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Home My WebLink About2015-00604 - addn/remodel/repair CITY OF ORONO * 2 0 1 5 - 0 0 6 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2015 ORONO, MN 55356- � � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 755 HUNT FARM RD PIN : 31-118-23-11-0009 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: (FOUNDATION REPAIR,SIDING&WINDOWS) APPLICANT PERMIT FEE SCHEDULE 201.36 STATE SURCHARGE(VALUATION) 5.00 KISE,JOHN TOTAL 206.36 755 HUNT FARM RD LONG LAKE,MN 55356- Payment(s) CREDIT CARD 7361 20636 OWNER KISE,JOHN 755 HLJNT FARM RD LONG LAKE, MN 55356- 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 rype 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 respons le for suring all required inspections aze requeste n conforman with e State Building Code.This permit may be � revoke an time for e c se. S-�S-[.S �--(�.� c�vv1 c�� , ! s, !S A ic nt ermitee Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e..windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION (� � � ��O� Mailing Address: Permit number: � P O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � 6 � � � Street Address: Received by: ti�, G� 2750 Kelley Parkway Plan review fee: � lqKFSH�� Orono, MN 55356 p� K � �5 S-�„� M� p� � Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �2 r�^'/�'�— �(�, ��.Q This application form must be completed in full and all required information must be submitted. O(� • Incomplete applications will be returned. (Please print) �j �� GENERAL INFORMATION: Job Site Address: ��S �u,��- �f�,.� �tp�;,,�, , Q;o,•�v i`�� SS�;�,3 Will this be a Parade of Homes, Remodelers Showcase Home o other D splay Home? ❑ Yes ��lo 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: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 'S�,�,,� }C;�� Phone (day): b1� 6Crf7 �,9 b 3 Address: ��SS Hw�a- ��. �'�z-+r� City: ��.�,,,��y ZIP: SS�S,� Email and/or Fax: ,,, � - c r�.�,��. � �,�,,,� PROJECT INFORMATION: Overall project description: �- (�t�`f(6Y1 ��! Type of Project: Any earth movement may also require ( ) �model Fire Damage MCWD review&permits: ❑ Door s ❑ 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) $ i!?d 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 i annually update our records and records of other governmental agencies required by law. If ou refuse to su I the' orma , the a lication ma not be issued. Applicant's Signature: Date: �—��' f S Owner's Signature: Date: .S —1S — L� Last Updated:January 2015 � J DATE TIME Uf CITY OF ORONO CALLED IN � INSPECTION OTI E SCHEDULED PERMIT NO. �'( COMPLETED ADDRESS � � ��1.-�l�7'� �.ii✓1 � OWNER ��'� �`�Q - TELEPHONE NO. ��a-��`�q7Q CONTRACTOR � DESCRIPTION � � �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ S R HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S IC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: a �D✓2� //s � /�f ~ lJ� �i ��.ie�4t�' �i j a ��✓'C,6�✓ � oZ! �� ` .� �� '` r-e-6.c✓ , „. Cp✓� 5 O '' �r c oe.6 � �o✓�- �! 3,L�, " r zb�✓— � 0 � Qco�� ►`-- � 6� �� . . --- � z � Wa�� e✓�o✓.Ke1Z b�f,�e r ��(,c.,. �.�..r��re ai�.f� � --� - j ,D/� � D� �S` 00�f rc rc t —�-_—. GW �'QQfDRR SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspecti 24 hours in advance. (952� 249-4600 OwnerlContractor on site: ��`'L � c. 1 G+�_,:,.,. .,. Inspector. , :� %'� , White Copyllnspector's File Canary CopylSfte Notice V � C� DATE TI�AE CITY OF ORONO cnLL�IN � � INSPECTION TICE HEDULED �/�vr� PERMR NO. ��--dD�OD�M�ErEn ADDRESS �� S �C.�v�7L �t�-h� /� 01NN TELEPHONE NO. �lst '�00 �� CONTRACTOR � _ � _ � � � ,� �� DESCRIPTION ��' �'�S 1y ❑ FOOTING ❑ DEMO-FINA 0 SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINa O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TAEE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL O �►TED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT `� FI L 0 WATER HOOK-UP � FOLLOW-UP 4Q1 �AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v � DEMO-SITE ❑ SEPTIC INSTALL Z o�wNeucarrn�cron ro w�r wu: trEs_No � COMMENT'� � j �u �t�at�o�t f'ejQa.r G�6rtQ �2✓ O . � ��n�a�s SD��S , � W � - _ n � � �i��✓I�i A,tni h e� C�C?/rE K�e '�/D t�t� q/4cYG La Z Gv Oo� � � � � , � ❑WORK SATISFACTORY:PFiOCEED �JECT COMPLETE W ❑coA�cr woroc a�en �O ISSUE CER'TiFK)ATE OF OOCUWUrCY o O OORRECT WOf�(,CALL FOR REtNSPECTION TBiAPOFiARIf �j �FOREOOVERIN(3 PERMANBdT ❑(�CTUN3AFECONDITIONWRHIN HOl1RS- ❑pHpTOTAKEN INSPEC'fOR WILL RE�URN O STOP ORDER P08TED.CALL INSPECTOR O qTATION ISSUED ❑IN8PECTION RE(]UIRED.CI1LL TO ARRIIN(iE ACCESS. caN wr u�e next�spe�on u nours in sdvanos. 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