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Home My WebLink About2015 - 00503 - addn/remodel/repair CITY OF ORONO I II I [1'II I I I1 I II I I I II I I II * 20 1 5 - 00503 * 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2015 • ORONO, MN 55356- / (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1065 WILLOW VIEW DR PIN : 28-118-23-41-0009 LEGAL DESC : WILLOW VIEW : LOT 014 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 40,000.00 NOTE: REPAIR SIDING FROM WATER DAMAGE,REMOVING STUCCO ALSO,OK PER LYLE. APPLICANT PERMIT FEE SCHEDULE 603.00 STATE SURCHARGE(VALUATION) 20.00 SUNSET CONSTRUCTION GROUP, INC TOTAL 623.00 5101 HWY 55 SUITE 5000 Payment(s) MINNEAPOLIS,MN 55422- CHECK 6753 623.00 (763)546-1100 Minnesota State License#: BUIL-BC375069 OWNER BRIGGS,BRIGHAM 1065 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 due cause. 7- licant Perm gnature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel .-(i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) OA- Mailing Address: ZOI Theb J d PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: /ai/ l c Street Address: Received by: �� ` 2750 Kelley Parkway Plan review fee: //� �' Orono, MN 55356 "1 tdk@SH0' ("'25 Total Fee: (`"'2 U. Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 1J' This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION:. J1 / J Job Site Address: /O w .✓ , //C9t,J V) 1r. Zd��j 4.1e--< Will this be a Parade of Homes, Remodelers Showcase Home or other DispNly Home? ❑ 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: 5tA-I1yz 7L 6uns.1CIA-C-4Ir.-, b cz�,/j� _fi'�C. State License# 69C_3 7 566, q U Expiration Date: 3- 3/ -/ 7 Lead Certification Number: /0/A riowK- gyt,:// ,i, ,200 / Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 6,i a j66-..? 3 9 (office) 7 6 3- Se/(-//co Mailing Address: 5-/C/ AN/ Ss' 5-44,,4, 5-out) City: /J-J mi,,,�/,s ZIP: 515' %1 Z Contact Person: - -",;s-/ Let.. am n Applicant is: Contractor 1 Homeowner (circle one) Email and/or Fax: nLcs.c„.na,,r. e_s.unye. -1- Cpm. Of PROPERTY OWNER INFORMATION: Name: (--,'oj A4 a r ill s Phone (day): 6/07 -'2/ 2 -/557 v u Address: /O i,5 to)1/04t) c t), w 0 -, City: Zer-,q L ZIP: S$3,j to Email and/or Fax: d Oft PROJECT INFORMATION: Overall project description: L v Type of Project: Any earth movement may also r uire ❑ Door(s) 0 Remodel IDFire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD)1:1 Re-roof, asphalt Re air ❑ Storm Damage 15320 Minnetonka Blvd 0 Re-roof,cedar ❑ Restoration Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) g'Siding IDOther:(specify) Phone: 952-471-0590 Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 4/D, Oc' ) 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 a plication may not be issued. Applicant's Signature: 571 Date: V----?9 -/ Owner's Signature: Date: Last Updated:January 2015 ITE TIME Ns CITY OF ORONO CALLED IN �/ INSPECTION NOTICE SCHEDULED , j lo/I S PERMIT NO. 2 5-D0503 COMPLETED ADDRESS L Du,5 I I t c iev0 OWNER TELEP14164E NO. LO 1 Z"3(oia' CONTRACTOR 5 LG n e-t- C ms-±- DESCRIPTION Far-ha I -rim I n Shict W ❑FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Ir Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ElPLUMBING FINAL ElTREE REMOVAL RADON SIAB 0 MECHANICAL RI 0 SITE INSPECTION ❑ FRAMING-. rffa,/ 0 MECHANICAL FINAL ❑ PROGRESS � INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP hu ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL v ❑ DEMO-SITE EPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWN ERICONTRACTOR TO MEET YOU: YES_NO o COMMENTS: W • a Fr�frw.rcJ Co ✓ 4.aE-�e✓ 1141�� l •t ' • O 5o..4& MC 45.6t40, - haw C.40..."4-v- I CC it,* � /1�rd S�rAy �•..n� �..,i r.wbs o t W cc ` OK tb CC.`a✓ 3 1.0 atyoeJ-4- c..wiet er.k Q 2 -r✓C A g IQ Z W cc d tilil NORKSATISFACTORY:PROCEED O PROJECT COMPLETE ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN CI ❑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 Owne ontractor on site: 05 Inspector. /r–...1 White Copy/Inspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE , SCHEDULED (f 23( 1S PERMIT NO. ZDr-- -'DQ FCOMPLETED ADDRESS 16U') L& i l I I c t�' V f ccD Di2 OWNER _ TELEPHONE NO. tr 12- Cao 23 2 CONTRACTOR 1 - Crr DESCRIPTION L a- W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION C 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 S WER HOOK-UP 0 HARD COVER REMOVAL ❑ DEMO-SITE ❑ PTIC INSTALL 0 FOUNDATION/REMOVAL Z OWN ER/CONTRACTOR MEET YOU: YES_NO c.,• COMMENTS: cc cr we r- e.a..2 N. W ' Go r — cc0 f O C,v#k• 54/� 4 t�is�<.tgar . X.6 Q sof.d 5'1 < i...e o✓ (v#e_.. %.f z04_ -0 GO nl;...let — W cc d Lu 0 WORK SATISFACTORY:PROCEED O PROJECT COMPLETE CC• CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY CI O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. (a Imo- / 04--- White Copy/lnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN 7 02—15 INSPECTION e6 5-A SCHE 7- 5 PERMIT NO. ADDRESS /005 JOMD 6 ) leGe_9 ".,'�1/4vd OWNER C n MP/FLiOr0.6/-23 CONTRACTOR 3. DESCRIPTION Lu ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT . 119AL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL IQ_ ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO LI COMMENTS: LcF-1. Repc. wag") Co colla — cc O c O W CC Q 12 W W CC GW 0 WORK SATISFACTORY:PROCEEDPRA.IECT COMPLETE CC0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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: `10$A. Inspector. CD. / White Copyllnspector's File Canary Copy/Site Notice