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Home My WebLink About2009-00109 - addn/remodel/repair � � CITY OF ORONO PERMIT NO.: 2009-00109 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuEn: 03/23/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2240 BAYVIEW PL PIN : 17-117-23-44-0042 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 039 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTG: SF,PERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 191.75 DESIGN MATTERS PLAN REVIEW 124.64 945 FOREST ARMS LANE MOUND, MN 55364 STATE SURCHARGE(VALUATION) 5.00 (952)270-6434 MISC FEE 0.�0 Minnesota State License#:20484102 TOTAL 321.39 OWNER ROBERTS, MICHELLE 2240 BAYVIEW PL 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. All provisions of laws and ordinances govcrning this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if con uction authorized is not commenced within 180 days of the d of issuance,or if construction is suspended for a period o1�180 days Yany time after work has commenced. The applicant is responsible for �uring all required inspections are requested in conformance with ' State Building Code.This pennit may be revoked at any t r c .` .�� ,2-3, �%�I � i �i D Applicant Permite i ature Date Is d y Signature Date V SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' ` City of Orono �oa 3 � Building Permit Application Mailing Address: �� \ PO Box 66 Permit number: — �Q �� Crystal Bay, MN 55323-0066 Date received: ��' �'`��.�;. � ,� t�'��1R��;,� a � Street Address: Received by: �{ �',�, �� '�"° G� � 2750 Kelley Parkway Plan review fee: L9kESH04'� Orono, MN 55356 Total Fee: 3a�• 3� 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: �� . Z � 5 �2v� � Will this be a Parade of Homes, Remodelers Showcase H me or other Display Home? ❑ Yes O;.�lo If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service w�i!'be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP CA T INFORMATION: . � Name: - State License# (� Z Expiration Date: Phone: � Z7� (office cell Mailing Address: UOQDUL C— Cit : j,� ZIP: Contact Person: �„� Applicant is: ontractor Homeowner �c��ie o�e> Email and/or Fax: PROPERTY OWNER INFORM TION: ; Name: � � �- � , �-��ll�C Phone (day): �� — � 0 / Address: 'f-,j � Z L�K.� Cit : (�I/ ��{- ZIP: �� Email and/or Fax 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 ❑ 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.orp Overall Project Description: �� j i� '�CISTfI� "��t)'i �(l� 15�� Estimated Construction Valuation of Project(excluding land) $ �d , ��-� APPLICANT 8� 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 be given to the public but can be given to the subject of the data. Confidential data is information whi generally c e given to either the public or the subject of the data. Our purpose and intended use of this ' m i i a u date our records and records of other governmental agencies re uired b law. If ou refus o su I e orm t' ,t a lication ma not be issued. Applicant's Signature: Date: ��j � � Owner's Signature: Date: �j .�.�- o co � �' � 'b � t. . � �� b� a � � o � ° � p � � yb � � b� N b ,'ti �. � Q° " oq� e° o ° `� � b � � n ��`' '�] � �j � � � bb � � � � b � A � A � � � � � � A A � � � � � y b � � � � �. �. �, M� � � °� �� o. �. �� o � � � o � � � � �" � � A � o b b � � A .,F�,' A.' � ^ � � � n � � � � O � fi p~ � q p ti, ~ �-- � (� � � �' � n � � � � � � A � ' � C �i � � � � '� n � O � S o � ��., � b � � c��, � � � ��'1 � � � � �r '� n , � �, . b � ,� o h tx � � � �� , `�° y �a o 0 0 ",b � � o � ( I � . •. �, � � ° �^ � b � ti � � � � � � co ti. � y �� $ D R7 y � � � " � `� b � I I�� , � h �' � � �+ Qa' o � � � �� ti I � � � � � �' � � � � �- � � � A. � I �•' ` � o � b � m � � W fi `•� �� o, A o 0 0 0 0 � _I '�'� � n �'� ti _ n o � °� a' b � � � � co � � � � I �, a- b ,.��, co c., -3 t2'i G b � �' � � � .v� c� � � � � � � � � � 'z' � `'' � bb -�-• � (� y � � �. r�.i ,S.'`� � n `0 '; `� ° t� � � ly t� c��n 'y 'y C �1 � b � b� tr � � � � � a. � � . b � ° g ° �� bb �- � b� � � o . ^ n n � �r o � o °�° b .b �' � � � � � � � . �e co � �, � � n ~ oo bb � � � �^v , 0 s . � . , BUILDING REVIEW CHEC%LIST UBC: IZ' 3 CONSTRUCTION TYPE: V� Sg Footage .�Per Sq Ftg Basement x = Isr Floor x = 2nd Floor x = Garage x = z = TOTAL . Estimated Construction Va[ue: $ l��00 �tl Inspections Required: Work Requiring Separate Permits: Site �( Plumbing Fire Hardcover Removal _�C Mechanical Water Connection Foofing Septic Sewer Con»ection _Zc Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other Wall Board (Mfg.) YYell(Stare Permii) �Final Grading/Filling _�t Electrical(State Permit) Oiher REIIIARKS(I1V HOUSE): REVIEW BY OTHERS: DATE: Access: F�cisting New Access Approval: Date By: REMARKS(TO BE NOTED ONPERMIT): 34 L/" ' DATE TIME V CITY OF ORONO CALLED IN `�� INSPECTION NOTICE SCHEDULED 1�=� a �� PERMIT NO.a -Od/D COMPLETED ADDRESS aa� D � OWNER��tQ-S�G�-P�'� CONTR. �1��i .� TELEPHONENO. �Ola a IR �g�� . — � DESCRIPTION �� a� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � � d W� ❑WORKSATfSFACTORY:PROCEED �PROJECTCOMPLETE W ❑COflRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: � Inspector. � t White Copyllnspector's File Canary CopylSite Notice 7p�� ATE TIME V ' CI Y OF ORONO �� cA��E�iN � �� INSPECTION NOTICE CHEDULED �,.. �'�_ PERMIT NO. �1X�1—��C�OMPLETED ADDRESS 2�� C� 1 J C�` �-I `�4 P� A� ` �— OWNER CONTR. ��c`� C,(�� TELEPHONE NO. � c� a � �� "—�r%4 3� � DESCRIPTION ��'�-�� ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site• Inspector. J� White Copyllnspector's File Canary CopylSite Notice �� G��-�L! � � V DAJ�j TIME CITY OF ORONO � � CALLED IN / L INSPECTION NOTICE �HEDULED �D:DD PERMIT N �' COMPLETED ADDRESS aa � ' � ' � OWNER CONTR.5�� ']V1�1�� TELEPHONE NO. �5Z Z-�� lG S�a3 � Q��t-w�Llt— ' �'/i?Sy�� DESCRIPTION �" r'�-� / n �`� � ❑ FOOTING � MECHANICAL RI ❑ EXC / RADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKE ORENVETLANDS y ❑ INSULATION ❑ WOOD BUFNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � O ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site•, Inspector. � � White Copyllnspector's File Canary Copy/Site Notice