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Home My WebLink About2015-00974 (roof) � , . CITYOFORONO * 2g 15 - 00974 * - 2750 KELLEY PARKWAY DATE ISSUED: 07/3]/2015 ORONO,MN 55356- , 952 249-4600 FAX: 952 249-4616 ADDRESS : 1340 BALDUR PARK RD p� : 08-117-23-31-0015 LEGAL DESC : BALDUR PARK : LOT 030 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : � ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 510.00 NOTE: REROOF CABIN WHICH IS LOCATED ON 1350 BALDUR PARK ROAD LOT 25-BLOCK 1 -BALDUR PARK APPLICANT PERNIIT FEE SCHEDULE 29.66 TOTAL 29.66 PUZAK,FREDERICK Payment(s) 1340 BALDUR PARK RD CHECK 11287 29.66 WAYZATA,MN 55391- OWNER PUZAK,FREDERICK 1340 BALDUR PARK RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT 1'he 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 dces 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 aflter work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformaace with the State Building Code.This permit may be revoked at any time for due cause. �, �ti �� ,�- , l� Applicant ermitee Signatu e ate Issu d y Si ture ate ' � � � City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) A, Mailing Address: Permit nurnber: ��<VO PO Box 66 Crystal Bay, MN 55323-0066 Date received: — , Sfreet Address: Received by: ��, �,� 2750 Kelley Parkway Plan review fe G Orono,MN 55356 �qkESH�� Total Fee: a�. �� 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 returr�ed. (P/ease print) GENERAL INFORMATION: Q \ Job Site Address: �� S� ��-�d�-v�,��rK �dat Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No lf yes,a special event permlt is required with Police Department and City Council approval 60 days prfor to the event. Shuttle bus senrice wfll be required unless applicant demonstrates s�cienf on-slte parking is avaflable. Non�ermitted evenfs will not be allowed. CONTRACTOR/APPLICANT INFORMATION: L--v+ �S - �C� �( Name: �GL� � Ll,t�` -{�Gl,lr� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfructed prlor to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �re�e�r�c�� t�z�.� Phone(day): 2 _2 , � Address: �.�'j � City: ZIP: � 3 Email and/or Fax: a cs� s PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also requlre ❑ Door(s} ❑Remodel ❑ Fire Damage MCWD review 8�permits: Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka,MN 55345 Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑Siding ❑Other.(specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ �O.� 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 altemative 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 govemmental agencies required by law. If ou refuse to su I the information,the a licatio ma not be issued. ApplicanYs Signature: Date: `�- 3{ � Owner's Signature: S�w. Date: Last Updated:January 2015 � , �� '� E � TIME CITY OF ORONO CALLED IN INSPECTION N �C�` ,/SCHEDULED 1 PERMIT NO. � �r�COMPL ED ADDRESS �� C OWNER TELEPHONE N0.2��2�g - CONTRACTOR �-S � DESCRIPTION ' r ' ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: �� re- ioo� fd. �a � X�o` se..sots-�. � �a.�n � � ^ �'f e cJ �/g' " C p x ra�� Slr e..�i.•.`r � � ^ ,�j loclG ,� y k.bo.Q SQ �c t�5 — W — � Q � f st� d/� _ W Q/C '7r GoqtM�s.� � � W � j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �9RRE$FINORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 wner or�tractor on site: Inspector. r`^' White Copyflnspector's Ffle Canary CopylSite Notice DATE TIM CITY OF ORONO ALLED IN INSPECTION NQTIC�r�� SCHEDULED 1\ � _ \ �� % U��O'� PERMIT NO.v� COMP ED ADDRESS � u - �34 �r .�� Z�,� OWNER TELEP ONE NO. CONTRACTOR � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIR PLACE ❑ COMPLAINT Q � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO «� COMMENTS: � � - JP�?So1�.(- .-� - � � O � �O �G � �WG�C... 'd► S�/� �/� � O � W °� d � l� a ✓S ,.�c /tL�C � Q � 2 . � �e`t�� W � � J d W O WORKSATISFACTORY:PROCEED JECT COMPLEfE a ❑CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours i advance. (952 j 249-46�0 OwneNContractor on site: Inspector: � �-�- White Copyllnspector's File ,I Canary CopylSite Notke