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Home My WebLink About2013-00934 - replace decking f � CITY OF ORONO * 2 0 1 3 - 0 0 9 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2720 PHEASANT RD PIN : 21-117-23-23-0052 LEGAL DESC : YALE SMILEY ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : REPAIR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,000.00 NOTE: REPLACE DECKING APPLICANT pERMIT FEE SCHEDULE 118.00 RIDGE,MARK STATE SURCHARGE(VALUATION) 2.50 2720 PHEASANT RD TOTAL 120.50 EXCELSIOR,MN 55331- OWNER RIDGE,MARK 2720 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 Ciry 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit wilf 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. l l G��t�t-a'7? l l Applicant Permitee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O A,O Mailing Address: Permit number: ��— �v CrysBtal Bay, MN 55323-0066 Date received: ��I� ,; � ' Street Address: Received by: y�, �� ' 2750 Kelley Parkway Plan review fee: `qKfSHO��' Orono, MN 55356 Total Fee: /�Q, � 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: T �n' /� 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 approva/60 days prior to the event Shuttle bus service wil!be required un/ess applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � y�a�.�L � • f \ i �- State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (g � L^��j-3�ZC� (office) Mailing Address: '��e� �S a,,,,�, , City: '� ,�..�; ZIP: m(t.l, I "Z�33 Contact Person: �/Y�f� �� p � Applicant is: Contractor / Homeow (CircleOne) Email and/or Fax: �r��q,� ��'+ � �,}�, �,� PROPERTY OWNER INFORMATION: � Name: �/1 c�J-� � Q Phone(day): � 1 Z � �— � Address: ,�'1 i2�> � S�v�'�- ��. City: �')�,nR3 ZIP: �`�� / Email and/or Fax: �/v�r•�� J, �� ,�,� tJ`,i i�1 ��( �� k.i,�j�� ` � � PROJECT INFORMATION: OSe+rall pro�ect descri tion: !��— �� -� Type of Project: Any earth movement may also re uire ❑ Door(s) ❑ Remodel ❑ Fire Damage N�CWD review 8�permits: Re-roof, as halt Minnehaha Creek Watershed District MCWD ❑ p ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ( ) ❑ Re-roof, cedar �Restoration ❑Water Damage Deephaven, MN 55391 ❑ 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) $ C�-�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 required by law. If ou refuse to su I the' for tion,the cation ma not be issued. Applicant's Signature: Date: � �� 1� � `-� Owner's Signature: �Y� Date: � � �� ' �� Last Updated:03/06l2013 �:.,�-�.� ,�o��a _.�>>.� � �-�`�� .� ,v�-�,,�� :.�.t�� _ �( k� � � �-.r�� r"►s.��'$") .. , �,,.� ��e�d"`^�'J �t'�'x.� "b`'�1 1��rr1 �,..t-a�� _ , � . . , , . . . . _ . ; , . . . . . _ '� 14'� ' �:�Cf� ..� � ,,�.�''^1 �' �t`'�.,� -,-r`��^�� s �� - f � ' .� � � ,P-,�,„�,�� . � � �t �t �s-4i � ��_�� .� ,P �..,� :� ."^ �,.. ,��;� �,� . C"''�-�"� .P'��°�i A"', 4,,a ��'f �C �"� a"��.�.�.�7 11r-�� '11�0 ��i �t`�"� ,. �"',�!�`t'j"� 1�'�°i !�`�.i (^Ib�'�'� • T-�'s'�0..� w \ _ � ' �5 � � �,, �,��' ��y�;;.� ,-;�. .�., ��,r>+�,r� �j� �� 'L ,^�V1-�`C'6't� � ,. t, �*��:h 7,�'� ,., ,}�,i ( # � . �---.� ,�l ------� . . M ,�t .�<: ...:, . . `�1 X L�Z° a . , �.�a�.�� _�„�.,,,,,,,. a►- E— �-.'r �- � •�"�' <_�4h�� j�(� �.� '�',,�'�'� �,'`'� � '� ' � �'` -� �� .�' � � �. � i� # � . . �' r �1'' �+y s� r �► . ��,�� ,��J/ � . r,. ``Y Y J . ,� ,� }� �� . 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Y�d(�� I'�(I U " �� s�.a-rid d� Lz. � � C�� I DATE TIME � CITY OF ORONO CALLED IN t� �� ,3 INSPECTION NOTIC /�y�9,3 SCHEDULED �D PERMIT NO.�` ��w COMPLETED ADDRESS � �.—I Z D P I'l�4.��t��— �( OWNER �LI(�,C�IC. �1 c�C� TELEPHONE NO.x � (a�5—�-� CONTRACTOR X � DESCRIPTION ?� �'—L�L— �� 1�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ? ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HAflD COVER REMOVAL v ❑ PLUMBING RI O SE T FINAL ❑ FOUNDATION/REMOVAL � OWNERIC�RACTOR TO MEET YOU:�YES_NO c�.� COMMENTS: o� W a � �(�Ou� le�'�� b ec,� �� 0 � N�v ��n�� ,�.5 ��fn� 0 � W � Q � 2 W � W � J d W� ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notiee