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Home My WebLink About2012-00871 - addn/remodel/repair . - CITY OF ORONO * 2 0 1 z — 0 B e 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1480 BOHNS POINT RD PI N : 09-ll 7-23-33-0004 LEGAL DESC : UNPLATTED 09 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 90,000.00 NO"l'E: OTHER fNSPECTION REQUIRED: WINDOW INSPECTION AS INSTALLING INTERIOR REMODEL-MASTER BEDROOM CEILING,EXPAND CLOSET,MAIN FLOOR BATH VANITY,LIVING ROOM CEILING, BASEMENT-REMOVE MOLD-REMOVE SHOWER REPLACE WINDOWS AND DOORS APPLICANT PERMIT FEE SCHEDULE 981.75 COMMERCIAL BUILDING SERVICE STATE SURCHARGE(VALUATION) 45.00 15405 NORTH EDEN DRIVE TOTAL 1,026.75 EDEN PRAIR[E, MN 55346- (952)975-0920 Minnesota State License#: 20636753 OWNER MORAN,CHOLE 1480 BOHNS PT 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 specifica[ions,applicable City approvals,and the State Bu�lding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. Ail provisions of laws and ordinances governing this type of work shall be compied with whether or not specified in.This permit will expire and become null and oid if co ruct authorized is not commenced within 180 days f th� e o��uance,or if construction is suspended for a period of 1 a ,4ime after work has commenced. The applicant is responsib �r�s, all r uired inspections are requested in conformanc yn r te �ding Code.This permit may be if revoked at any�irxefo ca e `-� �� ,/ `� / / l �-��'Appli ant Pe itee SigFrature Date � � � � � �� _ Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � �� a�r� City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �l G�-�� (1 / O.¢,�,j�.O PO Box 66 p Crystal Bay, MN 55323-0066 Date received: ` - '�� - a �� ,�' �,� Street Address: Received by: e�� '�',�,t % x^y �ti�' 2750 Kelley Parkway Plan review fe *v Orono, MN 55356 "��Ko4 �� .75 == Total Fee: Main: 952-249�600 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 applic jons will be ret�ed. (Ple se prir� GENERAL INFORMATION: � I Job Site Address: � ��(1 �.� �ti�. �` �� r:�.r-t'i�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes �LQ lf 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 INFORMATION: -� ' . . Name: ,�� ! ,�� ,� State License# 2 �� ,�; � � S��y _ Expiration Date: � � C / S Lead Certification Number: �/� d � 13 � �� Expiration Date: �T� � � y (for work on homes that were constiucted prior to 1 78 Phone: �� _ � �� -.. (office) �z '- 7Cp ��L� �=�.._ (cell) Mailing Address: � � ' �— j� : � �, City: " ZIP: .y�`;a Contact Person: �� '� lZ_,�,� ��,_ �� Applicant is: ontractor Homeowner (Circle One) Email and/or Fax: � ! '� ( '� �.> � PROPERTY OWNER INFORMATION:,1 � � �E,Yi �� Name: �G� ��. � _ Phone (day): Address: J �-j �D d.d) ;� l. ra.�' t��' ��rl C�� C�/C7 �-v ZIP: � sc� � ( Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: (�.Door(s) emodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof, other(speciiy) ❑Siding �.Other: {speci •� Fax: 952-471-0682 �Window(s) >i w,;' i,. �.minnehahacreek orq Overall Project Description: ��'- L - �1 j/��G� (�yK'� � CQ� Estimated Construction Valu n of Pr �ect xcluding land) a �'Q � �r- �'�''' fl"�-S �- /` � ''�' "' �-,��;,o✓ �2'tfi b APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all 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 dassified by State law as either private or confidential. Private data is informatioh which ge ally nnot e given to the public but can be given to the subject of the data. Confidential data is information vrhi gen ally nnot given to either the public or the subject of the data. Our purpose and intendedlUse of this inforr� on is an ually ' ate our records and records of other governmental agencies r uired b law. If ,du refuse to su I , info ati the lication ma not be issued. � � ' -- ApplicanYs Signature: � � ' ""` Date: ��,z � --� �_ Last Updated: 08-09-2011 ./ . `-. �� .� _ �;� � s,�.� , �� n � � � � L �� C � � � ��s�� _ �� , . : �'Yl �� - �1� 0� �� c��-�,� � �� .� �, �� `� 4�0 0�--� �;�� l, � � � - l��p�.., �. �,.� ;2��0��... s-u � �� 2� � �. � -�� o � �- ��bo �s - � �� .>�� _ v �ei�D�.-R-- �`�i Y� ��E� Z.c� -> ✓ _--� � /��ti � ��d 1�.A �� .� s � �f� � � � c:�, I� � � s �`�`—Q ^ <.,� , ,�-� �..� , rv�� s /'�s%7'f� �� 3 • �i'�(1��'"`-� � �- � rvs v� _ �%�� v A L ,