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Home My WebLink About2012-00286 - interior remodel ` "� CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 - P1 0 2 B 6 * DATE ISSUED: 04/16/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1370 NORTH ARM DR PIN : 07-117-23-41-0050 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 008 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 80,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) INTERIOR REMODEL-NEW MASTER SUITE,MASTER BATH,INTERIOR DOORS AND TRIM APPLICANT pERMIT FEE SCHEDULE 906.75 DAHLMEIER CONSTRUCTION SERVICES STATE SURCHARGE(VALUATION) 40.00 1580 MAKAH ST NW TOTAL 946.75 ANDOVER,MN 55304 (612)710-7147 PAID WITH CC# 8025 ' Minnesota State License#: BC632061 OWNER FAHDEN,JACK&CARLA 1370 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 sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoke any time �/ �� //� plicant rmitee Signature Date � �/�� Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �-. '�, � r � , a � ` � . . City of Orono �� Building Permit Application for Maintenance / Renovation `� � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. ^ � O�\ PO Box 66 Crystal Bay, MN 55323-0066 Date received: ` /p�--' ��3`�� Received b a � �, Sfreet Address: Y� � � ��;,_,%� � �� t � �ti 2750 Kelley Parkway Plan review fee: � tq'kESH�4� Orono, MN 55356 � Total Fee: [� �7 � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � 1 �'� 6 This application form must be completed in full and all required information must be submitted. ;-� - Incomplete applications will be returned. (P/ease print) � � GENERAL INFORMATIO • Job Site Address: �� J ,/��>-�.. �;Y� �,�- � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No �a If yes, a special event permif is required with Po(ice Department and City Counci/approval 60 days prior to the event. Shuttle bus service wil!be � � required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. "� � CONTRACTOR/AP LICANT INFORMATION: �� _ Name: /h�'�z' J` C�n, V ,c:- � " State License# ,�(�� Expiration Date: ,3/ �L � � -� - �� Lead Certification Number: _I - ��3��—1 O - DO Expiration Date: $��2�j1 S � (for work on homes thaf were consfructed prior to 1978 � Phone: �j - �/J—7/4 7 (office) (cell) Mailing Address: JS� � S�f- -�1/'�✓ City: o�.zr ZIP:�'s"�Jy � �� Contact Person: ��,Y{ ��j� Applicant is: Contractor / Homeowner (Circle One) " Email and/or Fax: �, �t� ��L�,� y l ��,�,,i - ,::,; PROPERTY OWNER INFORMATION: Name: 4��-1� ,r i�-1,� �'��i-r� Phone(day): Lx1o� ^ UZ'�SJ "c��/N�r ' �; Address 1,3 JJ � �rr., � City: r-��.b ZIP: � Email and/or Fax � � PROJECT INFORMATION: � Type of Project: Any earth movement may require � ❑ Door s �Remodel g MCWD review&permits: f� ( ) ❑ Fire Dama e Minnehaha Creek Watershed District(MCWD} � ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 .� ❑ Re-roof,other s eci Phone: 952-471-0590 '` ( p iy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � ❑Window(s) www.minnehahacreek.orq `� �-: �-, Overall Project Description:�jJ�,�,r �,.- �_„� rn , �/�.�„i j�.r�-- �r d. � r �„i � ` Estimated Construction Valuation of Project(excluding land) $ , � f� ��: ;�," °� 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 alf 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 a�d intended use of this information is to annually update our records and records of other governmental agencies � ;.�� re uired b law. If ou refuse to su I the informafion,the a lication ma not be issued. ' __... � � �� .�: ApplicanYs Signature: ��i'�`��-----_ Date: y�/� f� f c/ � Last Updated: 08-09-2011 � , � _ ; � � ��'/ <� TIME � CITY OF ORONO ` �� INSPECTION NOTICE SCHEDULED ��- PERMIT NO. �� COMPLETED ADDRESS , �,��_�� <�..� OWNER 7'ELEP NE NO. — — � CONTRACTOR � DESCRIPTI �_,��- _ � ❑ FOOTING ❑ PLUMBING FINAL EXC V/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAK HORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL RE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � ❑ F�NAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO _ w y COMMENTS: a0/ — � - ti � W a � J O � � O � W � Q � 2 W � W � � d �y�-�QRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inSpection 4 hours in advance. (952) 249-4600 OwnerlContractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice � " � // �DA TIME r CIN OF ORONO CALLED IN � INSPECTION NOTI SCHEDULED ' Z � PERMIT NO./�� COMPLETED ADDRESS I..37D /U0�5�e1 �-t�' n'1 � OWNER TELEPHONE NO. ��Z' ��O 7��7 CONTRACTOR �� >`; DESCRIPTION ��n� � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE iNSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o � C �� 3.,� � �.✓V ,�1 1 � � , ° � �v� �� S C - c� , S W .� � Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W �C�&ECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. �n ,; '� White Copyllnspector's Fiie Canary CopyiSfte Notice