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Home My WebLink About2009-00914 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00914 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUED: 12/2U2009 952 249-4600 FAX: 952 249-4616 ADDRESS � � : 3554 LYRIC AVE PIN 4 : 17-117-23-43-0055 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 2,000.00 NOTE: REMODELING SOME DRYWALL&INSULA"1'!ON-OK'D BY LYLE APPLICANT pERMIT FEE SCHEDULE 73.75 CHRISTIANS INC. PLAN REVIEW 0.00 1480 PARK RD CHANHASSEN, MN 55317- STATE SURCHARGE(VALUATION) 1.00 (952)470-2001 TOTAL 74.75 Minnesota State License#: 3712 OWNER STILNOVICH, DAWN 3554 LYRIC 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 Sta[e 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 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 are requested in conformance with the State Building Code.This permit may be �., revoked at any time for�e cause. J�-�� _ l� 7/ � (% � �2,/ 21 �o j ,,:. .�;. c i ��-�c:� � � � Applicant Per itee Signature Date Issued By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 ! s �-.c-,r F.� ,-'�F•3 *4'�, R" bta�q y.. ..�. � "yf•r � t. . _ ' . �i; �'_ � . � � �"'�`4`� 'w"'�'+�� +�y�'� �� : .r ,��.�,"�� ," �� "t�"�� y� �.�� }��.�+<� c�;��,.1' .r�'�'e ��. �r,, - � . . . .. . . . .. . . . �� City of Orono - � G } Building Permit A lication for Internal Work � � pp � �', (windows, doors, siding, re-roof, etc.) z;;, �� Mailing Address: �� '.+0.� PO Box 66 Permit number: � �" C stal Ba MN 55323-0066 � # . � . Q rY Y, �. Date received: �� a ��3��s;'�� ,� StreetAddress: Received by: � �5 �'�n ' �'� �,ti�' 2750 Kelley Parkway Plan review fee: � �� t`�gESKo�`'� 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: �: � r�� Job Site Address: �;55 y� Ly i�;r ��"`� �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a specra/event permit is required with Po/ice Department and City Counci/approva/60 days prior to the event. Shutt/e 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: ��P�s i��t-.-.s.�n �- State License# 3 7/ � Expiration Date: 3 /3/ �zc, i v �� Phone: 's 2 0 0 office �: i 2 � t ' � cell � �fj Mailing Address: �.� Q � ,�� k {�� City: �� .LS-�_ZIP� 5�3 �7 �- Contact Person: k-�/t Sf,�,.�,#� Applicant is: �on�r��br_==� Homeowner (Circle One) ``" Email and/or Fax: a �rles Cu' cl.r;6�a-�u;Y��. c-�� .. -� ��': �`� PROPERTY OWNER INFORMATION: �4.::: Name: L7l-,,.s� �-!a I"�v r�-L, ��,, Phone (daY): °�s 2 �� «�� a r, Address: �SSy C�,r�� Av-c Clt : (�d'M ZIP� �� :3�� Email and/or Fax yn,2:-: PROJECT INFORMATION: ,`. Type of Project: Any earth movement may require � ❑ Door s MCWD review&permits ( ) � Remodel ❑Water Damage � Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ❑ Siding Deephaven, MN 55391 .Xy. ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage ��,s y�� www.minnehahacreek.orq Overall Project Description: ;��,,,,��:� r�s�-�.Qa.'}� -,� �i. Estimated Construction Valuation of Project(excluding land) $ ,�� ,_ . APPLICANT ACKNOWLEDGEMENT: � , ; • Agrees to provide all information required or requested by the Building Department; ir` �� • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they `v are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative 4 but to reject it until it is complete; � F�•N • �. 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. �=: �. �. Applicant's Signature: � -� Date: j� 2 � C fK;., � �s`- �'# LastUpdated: 05-04-2009 r . ` . - ' ' 3 � � _a �. ' , � � 1 #3::s, :.,, ln. „`i. .,.. �4.,x�.e✓� �,t.�,��: r, A=�fh�:, .. � �_ — A TIME � TY OF ORONO CALLED�N � a � INSPECTION I SCHEDULED �Z 3D �L��-CL�L PERMIT NO. � "UD �co P�ET ADDRESS � S � OWNER CO TELEPHONE NO. � '- � o � ` � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS O �-NJSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �u ( t /�.j IT��J/�l � � O � W � Q � Z W � W � � � ,�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W'��RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on sit : � Inspector. White Copy/lnspector's File Canary CopylSite Notice