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Home My WebLink About1999-011324 - sac only PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: ''�' ``'`�' ' = ' Crystal Bay, Minnesota 55323 Date Issued: ''3 ''�'`�``� (612)473-7357 �.t�.�`#:u�%'`:��: ' SITE ADDRESS: t�`•}�_:� i._t_ttVl7 i�.Y+i�•.� ��`vtiJf I ;'i.4 �: 7 Fu , , 'tL_3 1�=—,.� _�—iii7t7:�: � DESCRIPTION: �:�;�: s_;;��. . =;:�{�y�i~ _ �.s�:iT.:=°7'i i`r=_')`i'111= f ',r'f—�-�' _�i-i:_ S li:�i,:�' -�F=i,{!is 1'� .�'�� i.�.i�.F��' }Li_F 1'e, T F"`� i=i1W-,-��l;�,(•Jt_.� REMARKS: FEE SUMMARY: ... _._._ i .__."' ____.. Mr_'s�x'E �"3,t+.�� r_+Y+ ^�r 1 :f�._1 ,t_1;,,J CONTRACTOR: OWNER: __. ;��,�,� z,.�,;�. — '�:�'?'-=��f'!f-1i`•3 ��_��'l I � n`�t'3': �!_i�J._ f t-j�:,l: �:i `•y!{} +�ti"'?�is."�.�:'i !•11�k �=��_:=,r: t1 {,� ! 3 ..- ,_ . . _., , -�,�-:: - .� _, __ w.:.:. , _ _ . . � � �?-1.._ �. i� �.. _..� �E ��t!_�'� t 1�t3�i��J i_ �i_�'4sj•S. �'�'" i'�i� {P I ��. ,_ .� .«. .''��`.{F .. ..�. _ +'1 i'e; t' ; 4 �,t��,. � '3 3,r._ ! . . �:.'==� _f. t � �"'�r__ _ _`� � � ...�»..�__^. . � - ... � � '} ... } F _ 3 .k. .. : E+i�p..a �«i� ;_:�`ri.�!— "s�_ H�vL f..i�i—!-�' 11 tl!_,+ ��..�. �4ft fr�t'. �:v _ � t;j? � . � � _. _ . _ . ;�-:^ '' a �,t "`�3��4� 3�. t. F�4.E��_'_.1_t I;,1 `_'••�T=- _ _ ._. .. ._ ._ ._ . . _ t t. i:'.;' #.._fi.I € . � i:,l�-i i li�{4_� _=�.t}��(v.4_�� ; _ _ ,�,.. . •—� �J ,� �,_...� � � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� CITY OF ORONO PERMIT NO.: 2009-oo2s4 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 06/04/2009 ` 952 249-4600 FAX: 952 249-4616 ADDRESS : 1509 LONG LAKE BLVD PIN : 35-118-23-22-0003 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT �}c`_-} � v i�-�{'. D I S F?t�-�� VALUATION : $ 3,000.00 � APPLICANT pERMIT FEE SCHEDULE 88.50 CASHMAN,THOMAS STATE SURCHARGE(VALUATION) 1.50 1509 LONG LAKE BLVD LONG LAKE,MN 55356 MISC FEE 0.00 TOTAL 90.00 OWNER CASHMAN,THOMAS 1509 LONG LAKE BLVD LONG LAKE,MN 55356 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 ffie State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permiu. 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 date 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 aze requestedjw.cQnformance-with the State Building Code.This permit may be revo e'cT�at any�me f9r due cause. ,* i�y �.��_ r � /�' � �'3;,,, - / / Applic rmi ignature Date Issued By gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. ! �� +a-�-e��,, � } City of Orono I • - � Building Permit Application for Internal Work > (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 'gv�,� PO Box 66 Q �\ Q Crystal Bay, MN 55323-0066 Date received: � � Received b ' �� -:", �,'� Street Address: y� �n ° �„� �� 2750 Kelley Parkway Plan review fee: t�'kESH 4'� 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: ; � Job Site Address: �;".,� �' ��>>, L�� j�J�,��/ � Will this be a Parade of Homes, Remodeler Showcase Home or other Display Home? ❑ Yes QNo $� /f yes, a specia/event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shutt/e bus service wi/l be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � �:`; CONTRACTOR/APPLICANT INFORMATION: `� � Name: �c-� �aS ti�.,G� � State License# ' Expiration Date: .�� Phone: � z;-��' C- �� •- � office cell � Mailing Address: V � � �; - • ` City: �,'�'vy� � ZIP: �,' � � . �, , :��3 � Contact Person: " r,a -S � ,. Applicant is: Contractor �� ' Homeowner ��cle One) �� Email and/or Fax: c �� , l c� ��f.l v � � ' / < <�.�-. `�. _. .�- �� , �'7Q—C"�. � —�� ,.v v:.s PROPERTY OWNER INFORMATION: �� Name: ! � ri� Cf 4:S Li�.x��,.� ;�� Phone (day): L:� � ? _ �/�s<_�','7 `�'�"� �, � Address: ��--��,' /.,,,,/6,.�____�fiLa!' City: ��^�6� ZIP: ��Z-� � 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 �y� ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 �� Fax: 952-471-0682 � [�'Re-roof ❑ Fire Damage www.minnehahacreek.orq � Overall Project Description: � Estimated Construction Valuation of Project(excluding land) $ � �i�'�(+� � C�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 hislher knowledge. The applicant recognizes that they n 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 � ` L- , � r---r---'--� � _ � ApplicanYs Signature: � � " � m�,r �--- Date: ��i { i �� 4 �, Last Updated: 05-04-2009 :1 ; 1/ �4� ,� � ,;� 1�,. �,_ s �.. 1.� .. _ ..._��,. �.� D TIME � CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED � PERMIT N '"�ag COMPLETED �► ADDRESS L��P � OWNER ONTR. TELEPHONE NO. ��' S�O �� DESCRIPTION � — �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O a � O � W � Q � Z W � W � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cai�for the next ins ion 2a hours in advance. (952) 249-4600 Owner/Contract � : inspector. 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