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Home My WebLink About2013-00864 - finish garage � �, CITY OF ORONO * Z 0 1 3 — 0 0 8 6 4 * 2750 KFLLEY PARKWAY pATF [ssu��: 08/26/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 900 DAKO�A AVE PIN : 26-118-23-33-0018 LEGAL DF,SC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 003 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 500.00 NOTI?: S};PARATN,PERMI"1'S R[;QU[RED: F,LECIRICAL(STATE) FINISI I GARAGE- INSULA"['ION.R}'.CESSF,D I.IGHTING, SFfEF,TROCK, FIRE TAPE AND I�S"I'AI,L FIRE RnTED ENTRY DOOR. APP�ICANT PERMIT FEF SCHEDULE 25.00 LUCKING, JESSE & REBECCA STATE SURCHARGE(VALUATION) 0.25 900 DAKOTA AVE LONG I.AKE, MN 55356- TOTAL 25.25 PA(D WITH CASH 25.25 OWNER LUCKING, JESSE& REBECCA 900 DAKOTA AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The tiork fior which this permit is issued shall be performed according to thc approved plans and specitications,applicable City approvals,and the State Building Code. �I�his permit is for unly the work dcscribed and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of N�ork shall be compied with��hether or not specificd herein.This permit will expire and becomc null and void if construction authorized is'not commeneed within 180 days of the date of issuance,or if construction is suspended ibr a period of 180 days at any time after work has commenccd. fhe applicant is responsible for assuring all required inspections are rcquested in coqformance with the State Building Code.This permit may be revoked at any t e r due cause. �� _ � � ,2� �13 Applicdnt Permitee Signatu e �� Dale Issu [3y Signature Date SE ATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � R , City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O Mailing Address: Permit number: �b� - �O PO Box 66 � 0 Crystal Bay, MN 55323-0066 Date received: $'��'� Sfreet Address: Received by: D �. � �SS k.Q y � 2750 Kelley Parkway Plan review fee: `� L Orono, MN 55356 `qkFSHo�� 5� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Add ress: �� u.�to-�' v� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �essG Lucic.;�r Phone (day): �12_$�S-_ 03� Address: ��D l�akok.��VE City: �,2o,N p ZIP: s'S3�� Email and/or Fax: �l4trl'� � e�-�r'-1�1,.�k•��-�- PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also 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-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �✓��Sl� Ga.raqo. ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ SOl� SvtS��a-�iovt..} IC.c.u.sst.d C"igl�ki..� � SlntG-��c.IS� Fi�e -Fap�c, pM.� �;•I5�'al� �i�e �.-�c�e�l-1�✓�./ �pp(^ 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. Applicant's Signature: Date: Owner's Signature: Date: Og/Z�o/t 3 Last Updated: 03/O6/2013 t/'�� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. a?b!� -O� �y COMPLEfED — � ADDRESS �6O �4'.1(�aL�'4.�i . OWNER ��c�R�t L��,��EPHONE NO. CONTRACTOR >: DESCRIPTION ��'�S� �F'✓'e re ' � t4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � J�INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �e r.•� .� �alDc�� 4�(� $-L.�L! �'.�.� .� � �'+ - a f�� 95�2G��r�. 0 � /1d �rb S�i �. �K-s.�. �. ` � - p.�ov s�.a. ��•cz'�i-«�t ��nc/ .�4//0/c!6/C� O � W � �le ��e �,.c� — Q z �`��s� G�6t' 6ra� G��`� � << �' W /� �' � � � W �iY!L�2 t i-Ls�1L� /�RS%l. d I� (J.�Ct�� J GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ��i �- �[f White Copyflnspector's File Canary CopylSite Notice