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Home My WebLink About2009-00328 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00328 � . , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuED: 06/17/2009 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 : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 7,500.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHAN[CAL,FIREPLACE,ELECTRICAL(STATE) KITCHEN AND BATHROOM REMODEL. APPLICANT PERMIT FEE SCHEDULE 162.25 CASHMAN, THOMAS STATE SURCHARGE(VALUATION) 3.75 1509 LONG LAKE BLVD TOTAL 166.00 LONG LAKE, MN 55356 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[o 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 separate 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 consVuction 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 request conformance with the State Building Code.This permit may be r o ed at an time for cause. � � � �i /?/ C] Applic ermitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ; . �"�' q 'x a � s.�� '"s -� �'� - --, . ., .r-a: . . 1 ��'y, �'��k�5,�,5 v. d �:1S ,. ' . � .� �x�a�s'��'�..�'r��'i R:{;��t��+t � . . City of Orono Building Permit Application for Internal Work '1' (windows, doors, siding, re-roof, etc.) � MailrngAddress: Permitnumber: �0��- �� ' -�� /�v�,�.� PO Box 66 � �� Crystal Bay, MN 55323-0066 Date received: ��/7l� '�J - � v � i F , �' s �- Received b ila �`�t'��_� s,'I StreetAddress: y� ��'�n� ��,"� �ti;/ 2750 Kelley Parkway Plan review fee: �vgESH � Orono, MN 55356 � ` -� Total Fee: � ��G .�� '�`�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and al� required information must be submitted. & Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: o � f-`' Will this be a Parade of Homes, Remodelers Sh case Home or other Display Home? ❑ Yes No " �" If es, a s ecia/event ermit is re uired wrth Police De artment and Cit Council a y p p q p y pproval 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 IN�RMATION: N ame: �� `" ��S�� a o7 State License# Expiration Date: Phone: (� � 2 - / f��- (office) (cell) Mailing Address: i S"� �, (� Q � �.-L( City: ��0�2 ��- ZIP: � Contact Person: � �ue__ C� r , �,,�„ Applicant is: Contractor / �qwp�r (Circle One) Email and/or Fax � , � �� • �a.� ;:, , - PROPERTY OWNER INFORMATION: �" Name: Phone (day): ` � Address: City: ZIP: �, Email and/or Fax � PROJECT INFORMATION: ' ' Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) i ❑ 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 U'� Fax: 952-471-0682 � ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � � �,,, � G `, /,,� ' P 1 �4 Estimated Construction Valuation of Proj ct(excluding land) $ ;`; �s; 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; i �^�t x • 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 �k_, � data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our Y 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: � G�--�""��-�' Date: l� U � � , /l y`� � L� � _ �N a.. � Last Updated: 05-04-2009 v ` l C ' '�" l S S , _ � � _ �-��N� �,;� ..p_.3, __ CITY OF ORONO I CALL� eD Ir� 7°A� TIME INSPECTION NOTICE SCHEDULED � � PERMIT NO.�!`1�-�OD.�� COMPLETED ADDRESS IJrD � �-�Yfl� C�(� ��GC� OWNER CONTR.t/� ��L��c.c.;�� TELEPHONE NO. [��e� �f� �75,� � DESCRIPTION !� � ��G2�� --E�� ❑ FOOTING ❑ � ECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � O DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W C O � �" ' � � �` � � � O Q W � Q � 2 W � W � � d W� ORKSATISFACTORY:PROCEED � PROJECTCOMPLEfE W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on sit . Inspector. White Copyllnspecto�'s File Canary CopylSite Notfce � � �� DATE TIME V CITY OF ORONO CALLED IN 4�41 �� INSPECTION NOTICE SCHEDULED Zz- `? � 3� PERMIT NO. ZD�9^CO�Z� COMPLETED ADDRESS � �� I�al OWNER TEL PHONE NOI.��a'cS �$ ��5 CONTRACTOR �� C-� �^ Lj h f � DESCRIPTION �f-�I ��_, � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: q ff� — '�n S •1� c l �-��i. f�E' � r o -�-�v � � C E e � S � � ° 'S��.�c�c� �P-+-�c -�-� r� �� .�� ec� � r� ��'�� l��l'�.•c.c !�-v� C� l (d�;^ Q � � • C� . '��t �-�-�' �� . (�(c�� W � � �`-'�<� �--c.y. ��'Gi�.-1 �c�t C� � f''-�—�� (1�� ,� • � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W`/� ��RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on sit : L� Inspector. � White Copyllnspector's File Canary CopylSite Notice � �� ! / �� D TE TIME CITY OF ORONO CA LED IN 5�� o INSPECTION �,/�� CHEDULED � �� PERMIT NO. �� "'�`�� OMPLETED ADDRESS � OWNE Q PHONE N�� sl�`j7`� CONTRACTOR >; DESCRIPTION �' `�� G��C�.� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p 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 ❑ PLUMBING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL NER/CO ACTOR TO MEET YOU: YES_NO � OMMENTS: � W a � J O >. � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,GALL 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. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor n site: � Inspector. White Copylinspector's Fite Canary CopylSite Notice