HomeMy WebLinkAbout2010-00883 - 3 season porch to 4 season porch . CITY OF ORONO PERMIT NO.: 2oiaooss3
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 10/14/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2690 PHEASANT RD
PIN : 21-117-23-23-0019
LEGAL DESC : PHEASANT LAWN
: LOT 019 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 50,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
COLLECTED PLAN REVIEW FEE$443.14 9/22/10 2010-00882
CONVERT 3 SEASON PORCH TO 4 SEASON PORCH&OTHER INTERIOR REMODEL
APPLICANT pERMIT FEE SCHEDULE 681.75
LECY BROS CONSTRUCTION STATE SURCHARGE(VALUATION) 25.00
15012 HWY 7 TOTAL 706.75
MINNETONKA,MN 55345
(952)746-3783
Minnesota State License#:20325555
OWNER
GETLIN,LARRY&DEBBIE
2690 PHEASANT RD
EXCELSIOR,MN 55331
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 1 SO days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
at any time fo u
D i d�t / �d �L-Q-�'C_ i i
pplicant Permitee Signature Date Issued B gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
. City of Orono � � ��,�;\�b
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: p���d ''��$�3
g,�,�. PO Box 66
O \ O Crystal Bay, MN 55323-0066 Date received: 9 c?c`� J D
a ��'"3" Received by: S
' 3e�:: �, Street Address:
�'�c, 9" G� 2750 Kelley Parkway Plan review fee: D D ��D88oZ
t`�kEsxo4''� Orono, MN 55356 . L
- Total Fee:�
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �d �, ,s
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: ��QC� �-����-{- (�(,
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 approva160 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: (�'J�� �v�o� {-����
State License# a�3 as5 5S Expiration Date: .3— �( — �j 1�,
Phone: �{ a— �—� office cell
Mailing Address: ' p Cit : ZIP: S S 3�{S
Contact Person: ,��,� � �Q,�� Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: q��—q�3— lS��
PROPERTY OWNER INFORMATION:
Name: �i.t�^u � ������ ��-���
Phone (day):
Address: Z�GC� j�(���,_Sc��L 'p�. City: C�i����z; ZIP: SS 33 �
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
❑ Door(s) �Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq �.
Overall Project Description:�,�,;�c t � �:,�k� {��,�(., --{�� c� 4 ��c�=�;- �,�� ��,,� �-(-�„e�-1r,.-l-�Yw�� �
Estimated Construction Valuation of Project(excluding land) $ S�,�x�-� ��u� ¢I �"� i`�`�-`"' ";,
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
re uired b law. If ou refuse to su I the informa 'on,the a lication ma not be issued.
�Applicant's Signature: ��.� Date: 9—���d
��'" �`J/�z`�
Last Updated: 05-04-2009 �
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CITY OF ORONO CALLED IN �� �� ,/
INSPECTION NOTICE Q SCHEDULED �`�"
PERMIT NO. D O�OMPLETED
ADDRESS ���� �=�-��/)! ��,�
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OWNER ELEPHONE NO. — ��°�
CONTRACTOR
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>; DESCRIPTION —
�
� ❑ FOOTING ❑ PLUMBING FINAL�(/�C EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI i /�J �GE$bIORE/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 ❑ COMPLA�NT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24�iours in advance. (952) 249-4600
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OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice