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HomeMy WebLinkAbout2013-01021 - reside/concrete steps CITY OF ORONO II 1 1 111 111 1111 11 3 - 0 111111111* 20 >< 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2697 ETHEL AVE PIN : 20-117-23-24-0045 LEGAL DESC : REG. LAND SURVEY NO. 0115 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 6,000.00 NOTE: RESIDE AND CONCRETE STEPS APPLICANT PERMIT FEE SCHEDULE 132.75 ACE RENOVATIONS PROFESSIONALS LLC STATE SURCHARGE(VALUATION) 3.00 10985 POLK AVE COLOGNE,MN 55322 TOTAL 135.75 (612)250-4450 Minnesota State License#: BC639455 OWNER COHEN,MARC&IRV 2697 ETHEL AVE WAYZATA,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 goveming 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, y ti r d ca se. 0°1/ /e2 '30 / / /� / 6 / / Applicant 'ermitee Sig ure Date 3 Iss Jd By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) -WAT Mailing Address: Permit number:.�_Z�,—[� I D 2 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �j —�� (�1� Street Address: Received by: I Y t ) N. y� 2750 Kelley Parkway Plan review fee: Orono, MN 55356 `.kESHO - 13S-7S 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: (7--V:711" ,C54 e( Adz 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: ALe o c-cho,-. Ito{-tr_,Si G,Ac--2,(`'s LA-,C- State - -C.- State License# 21--)[..(S 5 Expiration Date: 03/i c Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) Co 2,-.2. -0 ii4 c0 (office) Mailing Address: (Drit Voile__ City: _ ,,k,� ZIP: 53-3 ZZ Contact Person: ,,..\,,v, I (.�� Applicanticnis: ontracto7 Homeowner (circle One) Kc� Email and/or Fax: e 0 0�:c11'iUr\prvf-- ion, prof-..e -J ) �v L54.V\ 00 , C 0 cy., PROPERTY OWNER INFORMATION: Name: MCA[C (OV\e-'t Phone (day): (\1,-<1'3- S -L(ct I Address: -ZVI- Emit'\ Ave City:OioI\c.) ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ 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 01 Re-roof, other(specify) B(Siding R Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) COYNL n' S k ie5 www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ (o)000 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 t 'nform n the application may not be issued. Applicant's Signature: Date: (71/ 0/i 3 Owner's Signature: Date: Last Updated: 03/06/2013 0, 1 5..,-ua /---1 ti " /iy--,n ,/ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 09 0/3 —Z:%10.2/ COMPLETED `a—el 3 - 14 ADDRESS 4?g ?7 I rAt� G A . . OWNER TELEPHONE NO. CONTRACTORc.;vs- DESCRIPTION SPEP—s SoieQ W ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING cx y ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORENVETLANDS 0 FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS INAL 0 SEWER HOOK-UP 0 COMPLAINT • ❑ DEMO-SITE ❑ SEPTIC MAINT. LLOW-UP ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HAR COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO oLI COMMENTS: cc Lai i e. i-wi.'tvzolsQ 4 itaD /t •� . CC o 5e4/ 741 114, e dreela:, Ser.( ,¢/G "7)t/tprt{Q f 1!i'A,J4 E6-r o'C C) / a 440 a1-A,,sAl6P efrovrde ex6cetvr CUvee t w- ash- W an per 4Ae4Adz Ifo r - /Cl . sae cp.(tre d f.'F1 r , buidd9 • ❑WORK SATISFACTORY:PROCEED fotROJECT COMPLETE CC WRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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. a or the next inspection 24 hours in advance. (952) 249-4600 Ow ontractor on site: 4�ti�� C5A e-t Inspector> )J M-- White Copyllnspector's File Canary Copy/Site Notice