HomeMy WebLinkAbout2016-00954 - overlay of existing entryway � �
CITY OF ORONO * 2 0 1 6 — 0 0 9 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 09/02/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2765 KELLY AVE
PIN : 21-117-23-23-0001
LEGAL DESC : AUDITOR'S SUBD.NO.344
: LOT 001 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 1,000.00
NOTE: OVERLAY OF AN EXISTING ENTRYWAY CONCRETE STEP UNIT.
APPLICANT PERMIT FEE SCHEDULE 43.30
PLAN REVIEW 28.15
HOOPS,DEBORAH STATE SURCHARGE(VALUATION) 0.50
2765 KELLY AVE
EXCELSIOR,MN 55331- TOTAL 71.95
Payment(s)
CHECK 5079 71.95
OWNER
HOOPS,DEBORAH
2765 KELLY AVE
EXCELSIOR,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 tt►e
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permiu. 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 a8er 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 t' e for due cause. �
� 9-a- � �, �,/,h
Appl�cant Permitee Signa e Date Issued B ignature Date
Sep 0216 06:16a EDL 19524709169 p.1
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Buildin Permi�Application for Maintenance/Repfacement/Remodel—Residen#ial �NLY
�,/�O A,� ��P��S= Permit number: O r� 7
�VO �•., ' —
;` Crystal Bay,MN 55323-0066 Date received:
� ; ,� S7reef Address: Recei�ed by: �
I�`\•F.� �;��i 2750 K�ley ParkwaY Plan review fee:
� Orono,MN 55356
�.�A-F_SH���t
Total Fee:
Main: 852-249-4600 Fax: 952-249-4616
This application fortn must be completed in full and al! required informatian musE be submitteck.
Incomplebe applicat3ons w111 be returned. (Please prrnt)
GENERAL INFORMATION: � ���3 j
dab Site Address: � (�.� r�1 ��'1 ut ,�('21"�, �
Will this be a Rarade of Hames,�e ��odebrs Sh ase Home or other Display k!o e? Yes No
It yss,a special event permlt is requirod with Po6ce Deparfrnent and CIry Cow�cil approva!60 dsys pNor to the evem. ShuttJe bus service wiJ!be
reqatrec!unless app!'rcant demonstratss sulf�cient on-siha parking is evaiJ�ble. Non permiKed events wlU not be al/owed.
CONTRACTOR IAPPLICANT INFORMATION: ��� � �o� _���w��
Nairte:
State License# Expiration Date:
Lead Ce►tiFication Number: Expirafion Dabe:
(for wark ar homes il�at wene constrvcteQ prlor to 7978
Phone: (cell) (office)
Mailing Address: City_ ZIP:
Contact Person; ,. � Applicant is: Cantractor 1 Homeowner tc�ea,e�
Ernail andlor Fax:
PR�PERTY OWMER INFORMATION:
Name: �e�rj�v�.��r� �,�
Phone(day): (�l� �Cr�.i�'77�� 7
Address: / �"''- City: � ZIP: ,��
Email andlar Fax: � ' �
: �
PRO,JECT INFORMATION: Overatl prdect description: 'iC. ' �iii-�" �1` • �' d F'�►-�%�ti � �S`�"���"
Type of Project: Any earth movemerrt may also req�ire nurL
❑Door(s} ❑Remodel ❑F�re pamage MCWD revlew&permits: �
Minnehaha Creek Watershed District(MCWD) ;
❑Re-roof,asphalt �Repair ❑Storm Damage 15320 Minnetonka Blvd �//��
❑Re-roof,cedar ❑Resloration ❑Wffier Darnage Minnetonka,MN 55345 Ir�
❑Re-roof,ott�er(speciry) ❑Siding ❑Other:{speafy) Phone: 952-471-OS90 7'
Fax: 952-471-0682
❑Window(s)
Estimated Constructiqn Valuation ot Project(excluding landy $ /,BOa aQ
�_..
APPLICANT ACKNOWLEDGEMENT:
. Agrees ta provide ali infoRna#ion reqaire�or requesfed by the Bui(ding Departrnent;
• Certifies that the infomiation supplied'es true and oorred to the best of his/her knowledge. The applicarrt recognizes that they are
sotely respansibfe for st�bmitting a aanplete application being aware that upon failure to do sa,the staff has no altemative but to
rejed it untit it is complele;
• Sane or all of the infom�atior� that you are asked to provide on this application is classified by State law as either�rivabe or
confidential. Private data is ir�formation which generalfy cannot be gi�en to the�blic but can be c',}nren to the subject of the data.
Confidential data is infarmatiori which generally cannot be given to either the public or the subject of the data. Our purpose and
iMended use of th�s�nformafion is to annuaUy update our reoords and records of other governmental agenaes required by law. If
u refuse to s I the information the a licatiom m �Qt be issued.
Applicant's Signature: + L� Date: ��-/a -��
Owner's Signature: _,�� A' S� Date: O ���1�t
Aug 10 16 12;36p EDL 19524709169 p.1
f � 4 �.��y �� v�v��� r��t�-5� � e� , ou-v�o. ��i�l, US
Building Perrni# Application for Maintenance/Reptacement/Remodel - Residentiaf ONLY
, o?D�(v�Ov 9S�
�`�, Mailrng Address: permit numb� ���Lt�s V�j 8�Q//�
j� '���I � PO Box 66
� \'• Crystal Bay,MN 55323-0066 ���� Date receive� e
t' � r� Reoeived by: ����} • C��
. , Street Address: f
��: �� 2750 Kelley Parkway Plan review f �uSt � I�U1�13.{
\Ft `�% Qrono,MN 55356 �
��ti r s t�_����.' �
_ Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 �/ ��
This applicatiort form must be completed in full and a!I required information rnust �'
Incomplete applications will be returned. {Please print)
GENEFiAL INFORMATION: - - �
.lob Site Address: �'` (s� ��� �'�v�uc
WiN this be a Parade of Homes,R�e�nadelers Sho ase Home or other Display Horne? �Yes No
If yes,a specia!event permit rs required with Police Departmerrt and City Courtcrf approval 60 days prior to the event. Shuttte tws service will be
requirad unless applicant demonstrales sutf'rcienl on-srte parking is avarlable. Non-permitted events w1!!not be allowecL
CONTRACTOR!QPPLlCANT 1NFOR�IIATION:
Name:
State License#
Lead Certification Number.
(for wark ort homes that were constructed prior to 7978 � .� �
Phone: (cell} l� � �rizj /
Mailing Adtlress�
Contact Persan: ApF � :a
Email andlor Fax: '
PROPER'FY OWNER INFORMA710N:
Name: �.W o��8� ~�iFar�
Phone(day): ��� - Slr��77 � 7
Address:
Email a�dlor Fax: �� �,����, q a t � � ��,� 1 �
PROJECT tNFORMATION: Overall pro ect descri tion:
Type of Project:
❑ Door(s) ❑RemOdel ❑Fire Damage mL.wGr rev�ew a�permr�s:
Minnehaha Creek Watershed District(MCWD)
� Re-roof,asphalt (�f2epair ❑Storm Damage 15320 Minnetonka Blvd
❑ Re-roof,cedar ❑Res#oration ❑Water Damage Minnetonka,MN 55345
❑ Re-rflof,other(specity) ❑Siding ❑Other: (specify) Phone: 952-47'f-0590
Fax: 952-471-06$2
❑Winclow(s)
Estimated Construction Valuation af Project(excludi�g land) $ •
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all iritoimacion required or requested by the Building Department;
• Gertifces that the informat€on supplied is true and correct ta the best of his/her knowledge. The appficant reoognizes ihat lhey are
solely responsible for submitting a complete ap�lication being aware that upon failure to do so, 1he staff has no aliernative but to
reject it until it is complete;
• Some or all of the inforn3ation that you are asked to provide on tl1i5 application is classifced by State law as either private or
confidential. Private data is irrformafion which generally cannat be given to ihe pubtic bul can be given to the subje�t of the data.
Confdential data is infarmaiion which generally cannot be given to eiEher the public or the subject of the data. Our purpose and
intended use of ihis infarmation is to annually update our records artd reeords of other goverrsmental agencies required by law. If
ou refuse to su f the information,the a lication m2 not be issued.
App�icanYs Signature: Date:
Owner's Signature: Date:
��
;v �G� -.� ��� (�
�
Aug 10 16 12:37p EDL 19524709169 p.2
' � ��
��� ���� • for Code
Reviewed of Orono
Compliance C��Y
ST�.��� Date____��-��"''
7 3/4" h1RX. ft!SER 10n MIN. TREAD
6'-$n I��N. NEADROOM Reviewer
AT LEAST ONE NqN�Rq�L REQU�RED
GUARDRAIL OPEN SIDES
� Har�o�i�s G�'O/` yr.t���O �^�S�e�-s hana(rar� �� vi N��
� Continuous grip�able handrails �
req'd. 34"- 38" high. 1-1i4"-2"dia.
No closer than 1-1J2"to walt
Return er,�s to v�r�ii or post.
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Aug 10 16 12:37p EDL 19524709169 p.3
.",�Cse���a�loi
' Carbonless _ �:�� _. NC 381&50 3 PART _
PROP�SAL
�/1� ��LG.a Q t'� ��LCGS G fZ� �ROP06RL t�. ' .
��,p f-,� �vG��- �'��,� S'�IEET NO. _
�J� ��`f' $�:.�d OATE�. 1
wr � �,i�Drb
PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT:
NAME , / ADDRESS
G �� �7"D �_
ADDRE$S
��7� ' �1i J�.
DATE OF PLANS
PHONE NO. ARCHITECT
We hereby prapose to furnish the materials and perform the iabor necessary for the com�letion af ct I�i�'!G �c
�?1J2�'' d� f3. cL �k.�5 �t tS �(.�Z �J' ' oi2�"�'e, +� y� ••e. i.t.�^i i . `.
ct1r�1" b P i �'eC. c�. o rrs�r /�"Iu. i � .
� c s D C�rr�• e t�� � �'c� S `� �
' � L�. 1L �. t2.�"' O i /1L� ♦
All material is guaranteed to be as specified, and the above work to be perforrrred in accordance with ihe drawings and spec'�'i-
cations submitled tor above work and completed in a substantia�workmanlike manner for the sum of
E �� �d o a Dollars ($ 1 DOA. `�`' �
with paymer�ts to be made as follows.
5 D � a�Fi u!/'L---'^
�$�!�•7c Q. o�ti 5�.�'iS�.c.�e,'"�/
C���P��'��oo'� Respectfully submitted
Arry el[eration or daviation fran above specilications imrolving extre cosfs �
+n�be executed only upon tivrnten order,�d witl tecane an extra d�arga Per
over and ebove the esFinate. All agreements contbgent u�wn strkes, ac-
���,a a�i��s�y�,a«,�c��mo�, Note—This prop�sal may be withdrawn
by us if not aooepted within,��days.
ACCEPTANCE OF PROPOSAL
The above prices, specificatians and conditions are satisfactory and are hereby aocepted. You are authorized to do the work
as specified. Payrnents will be made as outlined above.
Signatu re
Date Signature
��� N°�,�-�° PROP4SAL
!AADE IN U8k
�_i� �
TE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED -� —
PERMR NO. co ED
ADDRESS �
OWNER TELE HONE N�l� � »>�
CONTRACTOR
� DESCRIPTION l !
t~y ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING LIN
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTIO
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC ALL
2 01MNERICONTRACTOR TO MEET Y�U:_YES�NO
� COMMENTS:
�
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0
W
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2 `�r�- �C✓b� .����L � 4/y'/�/G� �
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W ❑WORK SATISFACTORY`.PROCEED (7�(ECT COMPLETE
� ❑CORRECT W'ORK d�PROCEED ❑ISSUE CERTIFICATE OF OCWPIINCY
W
0 ❑CORRECT WORK,CALI FOR REtNSPECTION TEMPOFiARY
V BEFORECONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
Caq for the next inspection 24 hours in advar�ce. (952) 249-4600
OwnerlContraator on site:
Inspeator: ��
wn��covvn��mrs FiN can.ry coPr�ee Na�c.
o �
�� � DATE TIME
C OF ORONO CALLED IN �
INSPECTION TICE . SCHEDULED
PERMIT NO. COMPLETED
ADDRESS oZ�(� � o .l Li � �-c rP
�NNER � ���1 h�. TELEPHONE NO. vC:? �2 -�777�
CONTRACTOR �b�-��
� DESCRIPTION ` �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN L
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
� FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z O'WNERK�NTRACTOR TO MEET Y�U:_YES_NO
y COMMEN'T'�
�
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.c � X ...:
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Q �"� 4� �'� .
Z -f-F � '
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�
4�1 ❑WORK SATISFACTORY`.PFIOCEED ❑PROJECT COMPLETE
� ❑CORRECT VMORK b PROCEED ❑ISSUE CEFi'TIFICATE OF OCCUPANCV
O CORRECT W'ORK,CALL FOR REINSPECTION TEMPORARY
CONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN FIOURS• ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
O INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
CaN for the next insp�ction 24 hours in advanoe. (952) 249-4600
ownedCo�tra�tor on site:
Inspe�tor:��� �
White CapyAnapsctor's Fila C�nary CopylSlb Notle�