HomeMy WebLinkAbout2017-00808 - siding r \`
CITY OF ORONO * 2 0 1 7 - 0 0 8 0 8 *
2750 KELLEY PARKWAY DATE ISSUED: 07/13/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1415 PARK DR
PIN : 07-117-23-42-0042
LEGAL DESC : SAGA HILL REVISED
: LOT MB BLOCK 15
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SIDING
ACTNITY : 102-SINGLE FAMILY HOUSES,ATTACHED
VALUATION : $ 20,000.00
NOTE: SIDING HOUSE
APPLICANT PERMIT FEE SCHEDULE 356.22
CONTAC CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00
8502 SARATOGA LANE TOTAL 366.22
EDEN PRAIRIE,MN 55347- Payment(s)
(952) 101-9554 CREDIT CARD 7287 366.22
Minnesota State License#:BUIL-BC689871
OWNER
BRANTER,BRIAN
1415 PARK DRIVE
MOLJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perforrr►ed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shail be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized 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 aRer work has commenced.
The applicant is responsible for assuring all required inspections are
request m onformance with the State Building Code.This permit may be
revok at y time for due cause.
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p ic t Permitee Signature Date Issued y Signature Date
�it� of �ron�
�`�ilcl6ng Perrnit QappBic�ti�n for f��intenance / Repfacement / Remoclel — Residential O�lLI(
f�.�e e�s�r�����s c�o���s �s����; �~������, ���� g t�� �������Re�:E� E���,!��E��?
�� � ` Mailing Address: Permit number. Q f�'
1��� PO Box 66
Crystal Bay, MN 55323-0066 Date received: 13 �
Street Address: Received by: �,Q�.
ti�, G� 2750 Kelley Parkway Plan review fee: �
t Orono, MN 55356
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Total Fee: �
Main: 952-249-4600 Fax: 952-249-4616 v�-�-v,���.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 INFORM�eT10N:
Job Site Address: �y/,� ,9�jZ/rc O,ZivE �i2c,�-.�J� ,�i✓
Will this be a Parade of FBorr�es, Remodelers Showcase ome or other Disp�ay Flome? ❑Yes � No
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.
COI�TRACTOR/APPLiCANT INFORIIAATION:
Name: G'p_.�.7/}G C(��,.,5 TiZvLT/�O^� C.1�
State License# �C ���j�/8 7/ Expiration Date: D 3 - 3/-/8
Lead Certification Number: �,gr�"- lSy�6 I- l Expiration Date: �,-.�Z._zU
(for work on homes tiraf were constructed prior to 1978
Phone: (cell) qSL -Z�/- 9SS�l/ (office)
Mailing Address: �SDZ 5�,��rv<� L� City: j=�x_, ��,;Z,z-ZIP: �S-3 y)
Contact Person: L uc�S �"�,c'v/�G��v Applicant is: on rac o / Homeowner (Circle One)
Email and/or Fax: �o�..,—/��G�.,Sri2��r/cr� ,F.� /foi�.9,'L �v--�
PROPERTY OWNER INFORtdIAT10N:
Name: j3i2i`/�..� �,t'.�.vT�.,C�Z
Phone (day): ��Z _ �'c�.�_����
Address: /y/S j��,�/; �,Z.i..�C City: O,�'p,.�U ZIP:
Email and/or Fax:
PROJECT INFORIVii�TIO1V: 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)
❑ Re-roof,cedar 15320 Minnetonka Blvd
❑ Restoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) I� Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek ora
Estimated Construction Valuation of Project(excluding land) $ ZO,oo�. o�
APPLICANT ACKNOWLEDGEIVIENT�
• 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 hich generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this informatio is to annuatly update our records and records of other governmental agencies required by law. If
ou refuse to su I the in ation, the a lication ma not be issued.
ApplicanYs Signature: -- Date: b l�3`��
Owner's Signature: Date:
Last Updated:January 2016
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DATE T1ME
CITY OF ORONO CALLED IN �b- �
MI$PECTION N E SCH LED lD'�7�7 �D�
PERMIT NO. �� �g0 coM ED
ADDRESS � l-S
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� DESCRIPTION s `�`�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN(iIFILLIN(i
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
��FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIFtEMOVAL
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
'�(�ORRECT YMORK 8 PROCEED �ISSUE CERTIFlCATE OF OCCUR►NCY
0 ❑CORRECTVYORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERINO PERMANENT
D CORRECTUNSAFECONW'TIONWITHIN Ha1RS• O PHOTOTAKEN
INSPECTOR YVILL RETl1RN
❑$TOp ORDER POSTED.CALL INSPECTOR ❑�TATION ISSUED
O INSPEC710N REOUIFiED.CALL TO ARRAN(iE ACCESS.
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