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Home My WebLink About2018-00073 - addn/remodel/repair CITY OF ORONO *� s _ 0 e M � 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2018 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 3020 WATERTOWN RD PIN 33-118-23-33-0001 LEGAL DESC UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 118,705.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 1,229.62 REVISION LLC STATE SURCHARGE(VALUATION) 59.35 153 E LAKE STREET TOTAL 1,288.97 WAYZATA,MN 55391- Payment(s) (952)540-7150 CHECK 14472 1,288.97 Minnesota State License#:BUIL-BC639027 OWNER HAUGEN,GREG&CYNTHIA 3020 WATERTOWN 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 exp n•en me null and void if construction authorized is not cnmenced within days of the date of issuance,or if construction is s ended for a period o 180 days at any time after work has commenced. T a ' ant is responsib for assuring all required inspections are req ested ance with the State Building Code.This permit may be vo ed at an e ause. Ap ' an ermit ignature Date Issued B ignature Date w City of Orono Building Permit Application for Maintenance/Replacement/Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) Mailing Address:2��ZL ,G� Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: — Street Address: Received by: S L� 2750 Kelley Parkway Plan review fee: 9. 5 F e'f Kfs Hoy``` Orono, MN 55356 DT,D-7,7-- 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 s mitted. Incomplete applications will be returned. (Please print) 17 0 8 9 1) GENERAL INFORMATION: f Job Site Address: �3! tJ WaVEe_TC"*) Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El Yes KNo ff 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: State License# �= Expiration Date:q Q2:1 -31 - Ig Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (ola- 75-1 - 3i-(sa; (office) Mailing Address: City: ZIP: Contact Person: AltL Sano Applicant is: ontrac r / Homeowner (circle one) Email and/or Fax: a1c 0 1 easiniumA1. Cory, PROPERTY OWNER INFORMATION: Name: Gndu Hau g0A1 Phone(day): Address: 3010 Wolw- 6oa kc) City: brnnf) ZIP: a39 I Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha 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) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ Z/9. 70 - 'W 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 i-nfoVdation,tWipplication may not be issued. Applicant's Signature: Date: /- /$ RECEIVED Owner's Signature: Date: JAN 2 2 ?n 18 Last Updated:January 2016 CITY OF ORONO U DATE TIME CITY CALLEDIN INSPECTION E SCHEDULED PERMIT NO. '® MP ED ADDRESS 3COUAl � �`�,� OWNER TELEPHONE NO ' /�. —5qo' /SZ CONTRACTOR ��-- P DESCRIPTION t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ 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 ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEPXONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc V11-1,04 AtAr der I%, o �x Ti"irrn v,•, `r. L s;J t Q 12$j � .�t r� �• GTa,'�f7` •c a? 'TTo howLu n o1•t�Ha 2 W cc J W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE QCNI�RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor own site: Inspector. r/s e"� White Copyllnspector's File Canary CopyMe Notice DATE TIME ��JJ CITY OF ORONO CALLED IN INSPECTIO",O, E SCHEDULED_/R s PERMIT CO PLETE ADDRESS S50 OWNER TELEPHONE NO. S O• CONTRACTOR �r DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL [IPLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS 4E3 SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEWCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: Cc 11�v�1�75r�,>tbierr i t rt .S,es�� 4;r AeavAer_ W Q � G At A.�� W RK SATISFACTORY.PROCEED ❑PROJECT'C MPLET�. Cc ❑CORRECT WORK 3 PROCEED El ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR bd II P.ECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra or on site: Inspector. �' White CopyAnspectoes File Canary CopylSite Notice ' V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT I SCHEDULED PERMIT NO.odd l -poy73 OM ETED ADDRESS- OWNER DDRESS OWNER TELEPHONE NO. / _ 7Cz CONTRACTOR DESCRIPTION Uj ❑ FOOTING ❑ DEMO-1`114W ❑ SE IC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Q ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION RAMING ❑ 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 ❑ SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W II&AAe" r r w o pt QC t>iK - c vis/ Q W Z W J W DISSATISFACTORY:PROCEED ❑PROJECT COMPLETE QC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: White Copy/Inspector's File Canary CopylSite Notice