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Home My WebLink About2010-00257 - addn/remodel/repair e � CITY OF ORONO PERMIT NO.: 2010-00257 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 04/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3554 LIVINGSTON AVE PIN : 17-117-23-43-0148 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 003 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 7,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,AND ELECTRICAL(STATE) FINSIH 3/4 BATHROOM AND LAUDRY ROOM AREA APPLICANT pERMIT FEE SCHEDULE 147.50 MEIER,RYAN STATE SURCHARGE(VALUATION) 3.50 3554 LIVINGSTON AVE TOTAL 151.00 WAYZATA,MN 55391 OWNER MEIER,RYAN 3554 LNINGSTON AVE 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 sepazate permits. 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 res ible for assuring all required inspections aze requested i o ce with the State ilding Code.This permit may be revok at ' e for due cause � � / / / / App ' ermi Signature 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: ��/0 �Qd� O�,O,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � �, Street Address: Received by: �',F, y �ti�' 2750 Kelley Parkway Plan review fee: �g�SHo�'� 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 INFORMATIO : Job Site Address: �/ � /�D/✓ � s^ 9 Will this be a Parade of H mes, Remodelers Showcase Home o other Display Home? Yes No lf yes,a specia/event permit is required with Police Deparfinent 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# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner �ci�i.o�.� Email and/or Fax: PROPERTY OWNER I MAT� � Name: Phone(day): Address: � 7' ' Cit : /✓ ZIP: ,s5 Email and/or Fax /� . PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&pertnits ❑ Door(s) emodel ❑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: S � DO (//J� DU/�'I � Estimated Construction Valuation of Project(excluding land) $ �O 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 altemative 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 informa' is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su e' ormation, lication ma not be issued. �' G= � ApplicanYs Signature: �,� Date: Last Updated: 05-04-2009 � �� E TIME V CITY OF ORONO CALLED IN �� /ro INSPECTION NOT/�CE �00�7 SCHEDULED � a•� 3� PERMIT NO. �!" � OMP ETED, , ADDRESS 35� �U --�� v�� OWNER ELEPHO E NO. CONTRACTOR � ��" ��J 33� >; DESCRIPTION � L� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL _NER/ NTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d �WORKSATISFACTORY:PROCEED C7 PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 ours in advance. (952� 249-4600 OwnerlContractor on site: � Inspector. ` White Copyllnspector's File Canary CopylSite Notice