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Home My WebLink About2009-00114 - addn/remodel/repair *' CITY OF ORONO PERMIT NO.: 2009-00114 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 03/19/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 2702 WALTERS PORT LA PIN 21-117-23-23-0039 LEGAL DESC WALTERS PORT LOT 001 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 4,875.00 NOTE: ADDITIONAL JOIST ON DECK AND INSTALL WNDOWS AND PATIO DOOR APPLICANT PERMIT FEE SCHEDULE 118.00 III,ANDREW MCDERMOTT STATE SURCHARGE(VALUATION) 2.44 2702 WALTERS PORT LA EXCELSIOR,MN 55331 TOTAL 120.44 PAID WITH CC# 5115 OWNER III,ANDREW MCDERMOTT 2702 WALTERS PORT LA 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 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, )f-.insuring all requiEed inspections are requested in confortnan a mg Code.This permit may be revoked at yn r aus 6cj74'4" l l Applicant Permitee Signature Date T- Issu Signa ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application Mailing Address: Permit number: Og,0�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: r' EsE10 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 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 approval 60 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 INFO WE)�UL04c5—\ -T- State TION: Name: (LtZ�License# Expiration Date: Phone: (office) (cell) Mailing Address: City: Contact Person: Applicant is: Contractor omeo ner (Circle One) Email and/or Fax: _ q PROPERTY OWNER INFORMATION: y Name: �iE(LiZw Lr) F/L✓4OTI— Phone (day): (Q j Z. - l -S2 _ Address: _l�Z l4c�T ,� 5 PO '15 �n r� City:011_0& ZIP: j 3� Email and/or Fax -A 4 yt4(_ VL141-,-W yb4 ) 460 , C._,CD UA 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 El Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration Other: (specify)nOrr' Phone: 952-471-0590 ( � �Z � Fax: 952-471-0682 El Re-roof El Fire Damage c,�J�G' www.minnehahacreek.o Overall Project Description: Estimated Construction Val ation of Project(excluding land) APPLICANT & OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department, • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize 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. • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants or agents, for purposes of investigation of this request. • 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 b"ven 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 informa,i armuay update our records and records of other governmental agencies required by law. If you refuse to sup o "1he application may not be issued. Applicant's Signature: Date: Owner's Signature: --_:`= �. 0 Date: 9 L/ I 0 D TIME '/ LG/ CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED - PERMIT NO.a�4�� COMPLETED ��77 ADDRESS O�7Do� LI�cZ� CT�1Lf (_/lJ OWNER 12kP�_h��CONTR. 9SZ-Sy - TELEPHONE NO. p DESCRIPTION �v/nclmzy �r�n O ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING % ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS h ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBIN El FOUNDATION/REMOVAL OWN ONTRACTOR TO MEET YOU: E _NO COMMENTS: cc W C O O cc O W cc Q 2 W Z W cc IAJ j ❑WORK SATISFACTORY:PROCEEDPROJECT COMPLETE rc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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. (952) 249-4600 Owner/Contractor on site: Inspector. / 1 White Copyllnspector's File Canary Copy/Site Notice