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Home My WebLink About2013-01291 - addm/remodel/repair ` CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 3 - 0 1 2 9 1 * DATE ISSUED: 12/17/2013 ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 2605 MAPLERIDGE LA PIN : 21-117-23-21-0005 LEGAL DESC : SHORE HILLS : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 50,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 681.75 STATE SURCHARGE(VALUATION) 25.00 ZMRAN CONSTRUCTION SERVICES INC TOTAL 706.75 8362 TAMARACK VILLAGE#119-312 WOODBURY,MN 55125- Payment(s) (612)809-6840 CREDIT CARD 4347 706.75 Minnesota State License#: BUIL-BC637556 OWNER PAULSON,ERIC 2605 MAPLERIDGE LA EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 goveming 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 are requested in confortnance with the State Building Code.This permit may be revoked at time for d cause. /,Z � i 7 �13 Applicant Perm�tee Signa ure Date Issu By Signature Date :r M1°., � � 75 � � � � City of Orono � �� 1 � Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O� Mailing Address: Permit number: - ��o� � O PO Box 66 }{ Crystal Bay, MN 55323-0066 Date received: ��'��- � � Street Address: Received by: f 5��, � 2750 Kelley Parkway Plan review fee: �. � � ��KESHD��G Orono, MN 55356 d�� 3_b� �� : 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. � Incomplete applications will be returned. (Please print) � GENERAL INFORMATION: / �' Job Site Address: ��'S � l� '�,:� 1 L _ ,-� L� � Will this be a Parade of Homes, Remodele Showcase ome or other Display Home? ❑ Yes No � 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 r;�:� required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. ��t. �� ; CONTRACTOR/APPLICANT INFORMATION: ,� �� ,k Name: � ,',1 c ;� � f�`o s �2�v r�r S ..� nG , `��`�� State License# � � t� � � ,� '' Expiration Date: `3 3 � '�� Lead Certification Number: .ff-7'"- ��,lyC�- Expiration Date: ��;r`� a�f ��o/� '� (for work on h mes that were constructed prior to 1978 '�� Phone: ell) �;l�� g� �- � � �y (office) __--�---- ��' E,,' Mailing Addres : � ' '-j' m �L U; � ' _ 3�� City: w�>�c �,� ZIP: SS/ � �� .'�G.� a crr� � ii�ae a��'z IJ� y a� � Contact Person: G�-�;�,v'�-- �/�? -��y_ L�Y�' Applicant is: Contractor / omeowner �c�r�ieo�e� �. Email and/or Fax: �'fyu��`/ ��-,t�,�T-� Z i�,��A n �Cc�m v-z. �=oc� � � E"-sl - �i�c>3�i'Z PROPERTY OWNER INFORMATION: ` Name: �'r� c... 4- ILc.,b e►'� R c,�So n � � x Phone (daY)� �I��-- tJ'7/ — �? f�cti f� � Address: �(�� !�ad�� dc�4� �i•�r C� city: E�ree'S;'ar ZIP: �j.s ,� 3� Email and/or Fax: � � � a PROJECT INFORMATION: Overall project description: � Type of Project: Any earth movement may also require '�� ❑ Door(s) �Remodel ❑ Fire Damage MCWD review 8�permits: � ❑ Re-roof, asphalt Minnehaha Creek Watershed District(MCWD) ^� ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ;� ❑ 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) $ C� 0 n,o"� � ;;,� - APPLICANT ACKNOWLEDGEMENT: � • Agrees to provide all information required or requested by the Building Department; ,� Y • 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 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 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 in rmation, the lication ma not be issued. � k�' � ApplicanYs Signature: Date: �� 0 3 � � Owner's Signature: Date: � Last Updated: 03/06/2013 � . ..... . ...-_ ,...._.� . ,.:�.,.��.:f � , , _ _ _ , �r . ' - � � m f� � � � - . _ . . , � ��..�.� �� ,� ��'►��a��>� ��. �`+�,��; �� ,�'��'�'� , . , ` � �,c�cf�e$stPer�t��i+�cnfi��r: �� P��,�g�'�L� �-�G . � . - - - � ��c�i�atia�rt ofi�tf�;; ��V��e� - : � _ . . - � . _ ';. • . E ��p�c,rev��r+a by� ,�1 l d9 � Rat��proved- K _ � � � +r - - � . : ;.; ': �� r�r�vv .� �t l� . � � .. � S �+ - - �r�$Eippt�ret�: . i , . �c��ldi�g�e�er�l�ya �'-�,_,,,_._ �ate;�lp��+erl:_.�,2._-i'?-.?�,;��. 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Upda#ed: dan�ary 2013 � v:\#ortnsi�alan t�view cheEftlist 2013.docx �d . � �—� ��'� � . ��A{��(in-house): Fe�trz tt��t�a �r� _ �� ; . . ,� . t�i� i�ev�� . . ... . ,.+ - ��€�t�F�e z:- - � � ��'6�1 � �� c�aa�� B�sement � � � 9'�Floor X � � 2"d F1o�s' x t � Garage X x $ �E��C ��et�li'�ia6e: ��O�'�' ��r�o€�specti��Rec�ca�� R�v�g r��wet��s �+�n�d�P�rr�� Paumb�ng �7! �ding 1�i��ing t� 1�leli � t�aroc�►reer Remodai Mecnanic�t S�I Frae � Etectric�! � �� 1Natsr Conn�ction fl P+�reci Wa� � Firepi�c� &� ��v�er Conriection � �au��i�a�8ut�ey �1 Aflasonry � La�+n Jmgation � Rsd�n Rvck�ec� � �fg. ,�`'�rar�ir� R O�tter t��+) � ltt��iat� t� A�Bu�Ss�rv�r . �Fittai � 111ie�at�d$uft�r � t�#tter(sPec►fY) t��fC�(in-�ot,�e): CB�;er��: Et�t►iev�e� �5�: t3�te 1��'cr�+�: �ie�sa: E�asf�ng: � Y'ES � i�0 Ne�r: � YE5 t� i�Q 4FF1Ci�.��C�-T��3'i'��Ab P��/��E�lTlR�.L� Updatea: sarn,sry 2t)13 �;1fot�►�s'iplar�raviear ohedclist 2013.docx �� DATE TIME V CITY OF ORONO cALLED IN o� ' - INSPECTION N TICE SCHEDULED -_S-/�, l� PERMIT NO.G�/� '�,I�9� C MPLETED '� ADDRESS QS �-� OWNER EPH�IE NO�� - �� CONTRACTOR 1 � � DESCRIPTION �r . � � ❑ FOOTiNG � PLUMBING INAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHAN AL RI ❑ LAKESHORFJWEfLANDS Q ❑ FRAMING ❑ MECHANI AL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAl10N/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � ��. ae.� � a- v- �y � - o G►-,�w, � »S o�C � - ��±sr��. — D +� 0 � W CC /1a u�� Q _ c� F+ � W � � J d W� �AEORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W �O CORRECT W'ORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail t inspection 2a hours in advance. (952) 249-4600 Ow ontractor on s' ��Kt : Inspector: �^^' White Copyllnspector's File Canary CopylSite Notice � TIME � CITY OF ORONO CALLED IN 3"�� INSPECTION NOTICE SCHEDULED .3-� �:60 PERMIT NO.�D/.�'D/Z�l COMPLETED ADDRESS �lv�J'� /LICZ,�?QQhldGQ_ L./L' OWNER TELEPHONE NO. 6!Z 8'0�—�S��O CONTRACTOR !-/�� /�� G M�r � DESCRIPTION �ln� X/��' ��"� 4~j ❑ FOOTING �LUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSUL N ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ N SLAB ❑ WATER HOOK-UP ❑ PROGRESS � AL ❑ SEWER HOOK-UP ❑ Cp�y�p�M v O DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALI ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � W � � �O � O � W � Q � W � W � � J d W� WORKSATISFACTORY:PROCEED PRWECTCOMPLEfE � ❑ RRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in dvance. 4600 OwnerlCoMractor on site: Inspector: White CopyAnspector's File Canary CopylSite Notiee