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Home My WebLink About2013-00565 - deck resurfacing ` CITY OF ORONO * z 0 1 3 - 0 0 5 6 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2683 CASCO POINT RD PIN : 20-117-23-23-0001 LEGAL DESC : AUDITOR'S SUBD.NO. 265 : LOT 001 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : REPAIR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION ; $ 5,000.00 NOTE: DECK RF,SURFACING APPLICANT pERMIT FEE SCHEDULE 118.00 STEVEN FRITCHMAN CONSTRUCTION STATE SURCHARGE(VALUATION) 2.50 1881 E 86TH STREET BLOOMINGTON, MN 55431- TOTAL 120.50 (612)986-3088 PAID WITH CC# 8989 Minnesota State License#: BC282573 OWNER ERICKSON, GERALD& SANDRA 2683 CASCO PT RD 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 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 I SO days of the date of issuance,or if construction is suspended Yor a period of 180 days a[any time after work has commenced. The applicant is responsible for assuring a required inspections aze re uested� c nce with the Stat uilding Code.This permit may be re e any time f due se. _,_____ / / / / plicant ermitee Signature Date Issued B gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) '"� �� Mailing Address: �� ' � PO Box 66 Permit number: ' � � "�, Q '� Crystal Bay, MN 55323-0066 Date received: O�,S"� 5 ��, � �� ,� 1 Street Address: Received by: �- ' 2750 Kelley Parkway Plan review fee: �� `�� ` �� Orono, MN 55356 � +h,,t,��` �/�i�, 5� . 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: �( 83 C cc S C v /��,.r� �- �d 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 Po/ice 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: .S ��r n �✓'��c.��u�i Cc��rkc�/o�, l.l,� State License# �g��j�3 Expiration Date: � 3i �,j Lead Certification Number: 3(; S �G�- � Expiration Date: � S (for work on homes that were constructed prior to 1978 Phone: (cell) �/� -%�E ,�c'j:3 (office) �js;2-,3'�y- (,e� � MailingAddress: � j �� ' Z S f- City: �-, �,,,,��r�,,, ZIP: S�' y�S Contact Person: S��,�r� ��•, �c �,�a.� Applicant is: Contractor� / Homeowner �c�.��e o�e� Email and/or Fax: ��,� �.�;�, � �,�n��,.��,; �. � �,�,,� PROPERTY OWNER INFORMATION: Name: �eraJ •{- Sar, �r;� �r'ickso� Phone (day): 9�,�- �J]/- 360 9 Address: �� ..a S C c� t�o�r� � /�d City: p r G�� u ZIP: .�-SJ�'� Email and/or Fax: PROJECT INFORMATION: Overall ro�ect descri tion: c: �i�� 'c 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 s eci Phone: 952-471-0590 ❑ ( p fy) ❑ Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ S v�� 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 a lication ma not be issued. ApplicanYs Signature: Date: Owner's Signature: Date: Last Updated:03/06/2013 r � � � (i-, � � z � � � � U � � � ` � � � � w f ,� --�-= � � �X � � __ + ` ;.- °, ; �- � ; x ; �� ' � E , i � � , ; � l 1 j i � � � � �� -�: \ j �ti� p /V C� . � � � ; � ; � � � � � � �� , � Q ; : , i� _ �� ` �"0 �. :;� r ; �w ;�' ;' � W�i ) ' �T-__�..� ��Z i i �e � !_-------� X x �� ` _ � z—yl d: i �, ` i� G7 ; o�� ;s � ` � Z� ; n �� '� : � ((z�� A�� 4�`�� t � Qi-1- �' j '�. F ; _ � , � �: i {�' j i �c I ( i °` �� DAT / TIME � CITY OF OR�NO CALLED IN -�3 INSPECTION E SCHEDULED '7—�/3 _�z. •� PERMIT NO. �-�� MPLETED ADDRESS ��/��3 �/.IGD � �C , OWNER TE E HONE N��'Igib�D�g CONTRACTOR V� ` �� DESCRIPTION ��'t.�t" '`�`-� `� ��C- � � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PRpGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o �- �� /� �-- � �� ` ,...,,��- � � � `� � , � � 0 � W � Q � 2 W � W � j d W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE ��ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-46�0 OwnerlConVactor on site: Inspector. ,�_�� White Copyflnspector's File Canary CopylSite Notice