The URL can be used to link to this page

Home My WebLink About2013-01213 (add/remodel/repair) . CITY OF ORONO * 2 0 1 3 - 0 1 2 1 3 * " 2750 KELLEY PARKWAY DATE ISSUED: 1U25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3420 BAYSIDE RD PIN : OS-117-23-13-0012 LEGAL DESC : AUDITOR'S SUBD. NO. 203 : LOT 020 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,400.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) BASEMENT FINISH APPLICANT pERM1T FEE SCHEDULE 88.50 MILESKI&APRIL NEWTON, BLAIR STATE SURCHARGE(VALUATION) 120 3420 BAYSIDE RD LONG LAKE, MN 55356- TOTAL 89.70 PAID WITH CC# 9631 OWNER MILESKI&APRIL NEWTON, BLAIR 3420 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. "Chis 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 Quilding Code.Tl�is permit may be revoked at an time for e cause. ' ^ � I � �.� � � / / Ap lic� itee Signature � Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. " �V � • � q . Cit of Orono � 6 Y Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) '�(�A r�� Mailing Address: Permit number: oZ b/3 - D/o2�3 �y ` PO Box 66 � �'�l Crystal Bay, MN 55323-0066 Date received: �/��3 — �3 � � Street Address Received by: �j� �.,,-',.� � �� 2750 Kelley Parkway Plan review fee: 0�0�3`��"� '�t R L i Orono, MN 55356 $7•53 � C �KESNo �� ___ - 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. (P/ease print) GENERAL INFORMATION: Job Site Address: j�{ p �,,;N,;�� i�� Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes o If yes, a special event permit is reryuired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufiicient on-site parking is available Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 3t�„ � �/1.� �leS1�� State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (p ( � - (�`7(,s -�j�y3 (office) MailingAddress: 3�20 �a�s,�Q �� City: r� ,�,v ZIP: SS35 Contact Person: ��u; r ,/1�;C�S��; Applicant is: Cantractor / me�wTl�P'r ircle One) Email and/or Fax: �;,n;l es k� �ic i�o+�,.,�,�. ('vr+� PROPERTY OWNER INFORMATION: Name: �7��:.�/-1p:,1 /Vj,l�Sk� Phone (day): �j�_ �„��j- �� Address: 3c��U F'�c„45�de er� City: O rpn� ZIP: M N Email and/or Fax: (�yy„��k� �� .{,,,,,G,(_ c�r•,-� PROJECT INFORMATION: Overall pro ect description: rr n��s l� � e��ev�-I- - � v�„1 rU��r, ,t ►3 Fclrc.c�rL., 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 ❑ Re-roof, other�specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ c� � �Cl. Gp 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 ou refuse to su I the information, the ap lication ma not be issued. ApplicanYs Signature: Date: I I � ► 3 I 1 3 Owner's Signature: Date: Last Updated:03/06/2013 ,/� ' �� DATE TIM - --_�...,.-—___------ � CITY OF RONO ` cALLED IN INSPECTION N�j�E SCHEDULED S�S /f: � PERMIT NE3:-'��/ r��Z COMPLEfED ' ADDRESS 3/ � G�'L(., OWNER �� ELEPHONE N0.�l Z-�7� `�T� CONTRACTOR � / � DESCRIPTION ��y� �e�Y�� ' 41 ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � _ c�.� COMMENTS: �•� �n�s.L - ��c. Li.�r/- 1 �/o�'/b � a ��'Ir'� ' �� . o —7S, �• - O� . �'�v -�J��,�s - �� . � � l/� ��JU�'.� C°v�1��e . W � � � Q � W �yi�s�s Wi,vao•v �o?Lv�3-a//6 7 - �c�r,��,� i�� a l�r-'-1�- C`vwi�j�� o�� _` - J ��,,�t, ��-t � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDEF POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. II for the next inspection 24 hours in advance. (952� 249-4600 Ow ontractor on site: ��= Inspector. �/M- White Copyllnspector's File Canary CopylSfte Notice INSPECTION NOTICE �/ DATE TIME CITY OF CU 1'Ci��i ,� cA��E�-iN SCHEDULED PERMIT NO. 13- ��-� 3 COMPLETED �-�3-/f A D D R E SS ��_�2 D .��y s�i� �-�i OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑ FOOTING ❑INSULATION ❑COMPLAINT ❑ POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING �SEPTIC INSTALL ❑ � ❑SHEATHING ❑SEPTIC FINAL ❑ ❑ PLUMBING RI ❑S&W HOOKUP ❑ � ❑ PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: '`-� / z t �`;" (C(K. e ( , � ✓��t� K � r�n - ✓_- h ►v�1 :� J � ,W „��'r�� L � ' - _ J OQ A ,/� /� �I ,�7/!�n-�//P�t i�t �.� � �/ � � �Ci:�h � �� • � � O � O � W � Q ti W � W � � C7 � FURTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED W �WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK& PROCEED V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: ��,,--� /� �—� �� DATE TIME ✓ CITY OF ORONO CALLED IN l - INSPECTION N TICE SCHEDULED /- - 3' D PERMIT NO. " !�3 OMPLETED `' ADDRESS � �� OWNER T EPHONE N ��d�a CONTRACTOR � DESCRIPTION '�-/� � � ❑ FQOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING y,�C�,�POURED WALL ❑ MECHANICAL R ❑ LAKESHORE/WETLANDS Q FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 0Ni ONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � a /`�.� � , �� J 0 �.. ----- � /. �___-�. 0 � W � Q � 2 W � W � ` ;, � W �WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE �/ �, � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑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 OwnerlContractor on site: 1 " ^ Inspector. ' � `�' ; l White Copyllnspector's File t-' Canary CopylSite Notice