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Home My WebLink About2015-00829 - doors s � - CITY OF ORONO * Z 0 1 5 - 0 0 B 2 9 * 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3680 LIVINGSTON AVE PIN : 17-117-23-34-0032 LEGAL DESC : NAVARRO : LOT O10 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,000.00 NOTE: REPLACE UPPER PATIO SLIDER DOOR AND REPAIR BAD DECK LEDGER BOARD APPLICANT � PERMIT FEE SCHEDULE 77.44 STATE SURCHARGE(VALUATION) 1.00 TOM LATCHAM CUSTOM HOMES TOTAL 78.44 4711 ISLAND VIEW DRIVE MOLTND, MN 55364- Payment(s) CHECK 1005 78.44 (952)454-6449 Minnesota State License#: BUIL-BC686061 OWNER MOUM,CHERYL 3680 LIVINGSTON AVE WAYZATA, MN 55391- AGREEMEIVT 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 separa[e 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 l80 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 revoked at any time for due cause. . '� �� ✓c�� `� �—� �-f'2 � i2-c7 i /S Applicant Permitee Signature Date Issu d Signature Date ' ' ` �f ba Ci of Orono � Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: Permit number. 0�� 0 � ��O^IO PO Box 66 /_ ; Crystal Bay,MN 55323-0066 Date received: �" � � Stieet Addiess: Received by- ti� � 2750 Kelley ParkwaY Plan review fee: t " Orono, MN 55356 �'�f S N OR� Total Fee: � $, Main: 952-249-4600 Fa�c: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be r+etumed. (P/ease print) GENERAL INFORMATION• y� �1 � � � Job Site Address: � �'�L� Li v�v�y>1�h t'f v �,�lJ�7'7..c.�f'zt 1�'l I� �� 11 this be a Parade of Homes,Remodelers howcase Home or other Display Home? Yes No H yes,a speciat event permd is required wiTh Polioe Department and City Council approva160 days priw to the event. Shuttle bus service will be required uNess appl�icant derr+onshates sut�cient on-site parldng is available. Non-permitted events wiVt not be altowed. CONTRACTOR/APPUCANT INFORMATION: Name: Tbw� La��.�.v►� C'�.sr�►M ��5 1Qes-�odo��l�4 L.�.� State�icense# (�C �6 C��I Expiration Dat : 3 I 3 i 2016 6 � Lead Certfication Number: N q T- f !'-t�d U 3� �� Expiration Date: �,�v Z�, Zc�jq (for work on homes U►at wene consbucted prior to 1978 Phone: (cell) �l S 2- - y''l`� (o�e) cl.s Z't�$''{'d `'l`'t 9 Mailing Address: ' '1 � � ,� iu N�V,�.�,,,J ZIP: 6. Contact Person: T�,,,,i �F �(�Q ,�,1,, Applicant is: Contractor / Homeowner �c�cie o�e� Email and/or Fax: -f- L u f c(,,c v„� r� r1�1 C!f S""' C 0 v"1 PROPERTY OWNER INFORMATION: Name: � J.�e r y I � c'e.c f✓1 Phone(day): �►5'2� 3�3' /Z'I� Address: C"��`'� S�r wi.4 C h �c ti,e Cdy: I�'lo�z�,� l"(1� ZIP: Jr S �6 �( Email and/or Fa�c: PRWECT INFORMATION: Overall ro ect descri tion: R �a�e U er �u+ca��Qtr Vaov �� ,lr a:d D�c k C�� r/�o�y� Type of Project: My earth movement may also require �Door(s) ❑Remodel ❑Fire Damage ��w��: ❑Re-roof,asphalt �Repair ❑Stom�Damage Nbnnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(speciy) ❑Siding ❑Other(specify) Phone: 952-471-0590 Fax_ 952�71-0682 ❑Window(s} www.minnehahacreek.orp Estimated Construction Valuation of Project(excluding land) S 7 ��G•�� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building DepartrnenY, • Certifies that the information supplied is true and corred to the best of his/her knoMAedge. 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is dassified by State law as either private or oonfidential. Private data is information which generally cannot be given to the public but pn be giv�en to the subjed of ihe 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 an�ually update our records and records of other govemmental agencies required by law. If ou refuse to su I the infom►ation,the a lication ma not be issued. ApplicanYs Signature: Date: �� -s�2 01� / �/� Owner's Signature: Date: � �4�/O--/.� Last Updated:January 2015 ...�Y—� � ATE TIME CITY OF ORONO CALLED IN � ' INSPECTION NOTICE SCHEDULED 7-/�!S � PERMIT NO�D! "��y COMPLETED ADDRESS �� OWNER TELEPH NE NO�so�- S��'�S�S��I CONTRACTOR -_�� LQfit�tL��l � DESCRIPTION �C-T C� ��— L`-'� �t�" "" I ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a � �IecJ 1��✓ b�•�- /4�--�.6��.,.� j � � _ - p �✓Od/('J Q ��C�4��f V�¢c.�e� d� , � �4L�C�uC �J/aGl�2c ' � �j,/a�l�-c�S D�^ c•cte�!'— ° - ►?e�/ �' �:�- �j a�s�G �iv�� - W � - �i��. K� - ek _ Q 2 �plDd/OG S.,Q. /.� � GLti/�..•"( I�C��lG� /•v G.L. � � � PC✓ ��'�'its �70� � �� Q✓t,pr f�] � .S ek l e�' �.,>o/� � ,�/��e. � a W ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE 4^�8@RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owne Contractor on site: O H"' Inspector. �►�--' � White Copyllnspector's File Canary CopylSite Notice