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Home My WebLink About2015-00593 - addn/remodel/repair ' � CITY OF ORONO * 2 0 1 5 — 0 0 5 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 05/14/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2110 SUGARWOOD DR PIN : 34-118-23-21-0025 LEGAL DESC : SUGAR WOODS : LOT 006 BLOCK 004 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 15,418.00 NOTE: REMOVE OLD DECKING AND INSTALL NEW APPLICANT PERMIT FEE SCHEDULE 294.30 STATE SURCHARGE(VALUATION) 7.71 JOHN HOLM CONSTRUCTION TOTAL 302.01 P.O.BOX 2182 Payment(s) MAPLE GROVE,MN 55311 CHECK 6476 302.01 (612)799-3390 Minnesota State License#:BUIL-9283 OWNER MILEUSNIC,GEORGE&MARILYN 2110 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 Ciry approvals,and the State Building Code. This pertnit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions 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 commenced within I80 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for d cause. �- 14-� � ,� , � A lic ermitee Si a e Date ssued Signature Date - - City of Orono 1��fo Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: � — O PO Box 66 Permit number: � Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: ��, � 2750 Kelley Parkway Plan review fee: �' Orono, MN 55356 t�'�@S H�� Total Fee: � ��O�, � 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: 2� �� J�(iJG�1('�. �fl.'�7A �l(/F� ��T �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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 s rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �p�� tN.�✓1 CO�1�fRLt.G'[�btJ �(�1G . State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) b�Z r '?�a� -?��j�D (office) Mailing Address: �b. f30X 21 Q� MA��l.� 6l�oV� City: ZIP:`�'�� Contact Person: _i�� Applicant is: Contractor / Homeowner (CircleOne) Email and/or Fax: JpN-n/�j�,m�/ltSTi2hGT/DN �lYlA'�L . l,OM PROPERTY OWNER INFORMATION: � ►vame: 4�oR:cst� E MA2lC•`rnl /►'1lG�GiSN�C- Phone (day): GSZ_ ,�S-j ",,� 8�?� Address: 2�� 5�� W�.j� ��v�c City:�jN� �� ZIP: Email and/or Fax: —� � PROJECT INFORMATION: Overall project description: C�,L� � n/ N /V�W. Type of Project: Any earth moveme t may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8 permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt �Repair ❑ Storm Damage 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) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ —�'� 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 thi ' ation is to annu Ily update our records and records of other governmental agencies required by law. If ou refuse to su I th in mation,the 'c ' n ma not be issued. Applicant's Signature� Date: ' �T ' �� Owner's Signature: Date: Last Updated:January 2015 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE 5�� SCHEDULED PERMIT NO. ��5/5 'Gd'�COMPLETED �� ADDRESS a�<b v��s�Lt/a��t b r'� OWNER TELEPHONE NO. CONTRACTOR j, DESCRIPTION ��'P��Ge �e�/� 6oa r�j- ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP �OLLOW-UP _ �AS BUILT-SURVEY ❑ SEWER HOOK-UP �� FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOKTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: ��•� /�a`�e ✓ ��r•/P�0 � � C� Gl �o� t �nfc l i�s��o•-� � 0 � Of Co��0 l,e�e - 0 � W � Q � ' � nB✓rM.-�'i -F--��14� W � � W � J � ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECOND�TIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OMrner►Contractor on site: Inspector. White Copyllnspector's Flle Canary CopylSite Notice