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HomeMy WebLinkAbout2015-01387 - siding CITY OF ORONO * 2015 - 01387 * 2750 KELLEY PARKWAY DATE ISSUED: 10/29/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 330 TONKA AVE PIN 05-117-23-14-0062 LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 005 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,468.00 NOTE: REISDE FRONT AND SIDES ONLY APPLICANT PERMIT FEE SCHEDULE 92.93 CRAFTSMAN'S CHOICE,INC. STATE SURCHARGE(VALUATION) 1.23 TOTAL 94.16 26219 FREMONT DRIVE#105 Payment(s) ZIMMERMAN,MN 55398- CREDIT CARD 1685 94.16 (763)633-1390 Minnesota State License#:BUIL-20384780 OWNER GOHMAN,SUSAN 330 TONKA AVE 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 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. Applicant Permitee Signature Date Issued By&Jgnature Date 10/28/2015 8:54AM FAX 7638561391 CRAFTSMANS CHOICE INC 20002/0003 r i CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES 0�1 ADDITIONS Mailing Address: {Vp PO Box 66 Permit number: / – / j Crystal Say, MN 55323-0066 Date received, Street Address:' Received by: o 2750 Kelley Parkway Plan review fee: lA Orono, MN 55356 Kr5H04' 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 req iced information must be submitted. GENERAL INFORMATION; Incomplete applications will be returned. (Please print) Job Site Address: ­F tcL A-VC- Qf0(\D Will this be a Parade of Homes, Remodelers Showcase Home or 6 ther Display Home? ❑Yes YNo lfyes,a special event permit is required with Police Department and City Council approvail00 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su>'ficrent on-site parking is available. Non-permitted evanta will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: r A State License# Expiration Date: + Phone: cell office nCe3 aZ(0 -1ytos Mailing Address: irk-y _ fjU : M:C 1 ZIP: Contact Person: bGC Applican is: ontractor � Homeowner (Circle one) Email and/or Fax: cO I(.,L Corm -7 4P--7LA4 PROPERTY OWNER INFORMATION: Name: OV Yrr*,'1 Phone(day): _n -_L/qL? Address: rWp, v-(-^ city; rbty) ZIP: 5� Email and/or Fax n-.art ,'►-� ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Descri tion ofproject: 1.Type of Project 2.Proposed Use3.S ructure Type 4.Sewage Disposal& ❑New Construction SWater Supply ingle Family with f�esidence �]Addition attached garage ❑Garage/Accessory Bldg. E-1 Public Sewer' El Accesso ryBuilding ❑ Single Family with eck p elocation - detached garage ❑Office/Commercial H Other:(specify) (-'(�1d a°. �Y oc��cs,. Private Sewer © Multiple Family/Gondo ❑1lPrehouse 54tg br.1+-I Public ❑Storage El Public Water *"Any earth movement may also tequire ❑Commercial ❑Other(specify) MCWD review&permits. M Industrial I ❑Private Well Minnehaha Creek Watershed District(MCWD) ❑Other:(specify) 18202 Minnetonka Blvd Deephaven,MN 55391 —' Phone: 952-471-0590 Fax: 952471-0682 minnehahacrcak.o( Estimated Construction Valuation (excluding land) $ 10/28/2015 8:55AM FAX 7638561391 CRAFTSMANS CHOICE INC ia0003/0003 STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)-- Number of bedrooms= ❑Wood/Frame b.Width(ft.)= Number of garage stalls: ❑Masonry Areas in square feet Attached= Metal c. Basement= Detached= ❑ Pole Bldg. d, 1e Story = ICF ❑On-site Prefab e.2nd Story= ❑Off-site Prefab f. %Story = ❑Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your appliCatiQn to be processed: Not Enclosed Applicable 0 ❑ Permit Application 0 A Proposed Building Plans ❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ 0 Survey meetin all requirements) ❑ 0 Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculation(s) ❑ © Septic System Site Evaluation Report ❑ ❑ Access Permit 0 ❑ Wetland Buffer Improvement Plan O ❑ En ineered Plans for Retaining Walls 4 feet or above Q ❑ Minnehaha Creek Watershed District Pe it s 0 ❑ Plan Review Fee 0 ❑ Application Escrow&Agreement 0 ❑ Other. APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building iepartment; • Agrees to pay the City of Orono for engineering consultant review oste In excess of$600; • Certifies that the information supplied is true and correct to the best oflhislher 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: • Acknowledges the Escrow Agreement is completed and signed; Understands some or all of the information that you are asked to provi a 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 oyr records and records of other governmental agencies required by law. If you refuse to supply the information,the application ay not be issued. • Agrees that in the event that weather or other conditions preventzhe completion of an as-built survey at the time the Certificate of Occupancy is requested,a temporary Certificate of C ccupancy may be Issued upon receipt of a$10,000 escrow to ensure completion of tiie as-bul)t survey and all site improvements. Applicant's Signature: Date: I V'(2f Owner's Signature: Date: �^F V lr�� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED Z1+11 PERMIT NO. 2 p r- COMPLETED ADDRESS a OWNER TE M ENO Sg 2 CONTRACTORZF­f�VKTV') DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION QXF RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT .1INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP UK S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC I STALL 2 OWNERICONTRACTOR TO MEET YOU:_YES ANO COMMENTS: ) �— � � �r 0 0 W O: Q W ttu QC j W D WORK SATISFACTORY PROCEED OJECT COMPLETE d[ D CORRECT WORK 3 PROCEED D ISSUE CERTIFICATE OF OCCUPANCY W Q D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 00 BEFORE COVERING PERMANENT D CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN D STOP ORDER POSTED.CALL INSPECTOR D CITATION ISSUED D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Can for the next Inspection 24 hours in advance. (952 24 600 OwnerlContractor on site: Inspector. White Copylinspectoes File Canary CopylSite Nodce