The URL can be used to link to this page

Home My WebLink About2012-00886 - re-side 111111111111111111111 nil 11111111111111111111119 CITY OF ORONO * 2012 - 00886 * 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2012 ` ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 150 NORTH SHORE DR W PIN : 06-117-23-22-0023 LEGAL DESC CHADWICK LOT 005 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 19,000.00 APPLICANT PERMIT FEE SCHEDULE 324.50 JON THOMA DRYWALL STATE SURCHARGE(VALUATION) 9.50 7305 SCOT TERRACE EDEN PRAIRIE,MN 55346- TOTAL 334.00 (952)465-9049 Minnesota State License#:20443203 OWNER DZUBAY,STEVEN&JULIE 150 NORTH SHORE DR W MAPLE PLAIN,MN 55359- 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 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 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. Appl cant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Grano Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: i - C /a _v�8� d PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: I`f Street Address: Received by: \rpt' o~ 2750 Kelley Parkway Plan.review fee: t`�kEsxo4'� Orono, MN 55356 Total Fee: �� oo 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: I S!) iV;;-i 4-b c li -tee 0,, o✓ ��A /e— l2to;✓1 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ONO 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: jeo TI10"-t A I> it L� State License # g(_ e2 r),y,4 3,2c3 Expiration Date: T-3 r — -Ice/3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ? NG40 (office) (cell) Mailing Address: -7 7,r, y c a + c e— City: fl��a• ZIP: {S y Contact Person: Uv, Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: J fiti,, �a 4 (61- t-y,+ ",( ; i c c PROPERTY OWNER INFORMATION: Name: I0 Z 4 Phone(day): Address �7 Nr�i t�/ City:f24� �IZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, others eci Phone: 952-471-0590 ( p fy) Siding ❑ Other: (specify) Far.: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ 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 you refuse to supply the informalian,the application may not be issued. Applicant's Signature: /�� Date: vl — 7 — Last Updated: 02-09-2011 "` ?- / DATE TIME OF ORONO INSPECTION NOTICE , SCHEDULED PERMIT NO. COMPLETED ADDRESS l G /V OWNER TELEPHONE 1� ��_��o`I-/ CONTRACTOR C DESCRIPTION �?CC J LU ❑ FOOTING El PLUMBING FINAL ElEXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 LU ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI S TC INAL ElFOUNDATION/REMOVAL OWNERICONTRACTOR TO ME Y UES_NO COMMENTS: cc W Q. cc O O U_ W CC Q ti 2 W z W ac GW ❑WORK SATISFACTORY:PROCEED ivrmOJECTCOMPLETE CC W ❑CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site- ot Inspector. White Copy/Inspector's File Canary Copy/Site Notice