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HomeMy WebLinkAbout2010-00375 - addn/remodel/repair . `' CITY OF ORONO PERMIT NO.: 2010-00375 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [ssuEn: 05/24/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2001 SUGARWOOD DR PIN : 34-118-23-21-0009 LEGAL DESC : SUGAR WOODS : LOT 001 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVTTY : 434-RESIDENTIAL VALUATION : $ 35,000.00 � NOTG: SEYERATE PERMITS REQUIRED: PLUMBING,AND ELECTRICAL(STATE) BATHROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 520.50 BALAN, TODD&ALISON STATE SURCHARGE(VALUATION) 17.50 2001 SUGARWOOD DR LONG LAKE, MN 55356- TOTAL 538.00 PAID WITH CC# 7977 OWNER BALAN,TODD&ALISON 2001 SUGARWOOD DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion 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 Buiiding Code.This permit may be revoked at any time for du ca se. � l 2� l 1� .1`i o? Applicant Permitee Sig a ure Date Issu y Signature Date �� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. -� �, : � s�r- s� • � �- ' �� �� x'� , � ,�r �" ��� ra�; � + Y ���r: � .c�.tARS -.�N Ab. w. �F a. �•� � . � City of Orono ��� � i� Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) ,; � ,. Mailing Address: Permit number. � �O—O� 7 � 0 PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: � oZ D :� . ��� �;_ � �� � ��S'���>;_ �, i StreetAddress: Received by: � : .� � ' �'.�,L� � �,�� ��/ 2750 Kelley Parkway Plan review fee: iv � � �� ' ` `�kEsxo%� Orono, MN 55356 � ,�. �- -� 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. � �.. �; x Incomplete applications will be returned. (Please print) � � GENERAL INFORMATION: � �� Job Site Address: 'ZOC�t Su c�r�,.�oo �r��tc l_o �; MN �.�35C� � � ' Will this be a Parade of Homes, Remod rs Showcase Home or other Dis ay Home? ❑ Yes No � /f es, a s ecial event ermit is re uired with Police De artment and Cit Council a � � y p p q p y pproval 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 allowed. ; � CONTRACTOR/APPLICANT INFORMATION: � � A�1�C5'C1 �C�G�.r Name: ��'y,„ State License# Expiration Date: � �Y,° Phone: �1 J2.. �Z�•�10\ (office) �6 .V1�3 � q `��i3 (ce��) f- Mailing Address: r. Cit : �, �= Contact Person: Applicant is: Contracto / omeowner (Circle One) ° Email and/or Fax: (9(� ,� � ��� � ���; PROPERTY OWNER INFORMATION: � t � Name: �GtX��C', Gt�g, kY1�K' z�;� - � �� Phone (day): � � �.: ���r Address: City: ZIP: � �� Email and/or Fax � � f � ` PROJECT INFORMATION: �# ��rt Type of Project: Any earth movement may require � �; MCWD review&permits � ' ❑ Door(s) �emodel ❑Water Damage �, k:; d;+ 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:(�m������l,�X�'�l � � '` Estimated Construction Valuation of Project(excluding land) $ ?j�j (�'� � � ` �t � �: APPLICANT ACKNOWLEDGEMENT: �� �$ • Agrees to provide all information required or requested by the Building Department; �9 'l�., � • 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; � rt..� �, • 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 � �l 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. �� a.�': ,, r-�� ���:„ �. �� ApplicanYs Signature: �'��� Date: 5�24��� `� �;� "`�� Last Updated: 05-04-2009 ,� ��:, ��� `xi�. 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' _ i - � � y � ! 1 i , i .�_ _. _ _ �; ; _ � . .._..j_ • ��—___ _..__a.___�� ___�___._._.�.___________—....�. ,___._.._., _._!_....3 i �_� i — 3 �v � o TIME �/ CITY OF ORONO Qo3'�jrCALLE� "��" INSPECTION OT CE SCHEDULED ' — � PERMIT NO. D�O� COMPLETED ADDRESS a��� S�� �, OWNER TELEPHONE NO. /��/"733'9�q3 CONTRACTOR /���" Q��'►�'''"'' � DESCRIPTION r � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � � � �IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CAIL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiTIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 Owner/Contractor on sit . Inspector. White Copyllnspector's File Canary CopylSite Notice