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Home My WebLink About2015-01535 - addn/remodel/repair �^ CITY OF ORONO * 2 0 1 5 - 0 1 5 3 5 * ' 2750 KELLEY PARKWAY DATE ISSUED: 12/08/2015 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2107 SUGARWOOD DR PIN : 34-118-23-21-0016 LEGAL DESC : SUGAR WOODS : LOT 002 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 800.00 NOTE: INSULATION SPRAY FOAM IN SHOWER. OTHER SIDE OF WALL IS A F[REPLACE. APPLICANT PERMIT FEE SCHEDULE 36.48 STATE SURCHARGE(VALUATION) 0.40 CROWN CONSTRUCTION TOTAL 36.88 5249 GOLDEN VALLEY RD GOLDEN VALLEY, MN 55427- Payment(s) (612)868-1899 CREDIT CARD 9118 36.88 Minnesota State License#: BUIL-BC450383 OWNER MAHONEY, PATRICK&ANGELA 2107 SUGARWOOD DR 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 sepazate permi[s. 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 conf anc with the State Building Code.This permit may be revoked at any t� e for e cause. -1 �� — //,�� i.✓� � _C�S��, � �-�-�� ,�- �� 1 Ap licant ermit e Signature Date Issued By Signature Date City of Orono • Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) �T MailingAdd�ss: Permit number: � ��VO PO Box 66 ��S�_C�s� ` Crystal Bay, MN 55323-0066 Date received: / Z—� �/S Street Address: Received by: �c;-`-� � _ 6�, ,� 2750 Kelley Parkway Plan review fee: `� t,� �,�' Orono, MN 55356 '�ESH�� • 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: � Job Site Address: ��p'� 5c�c�a�f (,(',:��,� 17�t� Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? Yes -�.No If yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates su�cient on-site parking is available. Non permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: / ` ��.�u�i.� C��'J.7_S L�o� State License# �� y S�3 �� Expiration Date: �� Lead Certification Num er: ,U�T- SY:2 0� - I Expiration Date: (for work on homes that were constructed prior t 1978 Phone: (cell) ��2,-�p y - s�'�� (office) �� Z- _ MailingAddress: Calde a e City: C��,,( �,,t QI� ZIP: S�Sy�Z,., Contact Person: l e��t e Applicant is: Co ct / Home wner (Circle One) Email and/or Fax: � yy� ��-k �; C,row.� v►^✓� , G� v�,� PROPERTY OWNER INFORMATION: Name: ,4 e 1 c=� l�K�uv�p� Phone (day): �1 - ��_�o?p Address: �Zjv� S� 4� � r;� City: p,��v,Z� ZIP: Email and/or Fax: �o,,,.Q � c e��c.�, S . c� PROJECT INFORMATION: Overall pro'ect description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehah�Creek Watershed District(MCWD) �`/� 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage �\ ' ��`� Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ��Other. (specify) �� Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) � � - ti�� S � �c.� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �U — 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 ou refuse to su I the infor tio ,t e a lication ma not be issued. ApplicanYs Signature: Date: ��- c`� �--�� 3— Owner's Signature: Date: Last Updated:January 2015 /�\ �"' � C✓ 4 / C,� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NO ICE CHEDULED PERMIT NO. � ��OMPLETED ADDRESS � I C� �7 �U.G1�C-�-�'ZA�'L�(ki L� OWNER TELEPHON O. ZD�� D��bb CONTRACTOR L—��V� �-�� DESCRIPTION �� –�� C�--�� o�lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ R ON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ F NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ TIC INSTALL � OWNERICONTRACTOR T_ O�YOU: YES_NO c�.� COMMENTS: � W C � � O � � O � W � Q � 2 W � W � j W RKSATISFACTORY:PROCEED �PROJECT COMPLEfE � RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 2 -46�� OwnerlContractor on site: inspector. White Copyilnspector's File Canary CopylSite Notice � g ✓ �� i\'— ' �qTE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� _ /��D PERMIT NO.?�.�'OlS� COMPLETED ADDRESS Z 1 O � ►'� OWNER TELEPHONE 0. ��1 Z-g��p CONTRACTOR � frl`7 � ► i C C�M�- - � DESCRIPTION �! �'1 a � �Q`�Gl6��l`�YVL 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �'' Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING7�ILL��u O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL � Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION �� Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q��FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE S TIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU: YES_NO v�, COMMENTS: a L ��- �.�� — hD � l��-�✓��.� r�.�� G�G vl� ` 0 � � �� VlXx�- G.>�c �( � s�/� �a e..�a� �t- W Q ✓1-e!� tr�.e "' � 2 � ,�f l'�- CD �"'�'i0��7T2 j /70✓ fr�+'G �✓G./�e�� ❑WORK SATISFACTORY:PROCEED L�EbPR9�JfrCT COMPLEfE W ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. orthe nex pection 24 ours in advance. (952� 249-4600 O rIC ctor on sit • �� Inspector. / �"` �/ White Copyllnspector's File Canary CopylSite Notice