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Home My WebLink About2011-01046 - replace skylights, windows/beam , , CITY OF ORONO PERMIT NO.: 2011-01046 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 680 NORTH ARM DR PIN : 06-117-23-43-0002 LEGAL DESC : AUDITOR'S SUBD.NO. 362 : LOT 001 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 20,000.00 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) REPACE SKYLIGHTS,WINDOWS AND BEAM APPLICANT pERMIT FEE SCHEDULE 339.25 ROHAN LUND INC. STATE SURCHARGE(VALUATION) 10.00 360 NORTH ARM LN TOTAL 349.25 MOLJND,MN 55364 (612)751-2006 Minnesota State License#:20192981 OWNER WATSON,DOUGLAS 680 NORTH ARM DR MOLJND,MN 55364- 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 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. Ali 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 consWction 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 revoke any time for du cause. / ( / l ! / � / Ap licant Pe te ignature Date Iss By Signa re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �; �;. � � � � �� ; . City of Orono �� f� � Building Permit Application for Maintenance / Renovati�7,/9 �� (windows, doors, siding, re-roof, etc.) �9�Y� E; Mailin Address: �- �,0,� PO Box 66 Permit number: o?o�/ — O�O lp � Crystal Bay, MN 55323-0066 Date received: 9 ^ Z - � "� 0 � � } ,a 9� ,�� , StreetAddress: I �' Received by: S �� ',�,� a� �Gti 2750 Kelley Parkway �I�� Plan review fee: aa(�.S I '� 9kESH�g' Orono, MN 55356 a0�� _ ��dc.. � � —_� 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: �j�a " /L� �� %� ��/L 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 su�cient on-site parking is available. Non-permitted events will not be allowed. -��' �; CONTRACTOR/APP ICANT INFORMATIO�I: �,: Name: r'1 U��1 C1 L-�� State License# �U�y6��5�� Expiration Date: ��Z � , /� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: " - � _ ' Cj� (office) (cell) � � �. �� ' Mailing Address: � � pr2 � � = City: �� ZIP: �s,�� . Contact Person: / A licant is: Contractor / Homeowner `'� �'"J L ' PP (Circle One) �2 Email and/or Fax: T'�,�� '- � �`v`,� . La� �; .� PROPERTY OWNER INFORMATIO : Name: p�9 .Sc n z�; Phone (day): _ 7 S 3 � � ,� Address: �c�U ��- �✓�vy� �� City: � ,/��1 ZIP: ss ,3� C� '' Email and/or Fax ',,� >4� PROJECT INFORMATION: '�' �; Type of Project: Any earth movement may require �:� ❑ Door(s) �Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �: ❑ Re-roof, asphalt �Repair ❑ Storm Damage 18202 Minnetonka Blvd `« ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 y`.; Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Sidin �= g ❑ Other: (specify) Fax: 952-471-0682 � �Window(s) www.minnehahacreek.orq ,�� Overall Project Description: ,;r �,,�„_ ` j�� Estimated Construction Valuat'on of Proje (e luding land) ��phQ� � � ,� 1� 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 altemative `#` but to reject it until it is complete; :-0 • 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 �;a re uired b law. If ou refuse to su I the information,the a lication ma not be issued. � ApplicanYs Signature: Date: �� p2 D�� Last Updated: 08-09-2011 �� P��an :��e�:i:�w C;f��Clis� fi�rr �� Sfir��c�u;res;/ �4��di#i�ns ,�ddress.i`PID/'Legal: (o$d /VBfZT�'� �(� �� Descrip#ion ofi:�ork: �'7,v�� , _ 5�ptic�.eari�w b�r: /V/�- D�te��lppro.�e�: : .�oning�;re�riew:by: < �ate;i�P.Prowstl• Bv�kii�g�re�iee�ui�Y: - Date vApRr.m✓ed: 9-13-!/ �Grarfin,g:�e�r�ew;by; �/19 'Date�ppr.�arec�; �:onin�,F:ile�k: Resi�auti�n>#: ,. i�esolution:Dat . , �onira 'District Fire',De ar�n�er�f 'P�ost•��ce :Sci»�l%�is#r.:'i�`t .:,�oning: `:Lot�rea' SF 1 A� ' °�litlth:' ,'De:pth: ' Surare�'��,ubmi�te". D'�'�s� ;�1�1�JD :Date tsf�5�ra�ey: Pr� osed��etbacks: fmrr�'t:�i:ak�� :R�ea trse'�) � �"� ��' :E ��11 )� -,( '�I � ;�1')• ,,��her iBdiidin�gs '�Fe�tand . � � , .'�iile - , ,� e 'Building'�efrneei;Meight; Builtlin�P�ak H ght: � #'.�f 5tories Dk?: I7 :1'ES :fDR��A�UILDING�idll'f#�l.�A^�YA5E1NENT�C�R�R3��i11L';: .A-C-E. �AR;�1�UlC.`DING�N�1'SL:%�B'F,DI�NDA`7'1C�N: : "START�(1TH �he:distanx:e.:b:ek�veenthe:baseme '�flonrl�ra ' START � sths�:tiistance�.between:theslab�ar�d.#he�#nghest: �space flDor an�:#he�#�ighest�rocjfi pea �the�tcr :of U�IITH xoofpeak;=ttre.top�f.#he:r,.ornice o.f:a�at:ronf, ;�the corriice.of a�flat-ro��;;tt�E.�eck line- .a the rleck line of�a:martsarti4:roafi :orihe . =�mansardrQof,�r#he upperrnosfi°.point o •rovrad : ;uppermost:poirit on.a�round nr�o#her:arch ty.pe : � ,;�r ather�rch= : e�xaof _ . roof ' : : SGBTR,�CT °:half the:�ii�#ance.between�the�igh anrindow `�17.BTF��CT 'half the rJistanee+between,3he�hi;ghEsfiwinrJow ; :hi est-roof:: e�k of:ar itched xoo ' �nd.hi'h�st.roafi;; eak:ofi:�= itcl�e�tlsr.�nf' SUBTRA�T . fhe�:�iistance'between:#he'bas nt:;flonr/crawl ADD ther3istanr.e hetween�e:sfab:and::#he�highest = space:�loor antl the�highest:�x ing-�r•ade°within .Ezisfir+ : rade within:�he-foundatic�ri '. :the�fioundationprl0;#eet,t.vvh' heveris�less. � EQ.UAL•S .D.efinedbuildin �hei ht EQUAL"S ;-D_efineii:buildin �.hei ht Lit�t�o�r�rage: 5� . ,��o ; �horela.nii!�is�f�c# ? 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' ;Z] :Rir�rribing ;� .�radin�-��illir� � ,ZI��#lWEq` �� Harticr��rer<f�emovai . �;0 �fi�lez�t�artica`1 ;�'l Fi�e' : i�tncal _ s�:FAo�ir�9 : �-5�ptic . . ,,�1 a1�l�ter�or�ne�ion " " ' � '�::�'��r��:1'1�a11 � <L� ��ir�place ;�t,�:e�er��o�an��ion T]w�fo�atiun��un�e,� � �:Mase�ntY �fl�:Lawn;�rrig�tic�n ' : %"G '.J�ar�an;Rnt�l�^$ed � ;�11�Ifg. -�tat�i�g : � �fi��r� e�' (�P �� „ ,, : _ . � �`�Ins�ilation . ` ; �:�,aA�$uilt�5�� irt�l" - _ -. ,� ��het`��sp��ifi�r) , : . .; , ��'J�il��5��'rn=�i�trs�): ; ��!ti�er��►ae�w: :�2ea►i�n►�:'� ;;��e;��Prc��d: .�'a�c�s��-E�is�ing. D YES � :1�irJ .��4evi+; �� E�` 0 1�IfJ TtE�IA�t'I��fiD�BE AI�7E�iJ 1@N:�'.E�MIT�►1►1D�.AlTT114LLE�D�'f�PE�L�1`�P1iLi:11iJG'P,ERl1AiT) lipdated: ti9/1'112009 z;lformsl�tart re�iew chec�€list.docx �- S�� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE ,/ SCHEDULED � - r PERMITNO.��-��7G� COMPIETED ADDRESS �g� N• �� r' OWNER TELEPHONENO. ��Z 75� Z��O CONTRACTOR �D h a''1 L-G�ivt� � DESCRIPTION �� " "`'��r� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � y COMMENTS: S��- (Y�P�G�'S �G � � � � � W a � J O � � O � W � Q � 2 W � W � � W ❑WORKSATlSFACTORY:PROCEED �JECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner►ConVactor on site: Inspector. �� I`�C� White Copyllnspector's File Canary CopylSite Notice � �Q� DAT TIME ✓ e /� �� CITY OF RONO AL D IN INSPECTION NOTICE sc PERMITNC�G('�� coMP�1�� ADDRESS �/)�� /t OWNER ELEPHONE NO. 7 �Z� 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 � � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE�FIN L ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET OU: YES�NO I , ) 7' � COMMENTS: � �� a /il'1 /7L . � � 0 � � 0 � W � Q � Z W � W � � � d� � W��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W� CO ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CA�L INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� Owner/Contractor on sit : Inspector. �� ' � White Copyllnspector's File Canary CopylSite Notice