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Home My WebLink About2011-00366 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00366 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 05/19/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 5/19/2011 ADDRESS 1065 TONKAWA RD PIN 08-117-23-13-0001 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 006 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 18,000.00 NOTE: REPLACE WINDOWS,RESIDING,RE-ROOF AND SOME INTERIOR SHEETROCK APPLICANT PERMIT FEE SCHEDULE 309.75 WILDERNESS EXTERIORS INC STATE SURCHARGE(VALUATION) 9.00 15599 HEDGEHOG ST NW RAMSEY,MN 55303- TOTAL 318.75 (612)803-7406 Minnesota State License#:20515906 OWNER BEBO,JAMES 1065 TONKAWA RD 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. App icl ant Permitee 54griature Date Issudh By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono r Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) 2 Mailing Address: Permit number: 2-011-0 J(p O�0,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ah t/ + ' ti Street Address: Received by: C 2750 Kelley Parkway Plan review fee- UO ESHOS`t� Orono, MN 55356 Q Total Fee: S.- 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: 7O(1 V wA tt 6 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: M1 6& .0 1O12 S /Y State License# Z051 SgOG, Expiration Date: 3 ZO/3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: _ 6I2_SW_29_0 6 (office) (cell) Mailing Address: (� �' �� City: 9 ZIP: 55,303 Contact Person: kkL6 'U11S'TE R y pE7" Applicant is: Con / Homeowner (Circle one) Email and/or Fax: U11LDE2fvf5� EXT NISI-LDS") PROPERTY OWNER INFORMATION: Name: Phone (day): Address: IC96NNAW.A- 12.D City: 69ON6 ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) XWindow(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd CP Siding ❑ Deephaven, MN 55391Restoration Other: (specify) Phone: 952-471-0590 [�Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 16, 000 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 you refuse to supply the information,the application may not be issued. Applicant's Signature: Date: S - /q-? ()j i Last Updated: 03-01-2011 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.aO1/-o D36 rP COMPLETED 7—/3-/1— ADDRESS 106_d5- —fV * OWNER TELEPHONE NO. CONTRACTOR >`. DESCRIPTION (Arlt & �-ra�- 'e ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING tt Q El POURED WALL ❑ MECHANICAL RI ElLAKESHORE/WE LANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W C J O W O W W cc Q 12 Z W Z W W d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor i Inspector. White CopylInspector's File Canary Copy/Site Notice TIME V JF ORONO CALLED IN ECTION NB SCHEDULED «MIT �� f COED ADDRESS 0fix-- OWNER TELEPH E NP. CONTRACTOR DESCRIPTION T ❑ FOOTING ❑ PLUMBING FINAL ElEXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL El SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W 0. J O a Cr. O 0. W cc Q Z W Z W W YC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE rc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice