HomeMy WebLinkAbout2009-00371 - addn/remodel/repair - CITY OF ORONO PERMIT NO.: 2009-003��
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/14/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2445 SHADYWOOD RD
PIN : 20-117-23-11-0015
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 000 BLOCK 004
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN
VALUATION : $ 3,800.00
NOTE: REPLACE 4 FRONT POSTS WITH VENEER STONE PILLARS/POSTS
APPROVED PER WILLIE GIBBS
APPLICAI�TT pERMIT FEE SCHEDULE 103.25
STONECREEK ARTISANS INC. PLAN REVIEW 67.11
30301 216 TH LN
HENDERSON, MN 56044- STATE SURCHARGE(VALUATION) 1.90
(952)212-0189 TOTAL 172.26
Minnesota State License#: BC20627796
OWNER
NAVARRE, 1ST NATL BANK OF
2445 SHADYWOOD RD
, MN 55392-
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 gran[permission for additional or related work which requires separate
permits. Al)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 inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at me for d
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ppli ant Pe itee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Building Permit Application for Internal Work �:,
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(windows, doors, siding, re-roof, etc.) �
� Mailing Address: �/Y)Gj_ �� �
Permit number: �,�
��v�,�`\� PO Box 66 � �
�Q Q\\ Crystal Bay, MN 55323-0066 Date received: 7 � Z�n!
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�,a �'�?��E�.� a�� Street Address: Received by: "' �'
� ��'.�, ' ti%� �ti i 2750 Kelley Parkway Plan review fee:
��� '�9g��w Orono, MN 55356 ��
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�•�: Total Fee: ��2 2,� "
� 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: �
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-�. Job Site Address: 2Ly�-� S�w� y�a�,�_��_1'J��� ��� *
�=� Will this be a Parade of Homes, Remodelers Sh cow ase Home or other Display Home? ❑ Yes ❑ No ��
� lf yes, a specia!event permit is required with Police Department and City Counci/approva160 days prior to the event. Shuttle bus service will be ��
required unless applicant demonstrates sufficient on-site parking is available. Non-permrtted events will not be allowed. e�
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CONTRACTOR/APPLICANT INFORMATION: � �
1 Name: j ro.-�ecrr�l�, , f2i-f,�,�i� ,�� �
State License# �l ��1���� q/ Expiration Date: 7�,� -
Phone: y r?_?_�� ^'���� (office) (cell) �
Mailing Address: Cit : o(,�ns�n ZIP: G�� ;�'
;,< Contact Person: Applicant is: ontractor � Homeowner (Circle One) ;�:
Email and/or Fax: C���1,,, i ��,o��,_ �qT�) �6� ��� � ,,,=� '
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PROPERTY OWNER INFORMATION: �';
Name: /�r�/� �-,�.,�-��' �.��ylt. �a6f�� � �
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Phone (day): �-rz - y �J ��1� � �-:
Address: �`
-2-t-��/�s,��/z�/wt-� /�� City: /}��va�r� ZIP: � 7 � �
Email and/or Fax �`�- �
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PROJECT INFORMATION: �`�
Type of Project: � Any earth movement may require
�
MCWD review 8�permits ;�
t, ❑ 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 '
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Fax: 952-471-0682 �
❑ Re-roof ❑ Fire Damage ,�� � �Q ;�,�
' � � www.minnehahacreek.orq y
Overall Project Description: ��J I� ve�e�r �T�y^�- ,�,//�c ,r5 / ���_ �
'�`~ Estimated Construction Valuation of Project(excluding fand) $ �� �, �7—�
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� APPLICANT ACKNOWLEDGEMENT: `
� • Agrees to provide all information required or requested by the Building Department;
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• 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; �
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• 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 information, the a lication ma not be issued.
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�� ApplicanYs Signature: Date: � y zd�y �
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� : Lzst Updated: 05-04-2009
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h DATE TIME
6� CITY OF ORONO CALLED IN /n/l Co�09'
INSPECTION NOTICE SCHEDULED l oT/n��
PERMIT NO.�� '��:��I COMPLETED
ADDRESS � ��� <Z�L"�(c./��
OWNER CONTR. C����
TELEPHONE NO. � `c� �'- v� � a — C� 1�
� DESCRIPTION ��f ' ��n a J
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. � j ��
White Copy/lnspector's File Canary Copy/Site Notice