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HomeMy WebLinkAbout2015-00253 - addn/remodel/repair f � CITYOFORONO * Zp� 15 - 00253 * 2750 KELLEY PARKWAY DATE ISSUED: 03/05/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRE�SS : 290 HOLLANDER RD PIN : 25-118-23-43-0011 LEGAL DESC : HOLLY ACRES : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) (INSTALL STEEL BEAM TO OPEN UP KITCHEN) APPLICANT PERMIT FEE SCHEDULE 77.44 STATE SURCHARGE(VALUATION) 1.00 KNIGHT CONST.DESIGN TOTAL 78.44 2989 WATERTOWER P. Payment(s) CHANHASSEN,MN 55317 CHECK 5135 78.44 (952)361-4949 Minnesota State License#: BUIL-BCO22883 OWNER MAHAFFY,DALE&SUSAN 290 HOLLANDER RD WAYZATA,MN 55391 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 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 aze requested in conformance with the State Building Code.This permit may be ------ - revoked at any time for due cause. s � /v� � App ' ant itee Signature Date ssued y Signature Date ' ' City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: ����' �/ � PO Box 66 Crystal Bay, MN 55323-0066 Date received: � a� Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: `� �,�' Orono, MN 55356 �D lqkFSH�� (� 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. � .3Jy,CS Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: t � � Will this be a Parade of Homes, Remo elers Showcase ome or ther Display Home? ❑ Yes (S�No lf 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: �C�;G l�� Cs�t���!-, e � State License# Q C 6 2 Zg�� Expiration Date: Lead Certification Number: � Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) ��Z_ q�q_�q 8� (office) q,�L-3�( -�q Yq Mailing Address: Z 5 g� i,� �. P��, City: L �,.� � S�,� ZIP: Contact Person: $ �.� Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: ��- � ����-}-,,�y„�o���,�,� ,��� y�z 3 b - y�sa PROPERTY OWNER 1 F RMATION: Name: �-��,,1 N�,,�'�,�j.t� Phone (day): � Z Z - 8 � Address: Z�j� �`(� �, �r City: �G�zG�� ZIP: Email and/or Fax: ������.��Y� a �( _ �_aw� PROJECT INFORMATION: Overall project description: '� fti/� � o ��.e 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) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ -f'2, 0�0, o a 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. 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' a c;'aa,t,..., Lr...F -�' " �.. .� ( f`�� , `� x ,r.r�' � �r "� "�I �yr��.� . ,;,,�,,�`��.�� , ..�' � � � � � � „��, `� � �, � , ,. , �.i.,.� ' -, „ r�� ,i, w.l`,�r��'�r t� r � � � �.. , ,.� .,� , ; � � � t,�.. ,�...� z . ...... . . � n' r�"'.. . . ..�. . ...... . . . � „ � io �:y� �tii 2"=� ^C(1 �wrs►sv^�wa �- � ;� . � '�'�i1't!�.V �,�...- . �`4����t���ii f� r pH `/'C ' ' �� � �<(�''. �.�+�. ���........ A . t ,.• •.�� . �-�� ��" D ,3 � .O�Q:r� � ED �'r .M � 4� r �.,/z - Z�Y - �d33 _ t�"�..'�ytiN a � = � � �� ; a75a?�S:`o . :��`�''•.. Z-'�' •r�,y� � ••........�•'� `� rF �'�, OF M�N •� '������,,�� . �.-�,.•.�.. El�� �}�y ��.a � �:�;".�. �.:r.�1� �`�#� !,'•'!"•^ �/r^�w1 R-!nn w � �9�� - ��l�.�' �i-,� '.� � � t � � ' "i` i�X�..��,�.� PLAN CHcCKED BY� �DATt�3-Z- ��� L." ` J � DATE TIME V CITY OF ORONO CALLED IN 3��1,��-► �a�� INSPECTION NOTICE SCHEDULED 3-\a-�,5 �o'a b PERMIT NO.o�o l5- oo a5 3 COMPLETED ADDRESS a 9 O �10\S.�1sZc,�S�. C�� OWNER���S� � TELEPHONE NO.��' 3(2�����' CONTRACTOR k �s�' - � �� � � a DESCRIPTION � t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ������7/�� Q ❑ POURED ALL ❑ PLUMBING RI ❑ EXCAV/GRADIN /F L I�'�� y ❑ FOUN TION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RA N SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q F AMING ❑ MECHANICAL FINAL ❑ PROGRESS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL _ J ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMEN • � � � J O � o� O W OC Q 2 ' W � W � � � O W RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � RRECT YYORK�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN iNSPECTOR WILI RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in a 249-46�� OwnerlContractor on site: Inspector. White Copyllnspecto�'s Fik Canary CopylSfte Notiee � v DATE TIME CITY OF ORONO ��0� CALLED IN INSPECTION NOT E SCHEDULED -� PERMIT NO. O COMPLETED ADDRESS Q� OWNER CONTR. � TELEPHONE NO. ��)��lf�/.S ��P� �!�` 1��� � DESCRIPTION /'ir•�/,� /'�s��� i�7`//�'S l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_ ES_NO � COMMENTS: � W a J �GQ. � � O � � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the n t inspection 24 hours in advance. (J52� 24J-46�� OwnerlContractor 'te: Inspector. White Copyllnspector's e Canary CopylSite Notice