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Home My WebLink About2013-00912 - deck repair � { CITY OF ORONO * Z 0 1 3 - PJ 0 9 1 2 * 2750 KELLEY PARKWAY DATE ISSUED: 09/06/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 127 CHEVY CHASE DR PIN : 36-118-23-41-0019 LEGAL DESC : HILL O'WAY MANOR : LOT 014 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NO"TE: DECK REPAIR-REPLACE DECKING AND RAILS-STAIR REPA[R APPLICANT PERMIT FEE SCHEDULE 191.75 D. JONES CONSTRUCTION. LLC STATE SURCHARGE(VALUATION) 5.00 5434 WILLISTON ROAD MINNEAPOLIS, MN 55345- TOTAL 196.75 (952)452-2612 PAID WITH CC# 6864 Minnesota State License#: BC636390 OWNER JACOBSEN,JEFFREY& ELIZABETH 127 CHEVY CHASE DR 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[he work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied hereia This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or i1�construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State[�uilding Code.This permit may be revoked at any time f r due cause. �� y, � ,L��3 �, �o � !� Applicant Permitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . - Cii� of (�ronc� � Building Permit Application forr IVtlaintenance / Replacement / Renowatio�n (No structural expansion. Qnly windows, daars, siding, re-roaf, etc.) �O��.. Marlirrg Address: Permit number:� � �-- � �VO\ P�Bax 66 Crystal Bay, A�1N 55323-UQ66 Date recelved: � � Streef Rddress: Rec�ived by: _ � �� , � � : �- 275t7 Kelley Pa�rkway Plan review fee: {{�� , f� �. ` ' Orona,MN 55356 �4 - ��kF.ti ri��ti�,� l i ��.7S �_�' Total Fee: Main: 952-24�-464Q Fax: 952-249-4616 w4wv.ci.orono.mn.us This applicatian form must be completed in full and all required info�mation must be submitted. Incomplete appfications will be returned. (Ptease prinf) GENERAL INFORMATIO : Job Site Address: � ��'J � �� "S �� y�l/� U�E'+-� " �� ^i f S 3'I P , � Will this be a Parade of Homes, Remodelers Showcase Home vr ather Display Home? Yes No ff yes a specia!event permrt is�equrred with Pofice Departrnent and City Councrt approvat 60 days prior to the event. Sh�dtte bus service wifl be requrrec�unless appfrcant deirxxasba[es sulhcrent on-sde parking�s avarf�bte Non-,r�errnrtted even7s�vN!nol be aflowed C�NTRACTdR!AP LtCANT INFORMQTION: Name: i - � `�`'�S C �� L�f f--v'�1� ft �4� (�� State License# j L � �� @� Expiratian Date: Lead Certificatian Number: Expiration Date: (for work on homes thaf were constructed pNor to 1978 � �� Phone: (cell) ;�f.� — �'1�,�� -.16/�? (o�ce) Mailing Address: y �/ �(,�. Sf-�;� � City: .'Li �L,�-f.,�. IP: SS3`rS Contact Persvn: �� j�4 c'� Rppdicant is: ont / Homeowner cce��or�� Email andlor Fax: a�,B��,�5 Lv�,s�.�'k �f h-�, . Cc�� PROPERTY OWNER IF�FQRMATION: Name: ��'� � � Co�'Sa`, __.�_________--T-- ----- ------ Phone (day): C/ol "�, i,� ---�.7� S Address: l a7� Ch �'�y C�u�r= 0� "�! Clty: O �"a `'r � ZIP; S � �,9 ( Email and/or Fax: PROJECT INFORMATION: Overall project description: ll�'��r �C�'a�r',: ��'P��(' � e'C��y/ a�l ��5 Type of Project: i Any earth ma�emer�t may afso require s{�/. ❑Door s i MCWD review&pernnits: ( } ❑Remodel ❑ Fire Damage � //��f' ❑Re-roof,asphalt �Repair ❑ Storm Damage � Minnehaha Creek Watershed District(MCWD) �� ( 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑Restoratian ❑Water Damage � aeephaver�,MN 55391 ❑ Re-raof,ather(specity� ❑ Siding ❑ Other:(specity) � Phone: 952-471-0590 , Fax: 952-471-0682 ❑Windov�r(s} �C��= �'�"�� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land� $ :��?� . u" APPLICANT ACKN�WLEDGEMEWT: , _ _ _ __ _ _ .__ __ __ _ _ __ � . Agrees to provide all infarmation required or requested by the Building Department; i ' • Certifles that the information supplied is true and carrect to the best of his/her knowledge. The applicant recognizes that they are ; solely responsible for submitting a complete application being aware thst upon failure to da so,the staff has no altemative but�o ' reject it until it is complete; ' • Some or all of the information that yau are asked to provide on this application is cJsssified by State law as either pnvate or j� cnnflderrtlaL Private data is information which genersify cannot be gi�en to the publi�but can be gl�en ta 4he subject o�the data. Confidential data is information which generally cannot be g"rverv to either the public or the subject of the data. Our purpose and I intended use ot this'rnformation is to annually update our records and recards of other governmental sgencies required by law. If I you refuse to su�pl the information,the application may not be Issued _____._ ___.-- _-.----___-- --.. - - --_- _.._ � ApplicanYs Signature: � Date: � � a v% � r �� g!d9��d Owner's 5ignature: �'" ��"�} �ate: Last Updeted 03/Q6/2�13 � � / DATE TIME CITY OF ORONO CALLED IN `�r� INSPECTION NOTI p SCHEDULED !O-7-/ _�d -��"� PERMIT NO��<��OMPLETED ADDRESS l2 � �v OWNER � TELEPHONE NO?�Z ��Z� J�„ CONTRACTOR `��d ��`�� : DESCRIPTION �l�a� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � w a � J O �. � O � W � Q � Z W � W � � � GW ❑WORK SATISFACTORY:PROCEED �]..DR�JECT COMPLETE � ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WIIL RETURN ❑STOP OfiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. �'� , ..1�' White Copyllnspector's File Canary CopylSite Notice