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Home My WebLink About2011-00045 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00045 , `- 2750 KELLEY PARKWAY ORONO, MN 55356- �AT� �ssu�u: OU24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2425 DUNWOODY AVE PI N : 20-1 17-23-22-0009 LECAL DESC : TOWNSITE OF LANGDON PARK : LOT 003 BLOCK 008 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN / REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 20,100.00 NOTE: STPGRn7l?PERMI�fS REQUIRGD: YLUMI3ING.MGCHANICAL,1=1RI;PLnCE, ELGC'IRICAL(S"I'ATG) 2 FIREPLACES AND RA[SG HI:ADN,R UP�APPROXIMATGLY 12" APPLICANT PERMIT FEE SCHEDULE 3�4.00 MICHAEL HAYGS HOMES, INC. STATE SURCHARGE(VALUATION) 10.05 2421 LORIEN ST TOTAL 364.05 HOPKINS, MN �5305- (952)975-9394 Minnesota State License#: 2163 OWNER BREMER, DENNIS&CYNTHIA 2425 DUNWOODY AVE WAYZATA, MN 55391 AGREEMENT AND SWORIV STATEMENT I�he�cork��>r��hich this permit is issued shall be per�i�rmed accordin�to thc approvcd plans and spccitications,applicable Ciq-approvals,and thc State t3uilding Code. 'I�his pemiit is for onl�•the��ork described and does not grant permission for�dditional or rclated�vork�vhich requires separatc pcnnits. All provisions of la�vs and ordinanccs�oveming this typc of work shall be compied with��hether or not specitied herein.'I�his pennit��ill expire and become null and�roid if constructiun authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at an��time after work has commenced. The applicanl is responsible for assurine all required inspections are requestcd in conlbrmance ti�ith the State I3uildine Codc.This permit ma��bc revoked at anv time for due � u'• ).--. `=' � l � � � / / Applica t Permitee:'gnature Date Issucd B�� nature Dat� SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIE3ED AB E. ��-, i . City of Orono � � k� ► � " Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �,�,� PO Box 66 Permit number: c�O! -- DUG�f 0 � � Crystal Bay, MN 55323-0066 Date received: l �i0 �/ ��a�� - s �- Received b �,�F�;� s, Street Address: y� �'�nt y" �,� 2750 Kelley Parkway Plan review fee: �kESHO�`'� Orono, MN 55356 _ Total Fee: � � (��j v.� 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. (P/ease print) GENERAL INFORMATION: � �� -�-o ,�`�� r '-``�""''�} � �"��`" Job Site Address: �`�v2J �t�«, �,;,c_;�Q�.� ,v�; ��C,�,.• v�v��-� •=-�e �. Will this be a Parade of Homes, Remodeters Showcase me or other Display Home? ❑ Yes ❑ No �-2�'-11 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/APPLICANT INFORMATION: Name: /�'Ii�%/o`l 1�!��cs %��.�c� State License# ��; � Expiration Date: �?c�2 Phone: c� �2. � 7�_-r ��y (office) — (cell) Mailing Address: �y2� �:.� �"�•�� s.�� . � Cit : u,�a:�t 1�� ZIP: �s 3c,�-� Contact Person: �-,,��- Applicant is: Contractor Homeowner (Circle One) Email and/or Fax: �U,,,.� /�� _`;�,r�.,,,� ,� �:.:.,,-;'/ ,cz.,,,", . PROPERTY OWNER INFORMATION: Name: c�c.�,�.� SirN�.��c Phone (day): �1;2- s 6<r. c��5� Address: � /��, ,�� -- City: ct/,,.,,, ZIP: Email and/or Fax � l 2�; PROJECT INFORMATION: � ��zc-n%�� v�L�,..li Y'�� ;; �-�-•��, c,i, L� � ^� Type of Project: Any earth m vemen may require MCWD review&permits ❑ Door(s) ,�2emodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �� jo�. •�` 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. � � ApplicanYs Signature: � , Date: %—r��''� // Last Updated: 05-04-2009 �/ � � �l, C � � D T TIME �- CITY OF ORONO � CALLED IN ��// INSPECTION QTICE t SCHEDULED __s� �� '�� r'�� 1. PERMIT NO. Z/ ' COMPLETED ADDRESS � C � ' OWNER TELEPHONE NO. � `� � — 'l�� CONTRACTOR ry �f . �`P_ ' >; DESCRIPTION =' ��' ��X�� , I � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 24J-46�� OwnerlContractor on ite: Inspector. � ��j ;/��,.�� White Copy/lnspector's File Canary CopylSite Notice G � I� AT TIME �/ CITY OF ORONO CALLED IN � 6� INSPECTION N T CE HEDULED /� •� PERMIT NO. ��-�� coM ETED ADDRESS � �.� OWNER � HONE NO. �� '� CONTRACTOR ' >; DESCRIPTION �.i� � - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EX AV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHAN�CAL 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 ❑ SE I INAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:� ES_NO � COMMENTS: � W a a �'� �� (� c,�cc' 1 T. a � � . '� � � �J ��-� � �-��z Q ��l°�t� � fl ( �!�1,�.-,r�� .. � z W � W � � d � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO ECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: ' Inspector. 'L-L/ 1-7 � � � � White Copyllnspector's File Canary CopylSite Notice