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HomeMy WebLinkAbout2018 - 00247 - minor alterataions CITY OF ORONO I I I D 1 I I1 I I I I I I I I I I I� * 20 1 8 - 00247 * 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2018 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 995 WILDHURST TR PIN : 07-117-23-21-0003 LEGAL DESC : UNPLATTED 07 117,23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MINOR ALTERATIONS(MULITIPLE ITEMS) VALUATION : $ 4,000.00 APPLICANT PERMIT FEE SCHEDULE 108.38 STATE SURCHARGE(VALUATION) 2.00 MARTEL,MARK&JAIME TOTAL 110.38 995 WILDHURST TR Payment(s) MOUND,MN 55364- CHECK 1713 110.38 OWNER MARTEL,MARK&JAIME 995 WILDHURST TR MOUND,MN 55364- 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 t' s' e cause. •Pp cant.rmitee Signature t L.. / _t Issue: :YSi nature 41ADate // City of Orono Building Permit Application for Maintenance/Replacement/Remodel — Residential ONLY ?. winnows. aoors. siding, re-roof. etc. — NO STRUCTURAL EXPANSION) Mailing Address: aO/$-(Jo a�/ Permit number: o POBox66 Crystal Bay, MN 55323-0066 Date received: 3-/ Street Address: Received by: yF 2750 Kelley Parkway Plan review fee: Orono, MN 55356 tfkEs Hov-``" Total Fee: � 1/0' 3 V gain: 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: 9 r1 �) tV, (A 1 vvt3 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes [allo 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: /"1 c ./(re-CC L_ State License# /',1 Expiration Date: Lead Certification Number: it//1- Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (0 l L - a 3'3 - r-3�% (offs e) •.? . Mailing Address: ; - �, /� ..�� G Eve/ City: ;z -. o _. (; Contact Person: &Wt.c. n 7 . Applicant Is: Contractor / Homeowner (Circle One) Email and/or Fax: 2TE�. �' yl �:' �17�U6..) PROPERTY OWNER INFORMATION: Name: ?A c (_. M/ ( C �.. Phone(day): !L - 7 f 7 -.43 Address: /S.5 w `cL�rf,A<l -71-41 City: ci?�.�(i ZIP: S 3G / Email and/or Fax: [_,'►'l Z ta 1--)6/Y1 PROJECT INFORMATION: Overall project description: I-A) ✓ LAYS 6 CS 1/1 ski, 5ALS-`ace__ Type of Project: Any earth movement may also require -Door(s) Remodel ❑Fire Damage MCWD review&permits: ❑Re-roof,asphalt ..Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑Re-roof,cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345 ❑Re-roof,other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 XWindow(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 7 C-Z:O • d 0 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,q is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the jpfarmation,the application may not be issued. Applicant's Signature: Date: Owner's Signature: � Date: 7/.//6P- Last Updated:January 2016 4-7 r ATE TIME CITY OF ORONO CALLED IN V °26r INSPECTION / CEp SCHEDULED �7 / Y- 0e PERMIT Nv O^�� co ,D/ _ ADDRESS S ( /C ►�- OWNER/74/0-- TELEPHONE NO(4757-235 ` `Y CONTRACTOR '; DESCRIPTION I► / G� W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING _ ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL 0 TREE REMOVAL Pl•119 ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION _ 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS F. QSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT Q,]❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO RCOMMENTS: / nets-) -cpirp•taa9- Cda// " 4O#1- L ^Or ��- t ycc saJbb46-� � - 6 �e, C.c - . buj - � - 12a.,66- ,S /, .'/ - cc W - clof, ., - a ' r-.7 .40 .,rt Ai) - te/ 1:74 - ccQ h6ut. - Pry i/ 1'. ,f' 6rt/j, over 4a W1 nO�. - 71ail D/L r y,.p - -#.4,,,f- - /et e6,y, 6 i ip - 3 - a6 .lg— 1.14 CC p r rce-t".c C5,ek `"Z G-o _------ e b� 04.ebe.0 � �,` IQ LI WO K SATISFACTORY:PROCEED li PROJECT COMPLETE CC ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ)O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.) BEFORE COVERING PERMANENT LI CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN Li 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 Owner/Contractor on site: Inspector /itv White Copy/Inspector's File Canary Copy/Site Notice A SATE TIME 17 CITY OF ORONO CALLED IN r INSPECTION NOTIC SCHEDULED AM. ,%Z. PERMIT NO.Q201,,151j 7 V COMP�� ` ADDRESS `� . kh�C1 'IrL/`S.i" lik OWNER r 4/14- TELEPHONE NO.�� J? 1,/�7 CONTR TOR // • 3: DESCRIPTION • 5W4_405W4_404W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL r 0 DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO LI COMMENTS: wef ' hf �i ,,,' .i .t s pat.s4k ✓ bet , cc / J Ici C privy) lL —sct5 o4- fig-% s `711, cc o ihoCo. [.d, d� �flr s fhd ,r.1 71,ct wtre. AA-K.0.AA-K.0.J cc4IMIa ?)4. 4.,Y inS4iCNiioti 4- prOlej citf L Z)4--)L ko�„51".;N6e..{-.3r c Q iIrw./!..), � i nl1."4Cho Y, i Z W CC d IQ 0WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W' S P ORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 Owner/Contractor on site: Inspector. Sp X White Copyllnspector's File Canary CopylSfte Notice