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Home My WebLink About2014-00494 - addn/remodel/repair CITYOFORONO * z0 14 - 00494 * ` � 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3535 CHRISTINE DR P[N : OS-117-23-12-0019 LEGAL DESC : BETZ ADDN : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 150,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBTNG,MECHANICAL.ELECTRICAL(STATE) REMODEL KITCHEN AND BATHROOM APPLICANT PERMIT FEE SCHEDULE 1,356.75 STATE SURCHARGE(VALUATION) 75.00 GORDON JAMES CONSTRUCTION TOTAL 1,431.75 5159 MAIN STREET E P.O.BOX 306 Payment(s) MAPLE PLAIN,MN 55359- CHECK 11367 1,431.75 (763)479-3117 Minnesota State License#: BUIL-20531961 OWNER RYAN, MR. & MRS. 3535 CHRISTINE DR MAPLE PLAIN. MN 55359 AGREEMENT AND SWORN STATEMENT �� y��I C The work for which this permit is issued shall be performed according to ' II_ the approved plans and specifications,applicable City approvals,and the ��.0 n1/�'� �M A J./ //1 State Building Code. This permit is for only the work described and does llL,J( � 1 �1 Vll 1 lJ� ( not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of wark n ��j f� �� shall be compied with whether or not specified herein.This permit will �� Xn 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 assurin�all required inspections are requested in conforn�ance with the ate Buildine Code.This permit may be revoked at any time for due ca � - � �-� �-J , , App �cant Yermitee Signature Date Issued By°Si ture Date �� . } / �� C i ty of O ro n o�--1�-� -=�I � �._��:� � i`�3 I- Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Oq, Mailing Address: Permit number: dQl ' � � f yO PO Box 66 Crystal Bay,MN 55323-0066 Date received: s �a-1 St�et Address: Received by: r�% y�, �' 2750 Kelley Parkway Plan review fee: � L Orono,MN 55356 �� !q'�ES Ff O�� Tota I Fee: l� Main: 952-249-4600 F2x: 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: �5��j C,N`�-OS�INL �&- CS�JJt P't1a7 Will this be a Parade of Homes, Remodelers Sh�v+scase Home or other Display Home? ❑Yes � No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be �equired unless applicant demonstrates s�cient on-sde parking is available. Non�ermitted events will not be allowed. CONTRACTOR/APPLJCANT INFORMATION: Name: ��.��3� J A.,R-c�� W��;k!,x�-t:��t State License# ��,=�-?��c��\ Expiration Date: 3 -3� ; ' Lead Certification Number: �JA Expiration Date_ N,4, (for work on homes ti►at were consY�utted prior to 1978 Phone: cell `' � '� � office �i ia?,� �j� �?�i� i ( )�fo'�i� ��.U-�ia w ( ) Mailing Address: �i`,�`'i 't�lA�� 5�i", C�Y= ^1A'��.e:, �t-q�� ZIP: �5�Gj�� Contact Person: i�,� ��,��N�� Applicant is on rac r�/ Homeowner (Circle One) Email and/or Fax: 'e��',a�.^_—,0:2�—��+,'s-+r;�,.C� /� ( ;��`��+ � �E�.iC . - PROPERTY OWNIER INFORMATION: Name: �.��c,�- �J�c.o�� tJi:,t,��xv Phone(day): Address: 5�0 {',J��MP(?,�,(,L C.� tUW C�Y� l�v-�C,N1N5�rr.1 ZIP: cjS�J50 Email and/or Fax: �`��N�W��AHcx�.��M PROJECT INFORMATION: Overall pro�ect description: �'��x-!�.0�` 1Sa��'v�.,2.(t i;cv;4��o�--: ,FE�.�^{, Type of Project Any earth movement may a o require ❑Door(s) �Remodel ❑Fire Damage MCWD review 8�permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-�oof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,ott�er(speci(y) ❑Siding ❑Other:(specify) Phone: 952�71-0590 Fax. 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ it;C� Oot7 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; . Certifies that the infoRnation supplied is tnae and correct to the best of his/her lmowledge. 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 rejed it until it is complete; • Some or all of the information that you are asked to provide on this application is Gassified 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 subjed 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 reiuse to suppl the information, pplication ma not be issued. ApplicanYs Signature: Date: S f c�3.I �`� Ovme�s Signature_ Date: ' �ast uPaatea:osrosrzo�s , (� ��" �� „{( DATE TIME� �.'CI OF ORONO Y CALLED IN V INSPECTION NOTICE , s HEDULED � ��'2 PERMIT NO. � � ``��MPLETED ADDRESS � 3 J ��fi,�C�//�10 ��f� OWNER TELEPH E NO. a ��=� � CONTRACTOR �- � DESCRIPTION ��-1 � ' "`'��' � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ R ❑ WATER HOOK-UP ❑ PROGRESS ❑ FI�IA ❑ SEWER HOOK-UP ❑ COMPLAINT DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:J�'p'�t.�►c��E �!�/' �38 T�/ - R� - $'9•�l'!� a � �roUl�'j� �1r+5 li�t� �•i� -�e,,St " �cSt �.F o ' FiN�S`!�S - �Oe� N�[�rlt��c�t/c�s �pcacS-- ---- >. o� ,�,/ , � /�{r� ,� �� r�sM " 0�6i1�/ 'O��71` �l�i4/o v�b• �Q� . Q5•0 �r,r,��r G�e�ht.w �b 6-� Gl.�. ,��ra�.� 'h L -L . Z b��r��a,n � �I cs� o� wo.� b/l - r � . W � Ga r r e c� -�- C4�� '� ��h.5��. j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED i_7 STOP ORDER POSTED.CALI INSPECTOR �JSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ✓ � C e n ion 24 hours in advance. (952) 249-4600 Own IContractor o � Inspector. ��"' White Copyllnspector's File Canary CopylSite Notice