HomeMy WebLinkAbout2015-00368 - re-deck CITY OF ORONO * Z 0 1 5 - 0 0 3 6 B *
2750 KELLEY PARKWAY DATE ISSUED: 03/3U2015
" ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 815 PARTENWOOD RD
PIN : OS-117-23-43-0003
LEGAL DESC : PARTENWOOD
: LOT 002 BLOCK 002
PERMIT TYPE . ��t � '�''��
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY . - y3�/���,�;'�t�n l
VALUATION : $ 11,000.00
NOTE: REDECKING EX[STING DECK
APPLICANT PERMIT FEE SCHEDULE 216.85
STATE SURCHARGE(VALUATION) 5.50
EXTERIOR EXPRESSIONS TOTAL 222.35
1335 PARKVIEW DR
CHASKA,MN 55318 Payment(s)
CREDIT CARD 0035 222.35
OWNER
FOX, PETER& SUSAN
815 PARTENWOOD RD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMEIYT
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 gran[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 180 days at any time after work has commenced.
The applicant is responsib(e for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
` ,3� . �u�- �- ,� �
Ap i t ermitee Signature Date Issued By Sign ure Date
City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�O . `O Mailing Address: Permit number:o2��s—�� -�j O
IV PO Box 66 �-
Crystal Bay, MN 55323-0066 Date received: — /— 5
Street Address: Received by:
y G` 2750 Kelley Parkway Plan review fee:
`� Orono, MN 55356
tqkESHO��
Total Fee: ���, �s
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. (P/ease print)
GENERAL INFORMATION:
Job Site Address: �i�� f G��^'�'" �/�(,�,t�4� �al'�,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
lf 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 un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: � /`i� ;' ' /�f'� � %/LCi
State License # � (y,a�� Expiration Date: ��j—J
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) � g �' .- �j�� (office) —` ���
Mailing Address: 3 �r City: �g ,Z ZIP: / '
Contact Person: ���,���_� ����Gp��,� Applicant is: on ractor Homeowne� (c�rc�eone)
Email and/or Fax: � �,��� ,�k,�-� v1S 1�/Z
�� .,U..
PROPERTY OWNER INFORMATION:
Name: � �
Phone (day): ., ��
Address: � 7�� � , City: �`Q�Q ZIP:
Email and/or Fax:
PROJECT 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)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
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
ou refuse to su I the infor ation, e a lication ma not be issued.
Applicant's Signature: � `2 Date: _�a��/�
Owner's Signature: Date:
Last Updated:January 2015
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DATE TIM
CITY OF ORONO cnLLED IN
INSPECTiON NOTICE SCHEDULED �
PERMR NO. �b� ��3�� COMPLEfED J /' -��
ADDRESS �/-� ��+�'L�/I�_y�nrJ I�� �
�NNER TELEPHONE NO.
CONTRACTOR EX��+'�� ���K��S
� DESCRIPTION ���ll�� �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v �NAL ❑ WATER HOOK-UP (��LLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCOI�ITRACTOR TO MEEi Y�OU:_YES_NO _
� COMMENT'S: �ro,riw%t �G��s- .�'�•/c�� T6 �' << �'a.�
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� ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE
W O CORRECT W'ORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR ❑GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-46�0
OwneNContractor on site:
�nspector: �
White CaPYAnapector's Flk C�nary CoPYlSife Notke