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Home My WebLink About2012-01188 - addn/remodel/repair CITY OF ORONO * z 0 1 z - 0 1 1 8 g * . 2750 KELLEY PARKWAY DATE ISSUED: 1U20/2012 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3422 LIVINGSTON AVE PIN : 17-117-23-43-0022 LEGAL DESC : NAVARRE HEIGHTS : LOT 021 BLOCK 002 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RES[DENTIAL CO1vSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : O/S BU[LDING -UNDEFINED VALUATION : $ 52,000.00 NOTG: �IRE DAMAGE Rt;STORATION-REPAIR SIDING-ROOF-DRYWALL AND WINDOWS APPLICANT PERMIT FEE SCHEDULE 696.75 PRESTIGE CONTRACTORS STATE SURCHARGE(VALUATION) 26.00 13025 GEORGE WEBER DRIVE TOTAL 722.75 ROGERS,MN 55374- (763)898-3124 Minnesota State License#: BC653795 OWNER ANDERSON&MATT LABODA, LUKE 3422 LIVINGSTON AVE WAYZATA, MN 55391 AGREEMENT AND SWORN STATEME1vT The work for which this pennit is issued shall be performed according to the approved plans and specitications,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[his 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 are requested in conformance with the State Building Code.This permit may be re�ok�t�ai-axa ime for due cause. ! _..._ �//��//� App i a "Permite re Date �� //� Issue Qy Sig,nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ;"� ` � ��. ,�, `:'; .'> '" � �y � .� . �� fi� ��°E��c� l d � � :; �¢� . � ��ic�g�� E�� ,�� r f��ii��ar��c� / �ec�c��a��a ` �� . .� (vvic�cio�.��, �ioo€-s�, �i�ing, ��-raof, �cc.) � n �. ; M,arlrng Adaress: � i��—� Permitnnumber. �j 2 `�� -�w'd� � PO Box 66 � _ � /� �� Crystal eay, MN 55323-OOc�6 ' Qate recei�ed: _ ��l:� ��. I �`3 ��P:� � I\� �"� � ,�`� ti � Sireef Address: R�ceived by � ,�c��F,��„ ��/ 2750 Kelley Parkway Pian revie ree: �� "�.rt�sHo�'� Orono, MN 55356 � �� Main: �'52-249-4640 Fax: °52-249-4616 �,,�.� . To:al Fe � � ��S � = i orono mn.us r, � ' This appfication rorm must be completed in full and all required inforrra'tion must be submitted. ^ incompiete appfications will be returnecl. (Please prrnt) � �' ��f��PA! INFORMATIO�: � # Job 5ite Address: �j�:��, r 1 C.��.,�� ( �'` Will this be a Parade of Fiomes, R moe deiers Show ase Fiome or o�toer Disrlay Home? ❑ Yes f�o �' !f yes, a special event permit is required wifh Police Depanment and City�ounci!appr�va!60 days prro,�to the evenf. Snuttie bus service wi/I be ` �.: �� required unless applicanf demons"rrates sufricient or-site parlcing rs availabie. Non-permitted events will not be aliowed. i r ' CONTRACTOR/� PLICANT INFO .MA�IOR�: , �� . . ,�; fvame: n�'� �� s �� ' State License # � , - G�S-- cxpiration Date: �� " Lead CsrtiTicafion Number: o: � Expirafion Cat„ �, (for work on homes fhat were constructe�'prior to 1978 �� a Phone: � -� �c,1 (ofrice) (cell) } Naiiing Address: ��,- ;�) � City: e�� ZIp: s' L � ' � �� S� 7 / * �� Contact Person: yQ,t,� ,. o ,.. �� Apqficant is: Contra„t r / Homeown..r (.,ircle Une) �""' _�, � �' Erriail and/or Fax: � � �� .: � ��` PROPcR�'Y OWNER INFORMATIOf�: '� �: Name: ;'�f1 f� ��'3[�4 � , �� ; Phone(uay): • ;� �� Address: ��Zf�� / � 6 l�L�1�S'� �/�� _ City: ��1 �� Z I P' ��l � '�� Email and/or Fax � n � " � PFZaJ�� IIVFORM�t,'TIDf�; � �-. i ; Type:df Project: , i Any eartn movement rnay require '� � ` '�C{�D (s) � ❑ Remodel � Fire Damage I MCWD review&permits: � � j Ninne ha ha Cree l:V 1,�aters he d Distric t(M C W D) " ; Re-roof, asphalt �-�epair ❑ Storm Damage 1E2G2 Ninneioni;a Bivo � 3 ❑ Re-roof, ce�ar ��j Res raiion aier Gamage Deeohaven, MN 55391 ,� � Phone: 952-471-Q590 �,: � ' � ❑ Re-roof, other(speci'ry) � i g ❑ Other: (specify) =ar,: 952-47i-Do82 � , �?" � Window(s) � I www.minnehahacreek.orq �; � �` �' �Ove�all Froject fi�s�ripiic,r: C=�• �� ,'1 ,,,., r� �' v /Z�%S� -F� / r� l'-+ - ' c� Z `�' �1 � � n l Ck'�.� �a� �r =siirriated Cor�struciion �,°aivaiion of Proiect (�x^iuciing Eand) � � , i��, �( �w,� i i , �I �/`.�1 �c'�-c� �,`' �4PPLI��47 �,CF�iV01/1lLc�:��IVi�P�i: S :�_� �, : � Agrees to provide all inTormafion required or requested by fhe Buifding DeFariment; � �,. • Certifies tnat the informafion suppiied is true and correct to tne best or" nis/ner knowledge. Tne applicant recognizes tna: fhey � �, are sofely resporsibl�fo�submitiing a compiete app(icafion beinq aware fr,at upon ;ailure to do so, the staff has nc afternaiive j '- but to reject it unfil it is compleie; �', � Some or all of the information that you are asked to provide on tnis aoplication is ciassified by State iaw as eitne� priva"t� or I�I �,.s I conridentiaL Private da,a is informaiion wnicn generall�� cannot be given to the pubiic but can be given to tne subject of the � ' da�a. Confidenfial da;2 is informatior whicn generally cannof be given io eitner tne pubiic o� tne subiect of tne data. Our �Y purpose and intended use �f this informafion is to annualfv update our records and records of otner aovemmen;al agencies ^� required bv lav��. If yo reruse to su af tne inrormafior th pii�aiion ma�� not be issued. ,�� d 4__ '_ � +^ � t ( l V V /(/ 4R kppli„an.'� Sigrature: � � ��= Dai�: _�� :� � : Last Updated: 08-OS-2D11 �� _;:.,h. � DA TIME �/ CITY OF ORONO CAL�ED w `Z" INSPECTION NOTICE SCHEDULED � � z—� �D�� PERMIT NO.ao i a-b � [ �� COMPLETED ADDRESS .�Z L�� 1 S rU�" �I P OWNER TELEPHONE NO. �� Z C'�Z'� CONTRACTOR �; DESCRIPTION � �� — �� ❑ FOOTING ❑ PLUMBING F NAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS 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 ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � S ��,,�vC� o , - � � ° (-�s-n�.. '� W � Q � Z W � W � � � d W� �/VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME � CITY OF ORONO CALLED IN �2-3 /Z INSPECTION OTICE SCHEDULED /�"`f/�-- _-�� PERMIT N0.�� 'd��'� COMPLET � ADDRESS �T�� ST°�- OWNER _._TE HO 7 3 � �'� CONTRACTOR ��- �; DESCRIPTION �� /��I � � ❑ 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 ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � �� O , , >- : ,;;,�,.i, � O , � � W � � �y Q -�'R � Z W � W � � d W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIREO.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. . White Copy/l�spector's File Canary Copy/Site Notice DAT TIM ✓ CITY OF ORONO CALLED IN I --� �� INSPECTION N TI SCHEDULED l - — �' �D•� PERMIT NO�� ' COMPLETED ADDRESS a� OWNER " TE N� 3a - CONTRACTOR >: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � d W� �OIORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site� Inspector. . White Copyllnspector's File Canary CopylSite Notice