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Home My WebLink About2014-01431 - addn/remodel/repair CITY OF ORONO * 2 0 1 4 - 0 1 4 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2014 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 ; $ 200,000.00 NOTE: SEPARATI�PF,RMI"TS REQUIRED: YI,UMF�ING,MGCHANICAL,L;LGCTRICAL(STATE) IN'['ER[OR REMODEL APPLICANT PERMIT FEE SCHEDULE 1,656.75 STATE SURCHARGE(VALUATION) 100.00 ZINRAN CONSTRUCTION SERVICES INC TOTAL 1,756.75 8362 TAMARACK VILLAGE#119-312 Payment(s) WOODBURY, MN 55125- (612)809-6840 CREDIT CARD 3896 1,756.75 Minnesota State License#; BUIL-BC637556 OWNER PAULSON, ERIC 2605 MAPLERIDGE LA EXCELSIOR, MN 55331- ACREEMENT AND SWORN STATEMEIYT l�he work for which this pemiit 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 docs 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."I�his 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 a[any time afier work has commenced. The applicant is responsible for assuring all required inspections are requested in co ormance with the State Building Code.This permit may be n,� revoked at an ime for due ca e. �� -�� _.,% � << � � � C��.�'I /� /`� / Applic t Permitee Signa ure D e Issucd By Sig ature Date �.��y v� vi u��v Buil�ling Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) ��O^' MailingAddress: Permit number: O��I -U I7�� `VO PO Box 66 Crystal Bay, MN 55323-0066 Date received: �O��5�� E � 4 � Street Address: �..�— eived by: ' 1 2750 Kelley Parkway � � Plan review fee: �/y-�/7..3 : � � �� Orono, MN 55356 � �� / p ��ESNO�� Q�{o.0 9 - �—_ Total F e: -" Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � -j .rj ,. "-d �-) This application form must be completed in full and all required information must be submitted. t,�,_,<1 ��/i��J�,- Incomplete applications will be returned. (P/ease print) � GENERAL INFORMATION: Job Site Address: ��soS� /V1./a-P�•(� r�G (J�-�- Will this be a Parade of Homes, Remodelers Showcase Home 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 required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: '' —' 't+ C ' l ��i f: t_� � v��.. . State License# �� (0 3-�`�S� ^ ' Expiration Date: �j� j�, Lead Certification Number: �/�,��-� ��yy _� Expiration Date: � � � (for work on homes that were constructed prior to 1978 Phone: (cell) (�/ _ �� .� a (office) L/,�l—��•f__ ��yG Mailing Address: -3�,� �a�AP�«, • � � z_ S, ` � r _3 City:Lvcb ZIP: �'S�' � Contact Person: (��..��N� ��.`�� Applicant is: ontractor / omeowner (CircleOne) Email and/or Fax: �t�;�r�.� 2 �r.xr. . ��•,, � !«� (��/� rc!�-c��?'l PROPERTY OWNER INFORMATION: `(� I Name: �r �c: }- �ur eY� �Nc-c.i.ti 6Sc�� Phone (day): y 5� — ' / - �D� Address: 0'��05 ��r/�r��- �-cz�� City: ��[' �1 S;or ZIP: SS .�j �3 f Email and/or Fax: �._... PROJECT INFORMATION: Overall ro�ect descri tion: Type of Project: Any earth movement may also require ❑ Door(s) �Remodel ❑ Fire Damage MCWD review 8 permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 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) $ 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 is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the in rmation,t a lication ma not be issued. Applicant's Signature: /ttL � Date: /� ' O Owner's Signature: Date: S . . . . . . . . " - . . . .. . . . � . . . � , . . . .. .. � . . . . � : ��,� �:��,� ��'� ��'�. ��t�' �'��'��-�� ,��f.�f�� 4 . `_ � ! 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Ct� ��i�c� ; . . . , � : . , ' � Yes t3 No Eg .; � �o � �YPe($)� TYP��}: � '• Updated: January 2D13 / - � v:\formslplan rsview checkiist 2013.doac � ,�j 1ti�� 1 i REk��R�� (in-house): ��es��6��C�a ec� '� - i�� .. -.. , ; . 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'� �MPLET D ADDRESS � OWNER ' T ONE O - - CONTRACTOR � DESCRIPTION W ❑ 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 _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � �INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �❑�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � � �ns�,C• ' C�,�(.�.� � G.�Q6l4 - � 0 ��b 5 GcQ L'�!( 5m��f'�c•r� � � � � d K- �� Go ve�/ W � Q � � W � J ��4AFOBKSATISFACTORIFPROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN �NSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnedContractor on site: Inspector: / w... White Copyllnapector's File Canary CopylSite Notiee I � CITY OF ORONO CALLED IN ��'�� Z1t2 INSPECTION TICE a� , SCHEDULED '� ' � PERMIT NO. � � COMPLETED ADDRESS OWNER TELEPHONE NO. � �� CONTRACTOR �� f Glf, C�Q� � DESCRIPTION ��G-- � W ❑ FOOTING ❑ DEMO- AL ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � Ci�� . �.2 - 3- �a- �.� � � o � _ _ � �'rt w�,.,r<- �— ,�� -'�i•-rG��..-e�s O � W - � O O��f�s��o .,;. �'.��s� c��. ..:�. ��e-� Q Zfi r�tcr - �o ' � ��f��Ks�cl• - � i2�s� d�C w j GU r r�� 6� �- C'pvo✓ a W C�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector.�ti� �� White Copyflnspector's File Canary CopylSite Notice � "�`� �r� r � � E TIME CITY OF ORONO cnLLED IN " INSPECTION N T CE �HEDULED ' PERMIT NO l ' / COMPLETE ' ADDRESS OWNER ELEPHONE N � " j�'" � CONTRACTOR d CJ � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RApON 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 ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � �4��t �4s�.�s ' I�1�/C�- �S�•t_ � I/��•crt,G S�l��.5 .o�'� �S�eice.0 !�• •• a,L' . 0 � — ° ' o� �4�,, ✓S 6 r a-:P� !7 LJ/A�/t•�,a W � bo�.•�P - Q z - w�.�� str«.�r d�vvra�� Cor✓�c f ,f O� �— L��✓ W � j W ❑WORK SATiSFACTORY`.PROCEED O PRW ECT COMPLETE � , f�(�ORRECT WORK 3 PROCEED O ISSUE CEHTIFICATE OF OCCUPANCY 0 O CORRECT WORK CAIL FOR REtNSPECTION TEMPORARY V BEFORE COWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RERJRN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwneHContractor on site: . Inspector: White Copyllnspsctor's Ffis Canary CopylSite Notice t� I� � D TE TIME ` � �' V CITY OF ORONO cnLLED IN �� INSPECTION N TICE SCHEDULED PERMIT NO. �a� COMPLETED �-- ADDRESS OWNER E HONE O. �a�� CONTRACTOR - � DESCRIPTION � - � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL , Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNEWCONTIUCTOR TO MEET Y�U:_YES_NO ti COMMENTS: a ,�i/��/'!Lq I �- �✓�u� � 0 '' t/`G � 0 n ° — �l �► N t ��'�'1 ` i.�= � Q .,` !` r/'dLt i � � W � 3 0 W� ❑WORK SATISFACTORY:PROCEED ECT COMPLETE � ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WIIL RETURN ❑STOPORDER POSTED.CAIL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra site: . Inspector: White Copyflnspector's File Canary CopylSite Notice