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Home My WebLink About2014-01197 - addn/remodel/repair CITY OF ORONO * 2�i,� i '�4! �_�0' "! 1 '9 '�7 *i 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1130 OLD CRYSTAL BAY RD S PIN : 09-117-23-14-0007 LEGAL DESC : COLWELL ADDN : LOT 000 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 150,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) REMODEL/SIDING/WINDOWS/BATH/KITCHEN APPLICANT PERMIT FEE SCHEDULE 1,356.75 STATE SURCHARGE(VALUATION) 75.00 WATER STREET HOMES,LLC TOTAL 1,431.75 1161 WAYZATA BLVD E Payment(s) #208 CHECK 7983 1,431.75 WAYZATA,MN 55391- (612)850-4002 Minnesota State License#: BUIL-BC390906 OWNER Colwell Industries,Inc. COLWELL,THOMAS&PHYLLIS 123 3RD STREET N MINNEAPOLIS,MN 55401- 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 fo due caus . to//119/ Applicant Permitee Signature Date Issuef y Signature Date City of Orono ` Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) ��i V Mailing Address: Permit number: �L9/ £/_ /C> 7 O PO Box 66 �� Crystal Bay, MN 55323-0066 Date received: /11 5 —/ Street Address: Received by: 1. 0. y� c; 2750 Kelley Parkway Plan review fee: tilL. Orono, MN 55356 C/ �'�ESHO� / 7 5/ 7� 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: /13c dco c� Shi'r_ & /2c 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: 44/47 /2 5W2 /� rP7C. - State License# Bc_ 3 0 9d (r, Expiration Date: 3 204.5— Lead o/SLead Certification Number: /It+ Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) Col z -E),.s--0 - y OO - (office) Mailing Address: //4,/ urv9-ye-4j,9._ Av,0 .x[ 208 City: / x,444-- ZIP: S~S'3P/ Contact Person: -4 C4/11-.S CA) Applicant is: Contrac • / Homeowner (circle One) Email and/or Fax: met e_ w~e sive FA r,44,p,f-S . Goi,-.. PROPERTY OWNER INFORMATION: Name: g //iv() SEP 4' .Se h VV[L Phone (day): 6(2, - &' 9 -7/S9 Address: /9a/4 /-4f-e --4,-,-,c+,o F Qo,3k0 City: Co2rc�2,,/yl ZIP: 5-5-3`f Email and/or Fax: ESC4f aF(L @ Cfivh4e /NOy . co,-/--- PROJECT ortePROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd El Re-roof,cedar El Restoration ❑Water Damage Deephaven, MN 55391 CI �Re-roof, other(specify) , Siding 0Other: (specify) Phone: 952-471-0590 r Fax: 952-471-0682 'Window(s) g/�g//� ir-/VFA/ www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ /$O,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 you refuse to supply the info atio he application may not be issued. Applicant's Signature: `-L Stu r-- Date: re .)"-/jam Owner's Signature: Date: Last Updated:03/06/2013 C — / DATE TIME i CITY OF ORONO CALLED IN INSPECTION N TICE .._,„ CHEDULED l - -/ 7:30 PERMIT NO. C�,O/MPLETED ADDRESS /�3O a[/ ,S 7 k OWNERTLE HONE N i — �'�1- � CONTRACTOR 'L/ � S. 3.. DESCRIPTION :4-Z -4/( c YtO.4(.1a-IL tt ❑ F TING ❑ PLUMBING FINAS 0 EXCAV/GRADING/FILLING Q 0 OURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS y AMING 0 MECHANICAL FINAL 0 TREE REMOVAL Z INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT J 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL J 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL OOWNERICONTRACTOR TO MEET YOU:_YES_NO v) COMMENTS: LtAtillet1cpc.c iiLua cc / /1/.4 1 / ' (' 0 ccli0 W 1 CC Q / 12 W s IQ CC 0• 0114(57 r53� W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95 , ' ' -4600 Owner/Contractor on site: Wit Inspector- I White Copy/Inspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE , SCHEDULED 3-(/; 1 PERMIT NO. 42-Ci 4-CH\i COMPLETED n ADDRESS 113D D I C.9s±0.j 1 8A-u Qs OWNER TELEPHONE NO. l2-,3(6p 451B1B1 }Vp�. CONTRACTOR 3 fS4—ree4 a DESCRIPTION I -11.0) W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SE ER HOOK-UP 0 HARD COVER REMOVAL J ❑ DEMO-SITE 0 PTIC INSTALL 0 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU: YES_NO cc., COMMENTS: La., C%awS 0. /46-KGra 4. 40 g/( kJiiyt7oc.) 0 -1 o rim K,rt' it Coelec..f-/t ip 2 1. (e'2 - N. cc OC . aleft r4do r 715 /1'0 va,e- 1.1lGi�/Gt✓-e-C Q — /ef 4 Qr.r.c-F,e.A wets O 1s be A,.4:-..19 ,Shore. iso, ete s= DATE TIME 'V 1ITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED J v i PERMIT NO. •2-0/(1'0/1 ri COMPLETED ADDRESS /1, n O/C/ d y:Cid 6/4-c/ /5 OWNER TELEPHONE O. jQla SPO'f/5 CONTRACTOR O' P.r9 F5t,z-fee DESCRIPTION /-0271P1 e' 1� 4i1lii W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ElPLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION C 0 FRAMING ❑ MECHANICAL FINAL 0 PROGRESS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE 0 SEPTIC I TALL 0 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_, YES_k NO r.4• COMMENTS: I ,e' ✓►ti EZ.d _ . e.-' i — W Q. yeee p • C('e4 ipvovi'oeo — c a Flo,sX isle w '- / < at Aviv 0 O� "rjviej' is)woo co 40e- Ai 4- OK AV,e./ e .0 W ce Piaare4. cuple✓ 9Qre,i — 4.1 Z er51,- a/oia`'.wes 4,K Lua W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW RRECPVP6RK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O 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/Contractor on site: 0 AS Inspector. 9 /y-- White Copy/Inspector's File Canary CopylSite Notice -.1.,,, 3 „5„-f- V trci . -172.---. DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 0 J L1 I L' PERMIT NO. 20 l COMPLETED CC ADDRESS �� G� ��a I a RS J OWNER TELEPHONE NO. CONTRACTOR V1Jc +erg S-Ffee.1-- DESCRIPTION Fi na I on ' 1/5i dile� f LU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL co IN Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILL O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL y.. - ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION' :' Y Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP Z ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU YES NO COMMENTS: cc W Q. CC O 6. /el�r ova- lkia/� Ce2a' 10�k- i vce 45 ,cwd cc0 4. W cc Q 2 W Z W CC 0 W O WORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW D CORRECT WORK&PROCEED ❑I E CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O� BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED D STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra r on site: Inspector. C- ite Copy/Inspector's File Canary Copy/Site Notice