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Home My WebLink About2016-01221 - minor alterations CITY OF ORONO * 2 0 1 6 — 0 1 2 2 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016 ` ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1725 FAGERNESS POINT RD P[I� : 17-117-23-22-0036 LEGAL DESC : MAPLEGATE INLET : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MINOR ALTERATIONS(MULITIPLE ITEMS) VALUATION : $ 22,629.00 NOTE: REPLACE:3 WINDOWS,3 DOORS,PATCH ROOF,REPAIR SIDING APPLICANT PERMIT FEE SCHEDULE 402.69 STATE SURCHARGE(VALUATION) 11.31 DENALI CUSTOM HOMES, INC. TOTAL 414.00 18352 MINNETONKA BLVD payment(s) WAYZATA, MN 55391- CHECK 10540 414.00 (952)476-2679 Minnesota State License#: BUIL-20175394 OWNER Denali Custom Homes 18352 MINNETONKA BLVD DEEPHAVEN,MN 55331- 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 the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 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 assuring all required inspections are requested in conformance with the State Building Code.This permit may be �;�-•� revoked at any time for due cause. ��"�/ ;'/ �� c�-e--c `�--��-�z-' `l' � �`r� /�r Applicant Permitee Signature ' Date Issued By Signature Date City of Orono Buildin j Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY � (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �� 1 � Mailing Address: Permit number: �� "' �p�� / ��l PO Box 66 Crystal Bay, MN 55323-0066 Date received: vZ� (�^ � � � � Street Address: Received by: __�� 5�, �` 2750 Kelley Parkway Plan review fee: �—'— t Orono, MN 55356 �KE`S Fl o1i�' (�^>�) _._ 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 Address: �� /� Will this be a Parade of Homes, Remodele howcase Home or other Display Home? ❑ Yes No If yes,a special event permit is required with Police Department and Ciry Counci/approval 60 days prior to the event. Shuttle bus service wi/l be required unless applicant demonstrates sufiicient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �tvYt-{, � ��Tc+� �5 . �w� . State License# �� 5 Expiration Date: �Jj 7 Lead Certification Number. (� I ��<j �� Expiration Date: a_� �J� (for work on homes that were constructed prior to 1978 Phone: (cell) � _7 7 (office) 9s�-y�b- 6 7, Mailing Address: 1� �� ,� � City: N ZIP: y�,�� Contact Persorr: p�� yi�f�n Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: rj�p_�; �,ES(��../a�y�.��. L�� PROPERTY OWNER INFORMATION: Name: �j��,,�.-�� C�u.�,T� �u.�E_—5 ��v C Phone (day): (ri��—�t$_l67/ ` Address: ��r�/'� �,��yE�-��¢ dlvd City: �;,�� ZIP: ,�J�,�� Email and/or Fax: fl��,(� �y�S ��y.,�;�, l.Ovlil PROJECT INFORMATION: Overall project description: � ' Gc/e.v�,Ls 3 E '��cr�� ^ 1 ;�Tal�rr'Tu��1rt�,� Type of Project: Any earth movement may also require �Door(s) R-'r��Ac.��3� Remodel ❑ Fire Damage MCWD review 8 permits: Re-roof,as halt Minnehaha Creek Watershed District(MCWD) � p �.T�} ❑ Repair ❑ Storm Damage 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 Phone: 952-471-0590 ❑ Re-roof, other(specify) �,Siding (Z.c.PhQ., ❑ Other: (specify) Fax: 952-471-0682 �Window(s) KEP�N-cf�3� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ � 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 inform hich generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this in ation s to annuall date our records and records of other governmental agencies required by law. If ou refuse to su I e inform tion, the ation ma not be issued. Applicant's Signature: � Date: �� j� � Owner's Signature: Date: Last Updated:January 2016 GATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE Baal' .1-4/3-/r- ADORES 1-4/.3-/rADORESS /?62 /=4fce,5s f'- E42. OWNER TELEPHONE NO. CONTRAc:TOR 008.44!•' Cic sio••1 DESCRIPTION - ace .3•t/ oy �alao•" . 0 FOOTING 0 DEMO-FINAL D SEPTIC FINAL 0 POURED WALL 0 PLUMBING RI 0 EXCAV/GRAD1NGIFIWNG C0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 2 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION • D FRAMING 0 MECHANICAL FINAL 0 RATED WALLS O INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Zci0 FINAL 0 WATER HOOK-UP 0 AS BUILT-SURVEY 0 SEWER HOOK-UP D ATIONIREMOVAL v 0 DEMO•SITE 0 SEPTIC INSTALL MEET YOM_YES_NO 8 COYYENTSc erg-e Adder J '1eD cm_ •N A.r g Algie !/1S`oec6.b-c IA Permit has expired per MN Building Code Sec. 1300.120 subp. 11 N. Expiration, no record of a Final inspection. km lai 181 I. 0 WORK 8ATI.FACTORt PROCEED 0 PROJECT COMPLETE 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY • o CORRECT WORK CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PER MANENT o CORRECT UNSAFE COMMON WITHIN HOURS. 0 mom TAKEN INSPECTOR WILL RETURN o STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED o INSPECTION REGLARED.CALLTO ARRANGE ACCESS. Call forth.next hL.pection 24 hours In advance. (952)249-4600 on she WtiW CopyMpSoloni RI. canary C..,.,. .Naas