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Home My WebLink About2015-01575 - stone repair +• CITY OF ORONO * 2 B 1 5 — 0 1 5 7 5 * S 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2015 ORONO,NIN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4365 NORTH SHORE DR PIN : 07-117-23-43-0031 LEGAL DESC : SAGA HILL REVISED : LOT 006 BLOCK 018 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : STONE REPAIR ACTMTY : O/S BUILDING-UNDEFINED VALUATION : $20,000.00 NOTE: REPAIR STONE ON BOAT HOUSE APPLICANT PERNIIT FEE SCHEDULE 356.22 STONWERK STATE SURCHARGE(VALUATIOl� 10.00 2434 COMMERCE BLVD TOTAL 366.2Z MOUND,MN 55364 Payment(s) (952)955-2714 CREDIT CARD 6522 366.22 Minnesota State License#:BUIL-BC323192 OWNER SUMI��RS,NICHOLAS&SANDRA 4365 NORTH SHORE MOIJND,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. 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 I80 days at any time after work has commenced. 1'he 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. ./1�/I V V�" �� ( �' \ 1� ( lR.a (7� �� .2��/ �� r�� v Applicant Permitee Signahue Date Issued By Signature Date _ . : �3�5 r/. S�ra� 4 � � � i � �s L+� (�{�C�� C Gl C�O�K�1 �-T�CG� _ ; c , ; ' ../�._.......__�/:.._.__./—Pr�d v� . .S'..�0�...�.., ...F.��.� , �.: � r-�ol�-_ �H�( ��y. �"�'�_ _ _ �/'.s �� C�,f 1r.� L�/�'i ��c{'��,C j , ,. .._.__. :.� ;_ . .._.. _.. : ._ : ` : ��-�',s �_ _ ,�a� 1.�.�"r-��f--�,a r� �, ; : ' � : _ :r�_�`�'�_ ' � : : . . � _ � � � _ , ; , � �-� : e __ _ � : / ,.. ...��'�C'�... � . ;. T S . ," : : f . 7�" r 1 ��:� G�'�t� �i�_. 1.�4�.t�c�....G1 .r�.��.�C�...� I � , �n ,t-- r � `�� r��r't�,r� �_ � = ff��f� ��i'�-1 ; � ' ; : ; ' n � J�� r! ... . �-" .::f��t`Y.2 __.. ,�'' �1J.��.__.7.� �J�i��✓c,�"°e ; ; � �' ��. � �°!� �'l , _. ' City of Orono Buifding Permit Appiication for Maintenance / Replacement / Remodel (i.e. wir�dows, doors, siding, re-roof, et�. — NO STRUCTURA,L EXPANSiON) � Mai/ing Address: � ; -7 � � PO Box 66 Pertnit number: ,L- — CJ o � ' Crystal Bay,MN 55323-0066 F,,�. Date received: Y C StreetAddress: �„3�' Received by: I % �� 2750 Kelle Parkwa �� . ./ Y Y �" Plan review fee: � � Qrono,MN 55356 �'�ESF1n�/ Total Fee: ' Z Z � Main� 952-249-4500 Fax: 952-249-4616 www.ci.orono.mri.us 3(�� This application form must be compteted in full and ail required information must be submiited. �,,,,.,�.j ,Z�, 7 i,r Incompiete applications wiil be returned. (Please print) GENERAL lNFORMATION: Job Site Address: ; 1� �-�./'^_, . . , 11 =- ��: ,C:/j' . _ �: <� Will this be a Parade of Homes,Remodelers Showcase Home or other Dispiay Home? ❑Yes No !f yes,a special event permit is requi�Qd with Police Department and City Counci!epprova!60 days pnor to the event. Shutt/e bus service will be required unless applicant demonstrates sufh'cient on-site parking is available. Non-permitted events will not 6e allowed. CONTRACTOR/APPLICANT INFORMATION: Name: s�� _ � ; /�. State License# ,�l �� l �� J_ Expiration Date: �3 �;_;�. Lead Certification Number: Expiration Date: (for woik on hames that were constructed prior to 9978 Phone: (cell) ��/.Z ii o.- S"-91 �- (office) �_;�_ �_,•�;--_i'i;� �/ Mailing Address: ��/ �� , �� .S�! Sl S/� � CitY:j�:,1F�L4 V,l ZiP: s 5 3�=• ;� Contact Person: `', ;��-',-�l;-,,< <, � � Applicant is: �Cont�ac�� ! Homeowner �c+.��e o�e) Email and/or Fax: _�-_.� ,= ,._,� ��:,,, ....y.�r i< , , <-.�-;, _, PROPERTY OWNER INFORMATION: Name: /`� L,C f�- .,,r-„�--:- c ( Y)� � ' � — -- Phone da �,<i� �y,- �S i S -�; � Address: �i� - �' ' — 5 < S � . -tl, ��v .c �t City:J�,. ZIP: ; :.,.i,.�-.� Email and/or Fax: �... „ - ,- .:�_ t:; z-,.�, ;:; -, PROJECT INFORMQTIOlV: Overall pro"ect description: �`� ;� ' - � =� x � . '``��=_ ` ��-�-�-� ',�� 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 Oamage Deephaven,MN 55391 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 S/o :� -� __ ❑Window(s) www.minnehahacreelc.orq Estimated Construction Valuation of Project(excluding land) $ '- - APPLICANT ACKNOWi.EDGEMENT: • Agrees to provide a!I information required or requested by the Building Department; • Certifies that the information supplied is true and coRect to the best of hislher knowledge. The applicant recognizes that they are solely responsible for submitting a complete application bei�g aware that upon failure to do so,the staff has no alternative but to reject it until it is comptete; • Some or all of the information that you are asked to provide on this appiication is classified by State I�w 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 infarmation is to annually upc�ate our records and records of other governmental agencies required by law. !f ou refuse fo su I th infomiation,the a Iication ma not be issued. AppficanYs Signature: _�7 ' �" Date: /2- //- /�^ (' ''T Owner's Signature: ��.•�� --�''-��--�-�-��----�-- Date: ' �� Last Updated:January 2015 V DATE TIME CITY OF ORONO CALLED IN INSPECTION NO SCHEDULED PERMfT NO. �� '"0��✓� COMPLETED /�- ADDRESS 4"' 1�0 OWNER TELEPHONE NO. CONTRACTOR '' DESCRIPTION ��`�� 7�� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � r/ v d � N^ O n ��r � � � �l � � / � W ll i Q �s � � � �u�F� o �` eOv �, w W � � � C W RKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE � O CARRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERlN(3 PERMANENT ❑CORRECTUNSAFECONDI'fiONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for ths next inspection 24 hou�s in advance. (952) 249-4600 OwnedCorrtra on site: � Inspector: White Copyllnspecto�'s Flle Canary CopylSke NoUce � '7 �V C� DATE nnnE CITY OF ORONO caLLED IN �--/��-� INSPECTION N.QTICE SCHEDULED `-i� � PERMIT NO. G�I S —�J I57S COMPLETED ADDRESS '� �� N � S 1�1 a r e �fz_ . OWNER TELEPHONE Ot� ('7 �lO S�Z� CONTRACTOR ��t"�`� �o�-<<- � DESCRIPTION �/�a- I � Sr�- ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL % Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLI G Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑�INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERFCONTRACTOR TO MEET YOU: YES_NO � COMMENTS: r� r� � c�r�� I� 4 i e � 0 � ��.}r' �6�.+6�'�- G..anr..�.�s �� ° ' I?D el�c�r�c�,G tnvvlve� — W aC Q � 2 � _ w ,�� "�,,.'� �i'l�t� � j � ❑NFORK SATISFACTORIh PROCEED �L,`T COMPLETE W ❑CORRECT Y1�RK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECTVI�RK GALL FOR REtNSPECTION � TEMPORARY V BEFORECO►VERINO PERMANENT ❑CORRECT UNSAFE WNDITION WITHIN HOURS. p p f{pT0 TAKEN {NSPECTOR WIL.L RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTfON RE(�JIRED.CALL TO ARRANCiE ACCESS. Cell forthe next inspection 24 hours in adv�r�. (952) 249-4600 OwreeriContractar on s�te: Inspector:�a �^�' `�1 White CopyAnapectoPs Flle Canary Copy/�tte Notice