of Orono
Building Permit Application for Maintenance/Replacement/Remodel—Residential ONLY
(i.e.windows, doors, siding, re-roof, etc.— NO STRUCTURAL EXPANSION)
OMailing Address: Permit number:C:20)7 -1)-0 /o
No PO Box 66
Crystal Bay,MN 55323-0066 Date received: (ii-A v--17
Street Address: Received by: -—
2750 Kelley Parkway lliF
��. G:y Y Pian review e:
Orono,MN 55356
lkES H00
Total Fee: Ssio 0. 07
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 INFORMATION: / � f
Job Site Address: LO 2-5 cold Z-0 6_:4\ 1.-CJ<4- -go aJ
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes Filo
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-peen tted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: //a�� •
•
Name: A l'Sir vi siy-Lv 0 P\CO 1M. '\eA ot, [
State License# C...-14 Expiration Date: 03 11$
Lead Certification Number: AT- 15 24 L--1 Expiration Date: b s1 1 2O
(for work on homes that were constructed prior to 1978 ! l
Phone: (cell) (p f 2.--Q(0G- ; 2,6 Z (office) -7 4,.. - 11-7q-2-7 0 0
Mailing Address: 51 �y � a4 S� # I 0 City: e p(a ih ZIP: 55ci'
Contact Person: T:,r, " L0.Aer o Applicant is. ntra o / Homeowner (circle One)
Email and/or Fax: bt,.0-eke-A Q t L ++clat•e--tb,,vN
PROPERTY OWNER INFORMATION:y..� j('e _L )
Name: ,y`1 "�L11 �� l TirV 7 L-O!��
Phone(day):
Address: ,y„v� pis Odo crJ;, City: ZIP:
Email and/or Fax:
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PROJECT INFORMATION: Overall project description: Qgltn t� 1 p�tV�,O‘.544 SCAq ,s t
Type of Project: (( Anyjiarth movelnent may also require w
JDoor(s) 0 Remodel 0 Fire Damage MCWD review&fes' eww6
ElRe-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) ,
15320 Minnetonka Blvd
0 Re-roof,cedar
0 Restoration 0 Water Damage Minnetonka,MN 55345
Re-roof,other(specify) (specify)
Phone: 952-471-0590
❑ Siding 0 Other.(s Fax: 952-471-0682
$f Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ SS) Ono. OD
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 informati.. is to annually .•ate our records .. records of other governmental agencies required by law. If
you refuse to supply the inf• ati•. '*i'.,. ..- ,-. bed.
Applicant's Signature '
lt. - � Date: 4/Z...C____Ii7
/
Owner's Signature: Date:
Last Updated:January 2016
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V/l DATE TIME
CITY OF ORONO Li CALLED IN /�
INSPECTION NOTICE GNU SCHEDULED Q'« —17 /0:- 0
PERMIT NO. COMPLETED f=/S�"/�
ADDRESS (oVGji 61/1 Lc �- 4c(
OWNER D� TELEPHONE NO./051 -ZqS-
CONTRACTOR o �/�.�-
DESCRIPTION �IC �� ' ''Ilei. Ai I �S�`�-' by)
W ❑ FOOTING 11EMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
42 ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
C
2 ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑
I... INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
_ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
• COMMENT&
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N. ,/C5 aP /71aL5L. (.x"44--p p1C
cc 5;01r-6 �.- .0.0 -71-- C la I,/<£07 6c, __
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W
CC
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2
W
CC
CILai 0 WORK SATISFACTORY.PROCEED ' OJECT COMPLETE
CC
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the . - Ion 24 • . dvance. (952) 249-4600
Owner/Contra• • on 'e:
Inspector.
White Copyllnspector's File Canary CopylSke Notice