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Home My WebLink About2010-00200 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00200 � 2750 KELLEY PARKWAY ` ORONO, MN 55356- �ATE IssUEn: 04/07/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1170 GARDEN CT PIN : 07-117-23-24-0048 LEGAL DESC : WILDHURST WOODS/2 : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 4,000.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) BUILD A CLOSET IN LOWER LEVEL BEDROOM,INSTALL RECEPTACLES, SHEE[ROCK AND PAIN"I APPLICANT PERMIT FEE SCHEDULE 103.25 FEY CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 2.00 13270 JAY STREET NW TOTAL 10525 COON RAPIDS, MN 55448- (763)755-9438 Minnesota State License#: 1904 OWNER SUTTON,THOMAS& JANE 1170 GARDEN CT MOUND, MN 55364 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 goveming 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 time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State Building Code.This permit may be revoke ny time f�cause. / // ��'�c-Q� / / App icant Permrtee ' ure Date Issued y i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO , City of Orono + Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 4v�,� PO Box 66 / 0 ^\ Q Crystal Bay, MN 55323-0066 Date received: �� ':s�>,.,. � � ��`�j'� �et,;�. �. Street Address: Received by: �'� '� �" �tiF 2750 Kelley Parkway Plan review fee: L�kESH�4'� Orono, MN 55356 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. (P/ease print) GENERAL INFORMATION: Job Site Address: D n'f ,�f/S�S��y 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 Counci/approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events will not be allowed. CONTRACTO /APPLICANT INFORMATIO : ame: U -� /Z�'n State License# /��l� Expiration Date: ,3 •.3/ /,2 Phone: , • 3 office � •S5'C cell Mailing Address: Cit � ,�� ZIP: � Contact Person: ,� - Applicant is: ontrac o / Homeowner (Circle One) Email and/or ax: �� 7S5•.3 7l�' PROPERTY OWNER INFORMATION: Name: ' T�/h �.�� Sv�'�/ti► Phone (day): 3 Address: //Jf� ��.�,��•�f/ City�y� ZIP� �5�'�� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) �-Remodel ❑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.or4 Overall Project Description: � �� „��s�� 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 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: �� LastUpdated: 05-04-2009 � c�ATE, I TIME J CITY OF ORONO CALLED IN / � `� INSPECTION NOTICE SCHEDULED � �� PERMIT NO.�l�—�� COMPLETED ADDRESS �� - OWNER TELEPHONE NO.��Z �� —� CONTRACTOR ��U C�/d� '�� >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ NARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � j GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ 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. �952� 249-4600 Owner/Contractor on site• Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE TIME ` / CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED Z U Ll.� PERMIT NO.��D"��1�� COMPLETED ADDRESS � ��O ,nGZJ� OWNER TELEPHO E NO.�� — ��g � CONTRACTOR �-'� >; DESCRIPTION e � � � lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANfCAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP �� PROGRESS ��I�fAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ;/�PROJECT COMPLETE � ❑CORRECT WORK&PROCEED " 1SSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR W4LL 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 si e: Inspector. -� ��/`�1,�� White Copyllnspector's File Canary CopylSite Notice