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Home My WebLink About2010-01201 - finish bedroom/bath/wetbar basement �� CITY OF ORONO PERMIT NO.: 2oiaoi2oi 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 12/2U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1367 NORTH ARM DR • PIN : 07-117-23-41-0065 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 013 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 1,000.00 NOTE: FINISH BEDROOM AND BATH&WETBAR IN BASEMENT. ROUGH-IN ALREADY DONE. APPLICANT pERMIT FEE SCHEDULE 41.25 THEISEN, LINDA STATE SURCHARGE(VALUATION) 5.00 1367 NORTH ARM DR MOLJND, MN 55364 TOTAL 46.25 PAID WITH CASH 46.25 OWNER THEISEN, LINDA 1367 NORTH ARM DR MOLJND,MN 55364 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 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 1 SO 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 a ny time for due cause. ^ `Z,�f,c�✓ti l��- l�Q / l v't/l d Applican ermitee Signature Date Iss 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��-Cd��d� �v�,� PO Box 66 � � � Crystal Bay, MN 55323-0066 Date received: /a�aZ1 /� ��`�'� Received b ,� t �,��_`� �, StreetAddress: y� �',F, '� �%� �titi 2750 Kelley Parkway Plan review fe � �2� �`�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 submi e . Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: , Job Site Address: � �xp�J ��'�� =y�=� I� �'�'�i�(� 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 Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: Cit : ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: � Name: 1-._/y��Cf �7L%�v'✓ Phone (day): c�i�2- t�/Z- �� // Address: 1�(a� ��/ Cxi,�--, /.�r . City: (�,-G;;��> ZIP: G�5�� -/ Email and/or Fax L�iv;� �� G:'v�c��r��c�� -f<<zr-�-, � PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) [�Ftemodel ❑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: �� /5� �-�,�2;L;,-y.-� �.., ��:��j �Y�v�f��,�� ,-j `�l-;c;�✓�i�r Estimated Construction Valuation of Project(excluding land) $ j �� - 2c��<� L� ��n-�.�_ 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 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. ApplicanYs Signature: ��Gu�. cd �% Date: � ��3t�J/� � LastUpdated: 05-04-2009 � / � D�A.,TE � TIME ✓ CITY OF ORONO CALLED IN I�.i -� r INSPECTION TI� SCHEDULED �(�—�� --��3;'��'� PERMIT N0. —� �� COMPLETED � ADDRESS �� OWNER TELEPHONE NO. �� 7��F_J CONTRACTOR >: DESCRIPTION � � — � � ❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI KESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL REE 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 O FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o l� S Q�t.�._T ��c�� _�, �.► � c� 0 � � �'� .v A ( J� t 1 1�C��'n�-a—C Q � z W � w � � � � �WORKSATISFACTORY_PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ I CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call torthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. o � � White Copy/lnspector's File Canary CopylSite Notice