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Home My WebLink About2013-01115 - siding CITY OF ORONO * Z 0 1 3 - 0 1 1 1 5 * ` 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2730 PHEASANT RD PIN : 21-117-23-23-0057 LEGAL DESC : PHEASANT LAWN/2 : LOT MB BLOCK MB PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 22,600.00 NOTE: SIDING AND WINDOW REPLACEMENT APPLICANT pERMIT FEE SCHEDULE 383.50 SCOOB LLC STATE SURCHARGE(VALUATION) 11.30 1804 JAMES CT BURNSVILLE,MN 55337- TOTAL 394.80 Minnesota State License#: BC637462 PAID WITH CASH 394.80 OWNER VOJTA,CHRISTOPHER L&DENEEN D 2730 PHEASANT RD. EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 sepazate permiu. All p�ovisions of laws and ordinances goveming 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 commenc wrt m s of the date of issuance,or if construction is suspende or a period of 1 S days at an time after work has commenced. e app t,i�responsible r assuri all required inspections are req ted in �otman rth the te Building Code.This permit may be revoked y t ue c use '' �2... / z01 / / A licant P i Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. City of Orono ��ilaing Permit Application for Maintenance / Replacement / Renovation �;� (No structural expansion. Only windows, doors, siding, re-roof, etc.) �"„ �O� Mailing Address: Permit number: ' `""�, O PO Box 66 ��' Crystal Bay, MN 55323-0066 Date received: '� ��j � � Street Address: Received by: � `' ; 2750 Kelley Parkway Plan review fee: ��. y�� ; qk�SHO�F,�' Orono, MN 55356 y, + 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 INFORMATION: � �� 27 3� � h.�� c�� ; �,: Job Site Address: �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No �� If es, a s ecia/event ermit is re uired with Police De artment and Ci Council a roval 60 da s nor to the event. Shuttle bus service will be #� ��k�� Y P P q P tY PP Y p � ; �.. required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. '�`. rr t �;.3 �x CONTRACTOR/APPLICANT INFORMATION: �`� C � Name: �,. - c:�tii L(.._ C__. ;� �� State License# C,� Ex iration Date: Z�i � � � ��7 �1E:� P� 3 -31 { � �` Lead Certification Number: Expiration Date: �{ �,,` (for work on homes that were constructed prior to 1978 `'_ � Phone: (cell) —7 (�,3 — —75 (office) � `�� Mailin Address: Cit " � ZIP: jS 3� g I `� (•� Y ua2ns�� c. � �" Contact Person: Applicant is: Contracto / Homeowner (Circle One) x� Email and/or Fax: � � '� � �` PROPERTY OWNER INFORMATI N: � F�' 1 " . f.� Name: � �; ri� �.` Phone (day): �kk' � Address: Z�'�� ,�� City: �a�:1v ZIP: 553�3 / �� Email and/or Fax. � :s� z�y� �;� PROJECT INFORMATION: Overall project description: �; �,� Type of Project: Any earth movement may also require ; ` ❑ Door(s) �emodel ❑ Fire Damage MCWD review&permits: �; �� &�y ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) y ��` 18202 Minnetonka Blvd �'� ,�,_'; ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 =� ❑ Re-roof, other(specify) �}.Siding ❑ Other: (specify) Phone: 952-471-0590 ` �„;' Fax: 952-471-0682 ��.; �Vindow(s) www.minnehahacreek.orq � : � �,�; Estimated Construction Valuation of Project(excl ding land) $ (� d t� � � �`; � APPLICANT ACKNOWLEDGEMENT: .:.� "�t„' • Agrees to provide all information required or requested by the Building Department; � � �h� • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are ' ��, �a; solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative but to r� .��;a;; 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 � �'M1 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 informa ion is ft��nuall update our records and records of other governmental agencies required by law. If a �� ou refuse to su I e in ation, the a lication ma not be issued. y� �, ��' ApplicanYs Signature: Date: _ ! L� '��Z ' Z c,�"� � �5; y3 �`�', Owner's Signature: Date: Last Updated: 03/06/2013 S� qJ TIME � CITY OF ORONO CALLED IN '`� � INSPECTION NOTICE SCHEDULED — � PERMIT NO.��n��D/�/S COMPLETED ADDRESS a ��O �� OWNER TELEPHONE NO. 763 �� 7s� CONTRACTOR �.1�r�c!,� �; DESCRIPTION ��"" ��" � � ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUM S L ❑ FOUNDATION/REMOVAL 2 OWNE ONTRACTORTOMEET YES NO c�., COMMENTS: d� � � . � a 1✓�n��azJ !'�/J cQ,�c.�n t.S' '_ �ra r.1� 5�Z,� oSa� � S�N!� — �'!4s�i�-�� — aK �. � ° -. $r rJ�.,,5- ��c.�a�c-'f5 - d,� Q ��4.3�i�-i., � U1L � � � liV6�IC Co wt.�,n�C�o — r�c r�� la� - - W � j / �� ❑WORK SATISFACTORY:PROCEED /�R9�EL,'f COMPLETE W O CORRECT WORK 8 PROCEED v�ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or ' spection 2a hours in advance. (952) 249-46�� Ow erlContractor on site: �''�� Inspector. White Copyllnspector's Ffle Canary CopylSite Notice