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Home My WebLink About2014-00758 - addn/remodel/repair CITY OF ORONO * 2 0 1 4 — 0 0 7 5 8 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 3580 WATERTOWN RD PIN 32-118-23-43-0003 LEGAL DESC UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 434-RESIDENTIAL VALUATION $ 7,600.00 NOTE: INSULATE AND DRYWALL GARAGE APPLICANT PERMIT FEE SCHEDULE 162.25 STATE SURCHARGE(VALUATION) 3.80 MATT SAYER TOTAL 166.05 17930 3RD AVE N Payment(s) PLYMOUTH,MN 55447- (612)860-1475 CHECK 1112 166.05 Minnesota State License#:BUIL-20247827 OWNER COOK,PETER&KARI 3580 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 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 Suring all required inspections are requested in conformance the, ate Building Code.This permit may be revoked at anytime,for ca Applicant Perrfii e Signature Date Issue(Ay Signature Date 4 • City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) ,q�� O�VO Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: Kelley 2750 G� Y Parkwa Y Plan review fee: t ESHO� Orono, MN 55356 Ak Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 7' This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: 7 Job Site Address: ,�5 g o 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: State License# C 2'-{ 7 Expiration Date: 2 of Lead Certification Number: 4J,4T iy 3 e'L — I Expiration Date: � �?d (for work on homes that were constructed prior to 1978 Phone: (cell) &(Z �'Gp (office) Mailing Address: ( r aj) `� ✓e �J City: /�. a� ZIP: 5 Contact Person: Yom( �;�, .� _ Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ll4� P r— (_,"cso l---- Phone (day): Z_1 79 �3 _ Address: ?S f�a �� w` awr City: /�/`, ; ZIP: �sJ Email and/or Fax: n PROJECT INFORMATION: Overall project description: "J'tr— Type of Project: Any earth movem ni may also r6quire ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ 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) $ 7 rC70 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 info rmatio ,th licationma not be issued. Applicant's Signature: Date: Owner's Signature: Date: Last Updated:03/06/2013 S et— E TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED PERMIT NO / — COMPLETED n-/ ADDRESS 35T6 OWNER TELEPHONE NO.,01?- (950 l V 7S CONTRACTOR MI T' 644fCd ' DESCRIPTION �11SU-�47E1�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO too COMMENTS- 4 4�•� ` �tSc C a tL Ve.4:t<<4fwo^ r Ld e s 0e/o v 1� - W Q W '' �e ��e IrtSu�• 5.(1�dl� W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE WCP69RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑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 ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952) 249-4600 Owner o Inspector_ White Copyllnspector's File Canary Copy/Site Notice ( _"� TE -1/ CITY OF ORONO CALLEDIN —1 `TZ INSPECTIQ11,QT SCHEDULED �E ou8 PERMIT NO d�U � COMPLETED \ ADDRESS OWNER TELEPHONE NO.(J0(Z' CONTRACTOR k� -� 9L V-C r 3: DESCRIPTION " -� Y c � 4-J-Y*u_6�-. Uj ❑ FOOTING ❑ PLUMBING FINAL ElEXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING VMECHANICAL FINAL ❑ TREE REMOVAL Z INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL' ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: �f L"Grr�Ltl01. �IrO(JaI�CQ 90� [ "JS� � .Sli�el� cc 0 46( War K �'a,,•�/�/ate W cc Q 2 W W cc j LQ ❑WORK SATISFACTORY:PROCEED ,,;�JECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call fo ct inspection 24 hours in advance. (952) 249-4600 Own ontractor on s' 4144,16Insp White Copylinspector's File Canary CopylSite Notice