HomeMy WebLinkAbout2014 - 00392 - addn/remodel/repair CITY OF ORONO 11111111111111 1111 111111
* 2014 - 00392 *
2750 KELLEY PARKWAY DATE ISSUED: 05/02/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 845 WILLOW VIEW DR
PIN : 28-118-23-44-0004
LEGAL DESC : WILLOW VIEW
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 46,000.00
NOTE: STUCCO REPAIR
REMOVE AND REPAIR VARIOUS AREAS ON HOME
CAULK ENTIRE HOME
REFNISH EFFECTED WALLS
APPLICANT PERMIT FEE SCHEDULE 638.75
DONE RITE RESTORATION STATE SURCHARGE(VALUATION) 23.00
2707 103RD COURT NE TOTAL 661.75
BLAINE, MN 55449-
Payment(s)
(763)234-8621 CREDIT CARD 1906 661.75
Minnesota State License#: BUIL-20549873
OWNER
KASNER,MICHEAL&KAREN
845 WILLOW VIEW DR
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 d ce.
/
/ / /
Applifea'nt -e itee Signature Date Issued By `t!.nature Date
ti CITY OF ORONO �l 1 101111111 II 1111 III 0 I? QII
92 *
• 11 2750 KELLEY PARKWAY
DATE ISSUED: 05/02/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 8 45 I LOW DR S S/ rJ ((J I one view a
PIN : 107K7-23-22-0002 g 1 _ �3-qv-( V
LEGAL DESC : UNPLATTED 10 117 23 "
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 46,000.00
NOTE: STUCCO REPAIR
REMOVE AND REPAIR VARIOUS AREAS ON HOME
CAULK ENTIRE HOME
REFNISH EFFECTED WALLS
Ctrl c' '1i- .serCut, ' add.t_cao ern. erul an, cevite,t,pe
APPLICANT PERMIT FEED SCHEDULE 638.75
STATE SURCHARGE(VALUATION) 23.00
DONE RITE RESTORATION TOTAL 661.75
2707 103RD COURT NE
Payment(s)
BLAINE, MN 55449- CREDIT CARD 1906 661.75
(763)234-8621
Minnesota State License#: BUIL-20549873
OWNER
WILLIAMS, ROBERT&JORDANNA
845 WILLOW DR S
, MN 55391-
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 da s at any time after work has commenced.
The applicant is responsible ft assu ng all required inspections are
requeste. 'n confo :nce h the S,:te Building Code.This permit may be
revo I . a', or d - cause.
1 ,
Applica 'ermitetgnature Date IssufBy Signature Date
. City of Orono
Y Bdilding Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
•10.A/- Mailing Address: Permit number:
O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
4' 2750 KelleyParkway
tie L� Plan review fe
t Orono, MN 55356
4kESHO' (cI,0'5
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 a submitted.
Incomplete applications will be returned. (PIe se print)
GENERAL INFORMATIO C s/6 gq5 w ) ( ) V I ew
Job Site Address: �J LA).)t�Q(A) lar: Ort'
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes []'Flo
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 INFORMATIO -t�,�
Name: ] c v Q � e- I`'QrYlc v1P� �. 1 eco
State License# (>031 Ca� U Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell)* )L - 3q-sbal (office)
Mailing Address: 4.3247/5-1 /p*%,,.,Q C,,} . IN•f. City: 1,‘;„ie ZIP: SS"yti5'
Contact Person: Scc..) Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: Sr-mit. t&Ne QAe_eerKAL i ' (Wok
PROPERTY OWNER INFORMATION: t
Name: kcor cry 4" 1"i Ce 1 \.C\S Yl A
Phone (day):
Address: Sys `tbw g).2. City:e3,-0„0 ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project description: __
Type of Project: Any earth movement may also require
❑ Door(s) 12Remodel ❑ Fire Damage MCWD review&permits:
CIRe-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration El Water Damage Deephaven, MN 55391
11:1 Re-roof, other(specify) Eliding 5+Jct 0 ElOther: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) SQ OtA-o..SI 4F www.minnehahacreek.org
Estimated Construction Valuation of Project(excluding land) $ rip4.)4-4)
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 suppl inf ati , application may not be issued. /
Applicant's Signature: 7,......--...... Date: (:.'5--- a D - /c 1
Owner's Signature: Date:
Last Updated: 03/06/2013
3 DATE TIME \/
CITY OF ORONO CALLED IN
INSPECTION NOTICE Q SCHEDULED 165--/ /cf
PERMIT NO.(1). r 1‘"--COMPLETED �,
ADDRESS UT5 W 6Itlu' Cod-. Vrety /2 ✓
OWNER nTELEPHONE NO.763 i.-31/ 84,Z(
CONTRACTOR ,DII4/12-
•
DESCRIPTION ►i
",/ pramt&frtl.
Lt.
0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING
Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
C', f AMING ❑ MECHANICAL FINAL 0 TREE REMOVAL
• 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
I4J ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
,
0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: YES_NO
ti COMMENTS:
C
I rifIi(r t 4s/ All 45'6 cf.- /- r4stc3cc
U�t�/e✓
• W INf&Mir w5lo1• - ®‹
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W� SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ 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.
C• • - "nspection 24 hours in advance. (952) 249-4600
Ow .r/Contractor on site:
Inspector"
Sr"
White Copyllnspector's File Canary Copy/Site Notice
F: (
AT TIME
CITY OF ORONO LLED IN `✓ 3-��
INSPECTION tI0eCE '�3g .SCHEDULED — — r2 3D
PERMIT NO. 0���99 e/ D .
ADDRESS '45 Wii7 ( i il `e
OWNERTE PHONE NO7 03 0 3 —V03.
CONTRACTOR i
DESCRIPTION j1-' `''/ /i
441
lu ❑ FOOTING ❑ PLUMBING FINAL 0 E V AV/GRADING/FILLING
ct ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS
" ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
I ❑ SEWER HOOK-UP 0 COMPLAINT
-4)1:=1:O-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
iCIDEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES NO
• COMMENTS:
CC
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O
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C
o Perw,•C crit41
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Lu ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 5 PHOTO TAKEN
INSPECTOR WILL RETURN ❑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
Owner/Contractor on site:
Inspector. v.r•-/
Wh Copyllnspector's File Canary Copy/Site Notice
r.DA TIME V
CITY OF ORONO CALLEDV �
INSPECTION MOT! E SCHEDULED '1
PERMIT NOO1 "v039
OMPLE/T�EDdu) �
ADDRESS 3 will v ✓ Ate) p
OWNER TELEPHONE NO.763 2-3Y tZf
CONTRACTOR Dong i24 )2e
DESCRIPTION h-t'J 1 Pa `�'`�� i 51U«
IQ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h LI FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
• LI RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
LI FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. LI FOLLOW-UP
❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS: it/tie✓ dig&-K4J c— ✓y4.r lt4-40,2 I/ 1.4r9oj
serf Grab d eye., —
ore v'ei S
14t4. —.6 k. , c4.54-e l.. .c3 _ GYL
CC
CC
SAI ISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
Ca ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
c.) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
or - .t inspection 24 hours in advance. (952) 249-4600
Owner ontractor on site: C
Inspecto .
White Copyllnspector's File Canary CopylSite Notice