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HomeMy WebLinkAbout2009-00323-VOID . CITY OF ORONO PERMIT NO.: 2009-00323 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUED: 06/16/2009 952 249-4600 FAX: 952 249-4616 , ADDRESS : 345 SPRING HILL RD PIN 1 : 25-118-23-43-0008 LEGAL DESC : REG. LAND SURVEY NO. 1429 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-LTNDEFINED � VALUATION : $ 40,000.00 APPLICANT / PERMIT FEE SCHEDULE 574.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 20.00 5145 INDUSTRIAL ST TOTAL 594.25 SUITE 103 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License#: 3247 OWNER LINDSAY&CARLA MORRIS, MARK 345 SPRING HILL RD WAYZATA, MN 55391- , 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. Ali 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 requiced inspections are requested in conforman e ith the State Building Code.This permit may be 1 � �i revolge ny time fo d e,cause. - ,i�. / � . � � � -�^: � �. � l / � -- � �c. ..� �(_�� ' C 7 '�" � �'' � � �� � L � (:)7'?C i�' 7 �- / / �'A licant Perm�ee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . ` City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: 'Qv�,�\ PO Box 66 /Q s Q�\ Crystal Bay, MN 55323-0066 Date received: � il\\K� � 1� �'r���". a, � Streef Address: Received by: �`�� rZ �� ti �, �,�� 2750 Kelley Parkway Plan review fee: ��rf'�° �' g�/ Orono, MN 55356 ; ESH� f 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 INFORMATI� , �s6� � // /� � Job Site Address: 7 �, ��� �� Will this be a Parade of Homes, Remod rs Showcase Home or other D splay ome? ❑ Yes � No /f yes, a special event permit is required with Po/ice Department and City Counci/approva/60 days prior to the event Shuttle bus service wil/be � required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be a/lowed. ;� CONTRACTOR/APPLICANT INFORMATION: . � Name: �//SEo� ��», s r�.< <� ,�� ;. State License# �;c,�L�3i S � �i� Expiration Date: 3- // -c� � �� Phone: � _ c�-� � � �v� office cel� � Mailing Address: S y S � �.�, e �J3 Cit : m � ,,,„ ZIP:�S,3�S t � Contact Person: ��,te C .o�l5�h Applicant is: r / Homeowner (Circle One) � Email and/or Fax: ��3 _�j7�_l� ov ;� � PROPERTY OWNER INFORMATION: , � Name: C,�aj� Morz �� o�; lrla�c.- L�1r,,;b,., � Phone (day): `�c,3`t�t -S?�� Address: 3 4 S Spr�M �/l d City: O,c�n c7 ZIP' ? Email and/or Fax � PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review 8�permits ❑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 �-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: j<� P � �, f F �c.� (Z.�� � � �l S !��:u � Estimated Construction Valuation of Project(excluding land) $ �/U o o a V� `' APPLICANT ACKNOWLEDGEMENT: �� � • Agrees to provide all information required or requested by the Building Department; ��u a ' 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 ann ally update our records and records of other governmental agencies re uired b law. If ou refuse to su I the informat' n t e a lication ma not be issued. �j Applicant's Signature: ,t-� Date: �� ��r C:.� `"� Last Updated Q5-0�-200� DATE TIME CITY OF ORONO c,aLLED IN INSP�'&TION NOTICE SCHEDULED PERi�AR NO. ���7 ' ��3 COMPLEfED ����'�Y + ADDRESS �Y� �P�� ns ff�l� � _ OWNER TELEPHONE NO. CONTRACTAR /�115��� L�.r�_ � DESCRIPTION I�e-��aF� �G��� � ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/(iRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Zy ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FlREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p pqpC,q�� J �� ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. i ❑ DEMO-FINAL ❑ SEPTIC INSTALL �•FOLLOW-UP ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERlCONTRpC'iOR TO MEET YpU:_.YES_NO � COMMENTS: a d,� �tk3 r��t -- r10 �iKqL �vtSBe�2���. �e Sr 45�� j � � O C P ✓ Q � , cca r�Q >. � ^ - � � /�f� ��oi-cff' ��25.� - /'�co� �1 �O , -, Q T/uWt.e OW/�!�✓' c��t�5' 'f'��s !�c r� G�Ja c -- /�� , � /6 �v�r GL�O/t E f�r' CY�/1 Z�I'a LGCdI ,�p/` � --- W W � � � � � / -�- � J - O � ❑WORK SATISFACTOHY:PROCEED ❑PRW ECT COM PLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCl' � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION iSSUED ❑INSPECTION REQUIRED.CALL TO ARRANCiE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owner/Contrector on site: Inspector. �/w... Whits Copyllnspector's Ffle Canary CopylSfte Notice `