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Home My WebLink About2009-00469 (finish basement w/bed&bath) ,� CITY OF ORONO PERMIT 1v0.: 2009-00469 , 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 08/10/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2443 CARMAN ST PIN : 20-117-23-12-0013 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/IZEPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ ]0,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STAT�) FINISH BASEMENT WITH BEDROOM&BATH APPLICANT pERMIT FEE SCHEDULE 191.75 GATEHOUSE,JULIE STATE SURCHARGE(VALUATION) 5.00 2443 CARMAN ST WAYZATA, MN 55391- MISC FEE 0.00 TOTAL 196.75 OWNER GATEHOUSE,JULIE 2443 CARMAN ST WAYZATA, MN 55391- 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 permi[s. All provisions of laws and ordinances goveming 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 inspections are reques conforman with the tate Building Code.This permit may be revo d at ny ti e for d e c se. / ��/ � � / / Appli an PermiCee Signature Date Issued y i ature e SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A VE. � � -- City of Orono (� I� � �ss P _._._-----. • Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailin Address: �� PO Box 66 Permit number: �/�� \ Crystal Bay, MN 55323-0066 Date received: �,a ��,��,.:;� a,�! Street Address: Received by: �'�n �'� ��,r �' ' 2750 Kelle Parkwa t ,� ��/ Y Y Plan review fee: '�gESH�% 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: � �1 � ��_ ` Job Site Address: /) "" � �'� -� , 1 j 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 will b required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLI NT FORMATION: Name: State License# Expiration Date: Phone: (office cel�_ Mailing Address: % Cit : ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email andlor Fax: PROPERTY OWNE�C INFOR ATIQ�tI: Name: "-� Phone (day): C " - - � Address: Cit : . � ' _ ZIP: � �.�'� Email and/or Fax - � � � � r' PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8� permits ❑ 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 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.min ehahacreek.or Overall Project Description: �� Estimated Construction Vafuation of Project(excluding land) $ �(;T�;G APPLICANT ACKNOWLEDGEMENT: � • Agrees to provide alf 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 re uired b law. If ou refuse to su I the information, the a lication ma not be issued. - } ' ApplicanYs Signature: Date: ✓� (�� ^ Last Updated: 05-0�-2009 �