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Home My WebLink About2017-01180 - minor alteration r� � ' CITY OF ORONO * z 0 1 7 - 0 1 � s 0 * 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2017 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3180 RIDGEWOOD CIR PIN : 04-117-23-23-0021 LEGAL DESC : ROUTSON ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 3,000.00 NOTE: REPLACE FRONT DOOR APPLICANT PERMIT FEE SCHEDULE 92.89 STATE SURCHARGE(VALUATION) 1.50 DERCON CONSTRUCTION SERVICES INC. MAIL-IN FEE 2.00 727 170TH LANE NW TOTAL 96.39 ANDOVER,MN 55304- (612)276-6006 Payment(s) Minnesota State License#: BUIL-BC51296 CREDIT CARD 0961 9639 OWNER WILSON,LEIF&JENNIFER 3180 RIDGEWOOD CIR LONG LAKE,MN 55356- AGREEMENT AND SWORIv STATEMEIVT 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 due cause. . � 1`-r ! Y�"�` l` � Applicant Permitee Signature Date Issued B ignature Date . '09121l2017 08:19 Dercon Construction �A�}7639513019 R.0011001 � , City.of Orono Building Permit Application for Maintenance/RepEacement/ Remodel—��,,.�'_'' .�� (i.e.windows, doors, siding,re�oof,etc.—NO S71�UGTURAL EXPANSION) �a�V ��O Box BB� P�rmit number. �7"�l�gD 0 Crystal eay,MN 55323-0066 Date reoeived: � � StreerAddress: Reoeived by: 5 i �` O��Y Plan review fea: �K�SHo�� g�,3� Tot�l Fee: Msin: 952-249-4600 Fs�t 952-249�816 www_ci_orono n_us This application form must be compieted in full and aN r'equired infnrmafion must be submitted. Incomplete applications will be returned. (Please print) Job S' Ad`dressRMAT10N: �� l�V 1R \l� �.��0� � ic, YYill th' be a F�arade of Homes,Rempdslsrs Sh cas�Home or other Display Home? Yes No Jf a special ev�enf pemrit is requ6ed wiEh Pafks Department and CHy Caen�approv�l 80 dtda privr tv tfie event Shuk►e bus seivi�wd!be required un�ess e�Yica►�t aemarsbates suAtiaent orr�ite paddng!s avaUable. nlar�pan�f�d avenLs witl not be auowea. CdN71�ACTOR/APPLICqNT iNFORMATION: Name: �Q,�O� (py�5�(�(1]G51'I� �\C�,S �L�L . State License# Y�G�i�q l�v Exp+ra�on Date: 0'3'31�1�I Lead CerE"rFcation Number. (.�� Expiration Date: _k 4 �1`7 (for work on hanes that were cansbuct�d p�ior tn f978 ' Phone: (ce[I) {p�2��.'j(p�(��Q� (e�rCe) Mailing Address: �d'�. '10 �—A�(1C W G�'hr pV�.V" ZIP: �"�D"� Contact Persort: �(� ��,��,�� AppliCant is: nb'2 / Homeowner �ci�o�.� Email and/or Fax: �i�aV��,� �L�4�l PROPERTY OWNER INFORMATION: IVame: �'�,\Sr w l�`?u� Phone(day): - � a ��"3'� ' Address: "yl`�� 1/�•�,WCwc� 1V'��` CitY; L�v1��,t�..�R� ZIP: ��3�<a Email and/ar Fax: 1�2:��r f�C..C�.�wil`�✓�.�A►M PRdJEC71NFORMATION: overaU ro ect descrf on: 1�-C U. � Vw�' Type of Projeck My earth movement may also require �Doar(s) ❑Remodel ❑Fre Darr�age AACWI7 review&permits: Minn�haha Creak Watershed Disb�id(MCW R) ❑R�-nr f,asphalt ❑Repair ❑�� 15320 Minnatonka Blvd ❑Re-r f,o�i$r ❑Reatoratlon ❑Water Darnage Minnetonka,MN 55345 ' �Other.(speafy) Phone: 952-471�0590 ❑Re-roof,other(spaeNy� �Siding , Fa�c 952-471-0682 Q NV�mdoW(S) www.minnehahacrsek.ora Estimated Construction V�luation of Project(excluding fan� $�?►ti�l � APPI.ICANT ACKNOWLEDG�Np�N7: • Agr�s to provide$II infoRnation required or requested by U�e�uildir�g Department; • Ce�dfes that the information suppied is true and corred to the best af hfs/her knowledge. The appl�ant recognlaes�et they ere solety responsible for submitting a canplete epplicetion being awsre tttst upon failure bo do so,the s�ff has no alhemative 6ut to rejert it urrtil it is complete, • Some or af!of the irrfortnation tF�at you are aslaed to provide on th� appYcatlon Is dassified by State taw as either private or corifidermal. Private data is informason which generady cannoi be given to the pubtic but can be given to the subject of the dsta. Confidential d�ts i�informstion wFtich generally cannat be given 6o either the public or the subjed af the data. Our p�upose and intended use of lhis infomiation is to ennuaYy update nur reoords and reoords of other govemmer�mi agendes required by law. If ou refiise to su the infortnation the ication ma not be issued. Applican#'s Signature. 1��uii � Date: ��'� I�� Owner's Signature: Date: L�t Updated:Jarluary 2016 � �' - DATE TIME CITY ORONO CALLED IN INSP CTION TICE SCHEDULED �a�� PERMIT NO.�� l�� c P� ED ' . ADDRESS � � � OWNER - C� HO NO.��D�3-�?ct -I'r'7 J�3 CONTRACTOR � DESCRIPTION �-==�J� �`I �L W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J , ' INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: 4 nG�,,J �►'D A��i �� r�c s�/✓�(°r,r�?Ol�e � a� 0 � W � Q � W W � �� W ❑WORKSATISFACTORY:PROCEED p�PR6JECTCOMPLEfE � ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWfTHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advanoe. (g52) 249-46�� OwnerlContractor on site: �nspector: ��^- /�' Nm+�e copyn�sPs�tors F��. canary cooy�sne Na�ce