HomeMy WebLinkAbout2010-00280 - install garage beam/sheetrock/2 windows - CITY OF ORONO PERMIT NO.: 2010-00280
, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: OS/04/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 920 DAKOTA AVE
PIN : 26-118-23-33-0017
LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE
: LOT 002 BLOCK 000
PERMIT TYPE : ADD[TION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 4,200.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBWG,MECHANICAL,FIREPLACE, ELECTRICAL(STATE)
INSTALL GARAGE BEAM/SHEETROCK
REPLACE(2)WINDOWS IN KITCHEN
APPLICANT PERM[T FEE SCHEDULE 1 18.00
INNOVATIVE BU[LDING & DESIGN LLC STATE SURCHARGE(VALUATION) 2.10
P O BOX 490298
BLAINE, MN 55449- TOTAL 120.10
(612)239-4490
Minnesota State License#: 20635372
OWNER
GAWRON, LECH&NANCY
920 DAKOTA AVE
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall bc performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for addi[ional or related work which requires separate
permi[s. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied 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[ime afrer work has commenced.
The applican[is responsible for assuring all required inspections are
requested in conformance with the 5tate Building Code.This permit may be
revoked at any time for due cause. �� .-j
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A�ificant Permitee Signature Date ►s � By�Signaturc Date
SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE.
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� City of Orono
� Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: v— (�
�v�\ PO Box 66
�Q `\ Crystal Bay, MN 55323-0066 Date received: 9 /�
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�, � Street Address: Received by:
� " i°'"' v� 2750 Kelley Parkway Plan review fee:
��kESH04� Orono, MN 55356
Total Fee: /���l�
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �(,�Je� ,6 , �/��,y,�� �N
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print) ,�J �..,� �j,�,-v��c�
GENERAL INFORMATION: P
Job Site Address: �1ZG L�:��� �u� y-�� �v
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,�No
If yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil/be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: � LLL
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State License# Z��;35 3 jZ Expiration Date: 3 3� �i�
Phone: ��Z_Z��j_ yyR p (office) ��z - ci �-- �7 2--5 (cell)
Mailing Address: � �,� q0 � Cit : ►G; ZIP: s
Contact Person: ��� �-}��,,,5.,,,«„�� Applicant is: / Homeowner (Circle One)
Email and/or Fax: _7��-yZ2_1����
PROPERTY OWNER INFORMATION:
Name: �]u.��t .� �Ll���� L;��s�_�,
Phone (day): �(c3_ z21 -3qlo3
Address: q2o ��,t,�� �,,•.� City� d�� ,�, ZIP�
Email and/or Fax �1
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel MCWD review&permits
❑Water Damage
[�Window s Minnehaha Creek Watershed District(MCWD)
( ) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restoration � Other: (specify) Phone: 952-471-0590
❑ Re-roof Fax: 952-471-0682
❑ Fire Damage �h St�fl a-�•-, ,SL.Qr �e-!.0 www.minnehahacreek.orq
Overall Project Description: " r,.�.� �� ���� , i3«",,, ,� � 42�• � 1�t� L w. ,.. , ��, {- ,�u =_
Estimated Construction Valuation of Project(excluding la ) $ �jZ�� J��n�•���, �.���i�y..
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
re uired b law. If ou refuse to su I the information, the a lication ma not be issued.
Applicant's Signature: ��/a�'/j Date: ��2��p
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Last Updated: 05-04-2009
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Dead Load 10 PLF De�ec�oa Critet�ac 1/3�fcve�UZ�O total
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Fitename:KY83
Other Loads
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(Dosc.�tlon) BqBin E+�d Width Smrt End S1drt EM Category
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Pasitive M1�1on�nt �8832.'� 70234.'� 6B°6 tt.22' Total bed D+t.
Sheer 7433.� 17955.� 4056 QOt' Totai load DtL
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CITY OF ORONO CALLED IN �D
INSPECTION NOTICE SCHEDULED D 9,'�D
PERMIT NO. �/D D���Q COMPLETED
ADDRESS �.Z� �%T� �GGI�
OWNER T.�LEPH E NO. � a�d-
CONTRACTOR l/`e- —
>; DESCRIPTION �L�'C.-�� `�f��G�/� ��5��
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ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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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
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_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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GW ❑WORK SATISFACTORY:PROCEED �R dECT COMPLETE
W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site: � -�
Inspector. � J�-� � � {� �
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE y�SCHEDULED � �,�
PERMIT NO.n�DID��D�V COMPLETED
ADDRESS 9Z� �Q'�� 1�
OWNER TELEPHONE N .(��z 2g� Z7Zs
CONTRACTOR �����'��� �`
>; DESCRIPTION �
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ 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 MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � GTATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. �� �'� � �
White Copyllnspector's File Canary CopylSite Notice