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Home My WebLink About2009-00292 - remodel interior of home ,� � CITY OF ORONO PERMIT NO.: 2009-00292 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 06/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1305 ELMWOOD AVE PIN : 07-117-23-41-0030 LEGAL DESC : SAGA HILL REVISED : LOT 001 BLOCK 007 PERMIT TYPE : ADDITION/REMODEL/REPA[R PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)IF APPLICABLE, HOMEOWNER SAID THEY WERE ALREADY PULLED. REMODEL INTERIOR OF HOME&NEW SIDING APPLICANT PERMIT FEE SCHEDULE 191.75 KUHNE, SCOTT STATE SURCHARGE(VALUATION) 5.00 5832 LINCOLN DR#124 EDINA, MN TOTAL 196.75 OWNER KUHNE, SCOTT 5832 LINCOLN DR#124 EDINA, MN AGREEMENT AND SWORN STATEMENT Thc 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 gran[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 da[e 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 requested in conformance with he State Building Code.This permit may be revoked at any tim�-for du e. ,� ! �i —�� — �-�^� " l (i `fi/ C� �_ ��-�� '��c.t�? l l Applican eYmitee ure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. # � � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) � Mailing Address: Permit number: j%�v 0,�.� PO Box 66 / Crystal Bay, MN 55323-0066 Date received: I "v� O\ �� '�� - � � Received by: �,� ��s`:;,. a, StreetAddress: .�,��M�"_. oti/ 2750 Kelley Parkway Plan review fee: �kESH�� 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: �.� k � Job Site Address: � �� ' C�/I�l c--�—=�c� � /�t.�-- 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 Polrce Department and City Council approval 60 days prior to the event. Shuttle bus service ill be required unless applrcant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: / Name: �c_ �.f_.� �� 'l�-� State License# Expiration Date: Phone: (office cell Mailing Address: � ,`;�,_;�.� � ' Cit : l�=/.�� ,r�i}-- __��---�1 : � �/,��, � Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �.____ PROPERTY OWNER INFORMATION: C /- , �, Name: J� �TT ��'l�� Phone (day): �i Z�3`j ��' � Address: �i�3L � i n� �Jc,., ►_�/Lc v� �i Z`� CitY: �—c:tc.ti�,��-- ZIP: S��t��, Email and/or Fax 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.minnehahacreek.orq _Overall Project Description: /L��r,�� n,�t�� {��,,�.� /}�/✓� �%�� >r c�(�.1.� Estimated Construction Valuation of Project(excluding land) $ /� �C� 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 nnually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the informa o ,the a lication ma not be issued. � ��, ApplicanYs Signature: Date: �l � L2st Update� 05-04-2009 L� �'� ��--�, ' / /� ATE TIME V CITY OF ORONO CALLED W Y INSPECTION N�O,Tc�IC�E G SCHEDULED 9�'� PERMIT NO. �V 9�d'Z / �'COMPLETED ADDRESS ��Q � GG�'1/LIiVO`P�GL L�G�� OWNER ��— �Gf�J�I �CONTR. TELEPHONE NO. �! o� '�3�—lP � 9 7� � DESCRIPTION �`�'/ ! ��t-C�(�1 � ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ P ING FINAL ❑ FOUNDATION/REMOVAL � WNE NTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED I l PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W�LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED C INSPECT�ONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on ite: Inspector. � White Copylinspector's File Canary CopylSite Notice