HomeMy WebLinkAbout2010 - 00237 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00237
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/27/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 835 WINDJAMMER LA
PIN : 07-117-23-11-0008
LEGAL DESC : PIRATES COVE
: LOT 004 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 25,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
ADV.PLAN REVIEW PAID 4/19/10 2010-00236 $268.45
FINISH A PARTIALLY REMODELED BASEMENT.
APPLICANT PERMIT FEE SCHEDULE 413.00
HANSON, SCOTT&JENNIFER STATE SURCHARGE(VALUATION) 12.50
835 WINDJAMMER LA
MOUND,MN 55364 TOTAL 425.50
PAID WITH CC# 3608
OWNER
HANSON, SCOTT&JENNIFER
835 WINDJAMMER LA
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 time for due cause.
/ / I4 '" l l�
Applicant Permitee Signature Date Iss... ,Sy Signature Date
SEPARATE PERMITS REQUIRED FOR WORK 0 ' ER THAN DESCRIBED ABOVE.
_ . 4. ..56,0e
Q))344° City of Orono
Building Permit Application for Internal Work ,/ _
(windows, doors, siding, re-roof, etc.) A.3,.6-z)
Mailing Address: Permit number: °70/0 -00023 7
04, PO Box 66
0 Q Crystal Bay, MN 55323-0066 Date received: 'f-/q-%- /0
s e.'
4 l., Street Address: Received by:
��
��t �,o4;171G* 2750 Kelley Parkway Plan review fee: o20/D-OGa 3!o
9tfESHo4�' Orono, MN 55356
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 submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �3S w�)J --Itit:f/ &-•-1.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? fI Yes [-'1 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: 'c._ 77--- I S e.-r
State License# Expiration Date: _
Phone: (office) (cell)
Mailing Address: City: ZIP:
Contact Person: Sc¢T Hai sai Applicant is: Contractor /c1omeowne'r (circle one)
Email and/or Fax: Sc/yf- Verci).47 — e(ec7 - c"1
PROPERTY OWNER INFORMATION:
Name: fcaT T f/S-rS14
Phone (day): 9S - SC 7- Ar 0(
Address: 8"35 k.v1ici,iq-v-p/ i--r.. City: 0'a.-re ZIP: SSJr./
Email and/or Fax Sc,^7r(.ti' VerrJa-iT- e/ecT,'I- - Cl r Ar- /-e c,a7T4 ( ^-t S--r. cs .
PROJECT INFORMATION:
Type of Project: I Any earth movement may require
❑ Door(s) MCWD review&permits
Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
El Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
CI Siding Deephaven, MN 55391
g ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re roof
❑ Fire Damage www.minnehahacreek.orq
Overall Project Description: -�,`-risk ct pq77/t(,- re,..10(74/a cc,c.re-i cit--
Estimated
_1 TEstimated Construction Valuation of Project(excluding land) $ A_S'ioOD ''-:-
APPLICANT
-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 application may not be issued.
Applicant's Signature: l Date: `7ui 7itd
Last Updated: 05-04-2009
k7)
TIME
CITY F ORONO CALLED IN
INSPECTION N TICE / j SCHEDULED i;3o
PERMIT NO. 0'�'/`� COMPLETED
ADDRESS ♦ i.af/t/(NE C� org.-/-te
OWNE / ��:/AI TELEP NO/��"5G07'6019/
CONTRACTOR �
DESCRIPTION Aa—��s 4^1
LL. ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
_ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
W
a
0
CC
O
W
Q
LU
W
CC
j
O
tum RK SATISFACTORY:PROCEED U PROJECT COMPLETE
W ElCORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑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.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: , r /50-
Inspector. -Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
\/
/ �; DATE TJME
'c2 CITY OF ORONO ,C'''' CDATE_ TJM
---(--`2_1,-•—.6 U cap
INSPECTION NOTICESCHEDULED (C`'(r ' 1 0 i =
PERMIT NO. 200 062--3l7 COMPLETED
ADDRESS -� Ent(\iair,rre/- (-0-r -0
OWNERSC { f rt-a� &r\Sur\ TELEPHONE NO.0� 7-C(' 1
CONTRACTOR �� i \(-1"---,'s6--
, DESCRIPTION F t r 1 - Sew �
>
LU ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING
Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q El TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
,-C ❑ DEMO-FINAL ElSEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI CIS C FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
a
cc
0
N.
O k—i. Ail A ( 4--11 pc_,P.,, 7--)--s
W
Q
Z
W
z
W
d � ,
W. ❑WORK SATISFACTORY:PROCEED (PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑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. • I
White Copyllnspector's File Canary Copy/Site Notice