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Home My WebLink About2011-01385 - addn/remodel/repair - • .# . CITY OF ORONO PERMIT NO.: 2011-01385 I 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1ll02/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3465 CRYSTAL PL PIN : 17-117-23-43-0008 LEGAL DESC : NAVARRE HEIGHTS : LOT 005 BLOCK 002 PERMIT'I'YPE : ADD[TION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIV[TY : 434-RESIDENTIAL VALUAT[ON : $ 30,000.00 NOTE: SEP�RATE PERMITS MAY BE REQU[RED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) INTF,RIOR REMODEL-DUE TO WA7'ER DAMAGE APPLICANT PERMIT FEE SCHEDULE 466.75 LALEMAN, RENEE STATE SURCHARGE(VALUATION) 15.00 4886 EDGEWATER DRIVE TOTAL 481.75 MOUND, MN 55364- OWNER LALEMAN, RENEE 4886 EDGEWATER DRIVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT "I he work for which this permit is issued shall be performed according to � the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only thc work described and does not grant permission for additional or related work which requires separate pennits. 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 au[horized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are reque ted in conformance with the State Building Code."I'his permit may be re � d at any time or ue c se. r1 ` / � / � ��,� Applic nt Permitee Signature Date �' �� Iss By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - � �• . _ City of Orono �� Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) � Mailing Address: ��-0 j%�,�,�.� PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: �� Z l �� ' �� Received b : a ; �� ;��:_ �, , Street Address: Y �'�� '� =�„�,a„ �ti� 2750 Kelley Parkway Plan review fee: �v {'��'� Orono, MN 55356 �/ kESH��' �� -- Total Fee: S(l � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us U � This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATIODI�- � r�I Job Site Address: ,� � C � �j�� l�C-�' v{��D'�� l� � �S�C, Will this be a Parade of Homes, Remodelers Sho case Home or other Display Home? Yes [�]'�Vo /fyes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service wi/l be required unless applicant demonstrates sufficient on-site parking is availabfe. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT FORMATION: Name: j '��•-�- State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNE NFORMATION: Name: ��,n,��, 4�.5�`�' �� Phone (day): �� L �1, .- �J� O - C�,�c�--�'� Address: 1.�- K �({, � �� L ' `r City:�(j� �IP� ,� Email and/or Fax 0`� � v U . C�U'r'V� PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) [1�'Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar Deephaven, MN 55391 ❑ Restoration ater Damage Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �G C>(�j�j '-'= 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 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. i ApplicanYs Signature: Date: �� o�>' Last Updated: 08-09-2011 �_J�1 � D E TIME CITY OF ORONO CALLED IN �� 9% INSPECTION NOTICE SCHEDULED /� PERMIT NO. �� /�� MPLETED ADDRESS � �-�-- OWNER PHONE NO. ��1 ��-0�a� CONTRACTOR � �: DESCRIPTION � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATfON ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J l 0 a � 0 � W � Q � Z W � W � � GW ' WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR !�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice �� ✓ A TIME V CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED � PERMIT NO. ��"�� C PLETED ADDRESS �� OWNER � �� `fT EPHONE NO.��'-��-�S� CONTRA OR >; DESCRIPTION �l� wL- �``�''' '�( • �e�O � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S P C FINAL ❑ FOUNDATION/REMOVAL O TRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a o� � ✓�� 4 ��v,. � � � (� , t.��--� � (�t� c• '��e.� ��1'N r�c�� c' �,�1 1�f�S �•� rt-v i3 � 4-' �,�QS'S �. ;�-2 !J�� 1, � � 1 L� � � � �' Q �l 1 � Q �� S l Z1 1�.Q ( � `' ��,5 l .e.�'S, z � ��cac�� C.�./ /A� '�-�'-0`� 1--� �`.�'i-�zf W � � r-1,��e ��.. , t. S �,�b ,�e �.--� � (��- �.�.� j � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � k3'CQRRECT WORK,CALL FOR FEINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: Inspector. � 5 � _ White Copy/lnspector's File Canary CopylSite Notice ��1 DATE TIME " CITY OF ORONO CALLED IN `5 � INSPECTION NOTI�E �SCHEDULED .>`-3/-/Z-� PERMIT N0. o��/�d�`3�S COMPLETED �� ADDRESS � � OWNER /��LQ� LEPHONE NO. ��Z s�� -O CONTRACTOR >; DESCRIPTION �� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 J BING RI ❑ SEP F AL ❑ FOUNDATION/REMOVAL � NE ONTRACTOR TO MEET YOU: YES NO � C MENTS: � W a O -�j�/� Zi�/S �_ . >. � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED �SSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContra� si Inspector. White Copyllnspector's File Canary CopylSite Notice