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Home My WebLink About2010-01056 - doors CITY OF ORONO PERMIT NO.: 2010-01056 2750 KELLEY PARKWAY ~' ORONO, MN 55356- DATE ISsuED: 1 UO2/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1650 SHADYWOOD RD PIN : 17-117-23-21-0014 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,270.00 NOTE: REPLACE(1)ENTRY DOOR WITHIN EXISTING OPENING. APPLICANT pERMIT FEE SCHEDULE 118.00 ' RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.00 1920 COLJNTY RD C.WEST TOTAL 123.00 ROSEVILLE,MN 55113 (612)502-4777 Minnesota State License#:20130983 OWNER KREISLER,JERROLD&BARBARA 1650 SHADYWOOD RD 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 ': State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate r 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 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 foi due�'ause. , n // Oct-2T-2010 11:04am From-CITY OF ORONO +9512494616 T-588 P.002/002 F-B53 v�� v� v�v��v - Building Permit Application for Inte�nal Work � (windows. doors, sidin , r�-roof, etc. ��.�,�0 M�PO Bo�B� . Permit riumbe� •Q�� Crystal Bsy,MN 55323•0088 Date�ee:eived: /� � .`� 3hest Address.' RCcelved by: . 2750 K�Uoy Parkwa � Orpno,MN 55358 y P��' ��Foo: �'�a,�aa Main: 85�-2q9-�800 Fax: �52-249�4616 �pppp�,��,Qrono.mn.ua This applicatlen torm must be completied in fLll and all required informetion mus! be submitted. Incompl�ts spplications wUl be retumed. (Piea�e print) GENERAL INFORMATION: � `- _ � �� Job$ite Add�ass: rW�p�� Will this be e Parade of Hornes, Remodeler�Showca Homa or oth�r Dispiey H�me7 Yeo No Mya�s,e apeNa!evsnt psirrbt b roqvpsd wiM�polfes D�penr»ent anG Cl�Co�mdl spp�ovs180 deys pnor b His eronl. Shuffilr Ova asAAdos will be rsq�Jisd unfsss spplTcant cfs►nonsnefes sWlicNnt�tib perkMg N evaNsbls. Alon-psrmitAed erenta wIN not bo eYpw�tl. cONTRACTOR I APPLICANT INFORMaTIQN: �^�� Renewal By Aade�sen stete L�cense# 1920 Couaty R.oad "C" West Expiration Date: Phone; Rosevil.le, MN 55113 �� Mailing Address: L;cense #20130983 �'H= ZIP� Contect Person: d is: Contrecror / HcmeoNmsr K�Ra o�y Email and/or Fax: 651-264-�777 PROPElITY OWNER 1 OR ATION: � ; l�r Name: Phone(day): Address: 'S� C' � ZIP: Ernail and�or Fax PROJECT INFORMA'rION: TYP�°�PfO1°a� Any sa�th meven�� m�y�aquiro MCWb roviOw&p�►mib ❑Door(s) ❑ Remodel ❑Water damape ❑Window(s) O Repair Minneh�ha Craek Waterehed Diatrict(MCWD) ❑Storm Damage 18202 Minnctonka Blvd D�epheve�,MN 58391 [j Sidi�9 ❑ Re9toretioh ❑Other:(speciy) phone: 852�71-0590 ❑Re-roof []Fire Damage �ax: 952-471-0682 Overill Pro ect Description: 1 QpY �yV •Q/�i-S� � Estim�led constructicn Voluatio of p ect exciu in IanO t D — APPLtCANT ACKNOWLEDGEMENT: ' • l�graes to pr�vide alt inrormatfon requirad or requeStea by the Bullding DepaRmeM: � Certffies thpt the fMormatlon supplied is true and oonect to the best ai hfs/hsr knowiedge. The eppGcaM reoognizes that Ilfey are colely respansible for eubniitting a oomp�ete applicetlon being eware thet upon isilu�s to tlo so, the sfafF has no ahemetive but to reject It unttl it is oomplete; • 3orn� pr all of the Inforrhepon that you are askad to provide o� fhle epplication is dessified by 9tate law a6 elih9r private or conhdeMial_ Prlvate da�a IQ iMormnti�n which generely t�nn� be gi�en to 1he publk but cert bo giren to Ihe subJaG �t the data. Confldentisal tlsta is inbmtetlon whiCh g�ner�lly cannot be glven to either the public or tha subJed of 1he date. Our purpcse and iMended use of tht8 i�ormahon is to annuetly update our recorde and reco�ds el other governmental agencies ired b law. I! o�reEuse to s I ihe(niormstlon ti�e e icatlon Rre na be 18susd, o►pp��cant's Signature: bate: ��-Q ��b �a�tupnes�a� a�-o.-2ooa Z •d 06T9�L9T59 3�IA213S lIW2l3d Q R S A SZ =6 OTOZ L2 ��O �/i��' "� TIME `-� � OF ORONO CALLED IN //�// INSPECTION N, T C EDULED � � PERMIT NO. ' ��S�MPL � ADDRESS OWNER E P O O. � — � CONTRACTOR � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a j O �. � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice