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Home My WebLink About2016-00499 - doors � CITY OF ORONO *�6 - 0 0 4 9 9 * ' 2750 KELLEY PARKWAY DATE ISSUED: OS/10/2016 ORONO, MN 55356- (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 ACTNITY : O/S BUILDING-LJNDEFINED VALUATION : $ 3,870.00 NOTE: REPLACE(1)PATIO DOOR WITHIN EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 108.38 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 1.94 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 112.32 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 112.32 OWNER KREISLER,JERROLD&BARBARA 1650 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according to the approved plans and specifica[ions,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 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 aIl required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. - i /� /� L�.�� d J i�� i�� Applicant Permitee Signature Date sue y Signature Date � ' � City of �rona Building Permi# Application for Maintenance / Re�novation (windows, doors, siding, re-roo�, etc.) fvlailing Address_ Permit number: <-��l[� � l / �4,a,� PO 8ox 66 � ��ti. � Crystal �ay,MN 55323-0066 Date recePved: 5 - / b - � �r�:� a`'�`:��;�.�, �, StreeP Addr�ss: Received by: � ,rC t' �L��` '� 4� 2750 Kelfey Par#cway Plan review fa�: ,��p�- Orono,MN 553�6 Tp��88: / ` �,3 v2. Main: 952-249-46D0 Fax: 952-249-�6i6 wv�k.co.orano.mn.u5 � This applicat;on form must be completed in full and afl reqc�fred information must be subrnitted. lncotnplete applications wtll be retut`t�ed. {Please print) GENERAL 1NFORMATi�N: 1�� 1 �' Job Slte Address: � h WEl!thMs be a Parade of Homes, Rennodelers Showca or,�e ar ather Dlsplay Home? ��Yes No If yea,a spaoial event permit is requlred wlfh Police Departmenf and City Councl!appre�v�l 80 days pnor in the event. Shuttle trus servlce wl/1 bg required unless app!lcant demonatrates sutTrci�nf on�lte parklrrg!s avai�able, Nnn-permitted ev6nts wlJl not be�llowed. CONTRACTOR/AFP�ICANT INFORMATION: Name: 1� G�`t $� ��v� State License# ��„��,�� µ Expiratian Date: �f�1 � Lead Ce�ti�cation Number: (��_ �-�.�g� �� Explratlon D�te: °�I lS (f�r rvork on homas thaf were constructed prior to 7978 t�t,one: (�S 1� c'��-�C9�-�at w� (pt�ce) (cel!) M�iling Address: i�� . � °`��° U.>eS� City'�5�, : �. ._..��fP_ S�� Contac#Person: Applicant is: n r c / �-iomeowner (Clrcle One) Email and/or�ax� � PROF'ERTY OWN�R INF MA7��N: Name: �A.t�t I'�.:r Pt�one (day): .�5� .`-1�-6— �Q�1.5' Address' ^ City� ZIP: Email and/pr Fax PRQJECT INFORMATION: 7'ype of project: My earth movement may requir� ❑Door(s) ❑Remodel ❑ Fire Darrtage MCWD review 8 psrmits: ❑ Re-roof,�$p�a�t 0 Re air Minnehaha Creek Wa#ershed Dfstrict(MCWD) p ❑Storm�amage 78202 Minnetonka Blvd �Re-ropf,cadar 0 R�storation �Watar Damage Deephavsr,, MN 55351 Phonr�: 952-�71-0590 � �]Re�roof,other(apecilly) ❑Siding Q Other. (sp�ctfy) �ax: 952-473-0682 � d Window(s) T `,�'wvr.minnei,ahacraek,or� pverall Pro�ect Descrip#ion: `�c,� � �O dO�.0 /; N ��C.i5 ' � ; Estimated CflnstruCtlot7 Vafuatiort of roJect excluding land) $ $ O,f30 APPLICANT ACKf�OV1�LEDGEMEfVT: • Agress to provide alE Infpml2iion required or requestAd by the 9uiiding DepartrTtent; • Certifes that the informat➢on supplied is true and corre�t to the bast of hlS/f'�er knoWiedge. The appElcant reCognizes that they are solely responsfb[e fqr submitting a complefe application being awar�that upon faffure to dq so, ihe staff has no afternativ� but to reJect It untf!it is compleie; • Some or sli of th� informatlon that you are asEced to provide on this applicatlon ls classifed by State law 2s either private or cAnfidential. Private data ie informatian which generaiiy cannot be given to the pubfic but can be g�ven to#hE subject of the data. Cpnfldential data is in#orrnation whieh generalEy cannot be given to eifh�r the public or the subject of the data. Our purpose and intencfed use of this infiormation is to annually update our recprds and records of other govemmental agencies re uired b 1aw. {f ou r se to su I the iniormation the a lication ma not be issued. Aoolicant's Slanature: G'�'7 9/y1G�l(,p Date: (, ' � �� c oAE � CITY OF ORONO CALLED IN � INSPECTION N��I /}n SCHEDULED � PERMfT NO. �� `�r COMPLETED ADDRESS OWNER TELEPHANE NO. � �� CONTRACTOR K•Q-�'�"'�'`'�C�-.r � � DESCRIPTiON �d ��'�' ' ' �� t~1� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ I SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v AL ❑ WATER HOOK-UP ❑ FOLLOW-UP = AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNqYCONTRACTOR TO MEET Y�WJ: YES_NO h COMMENTS: '�'-- � � o �'r' � (,J�cs�t` �5�z-e " �. � ° L�6,�✓<c�v -� Y'c-o��✓ �' � � Q GCt!( -�a/� r�iH 6d�+c�/O v � W W o� j W O WORKSATISFACTORY:PROCEED ❑PRWECTCOMPLEfE � ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK��R REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ��►1$PECTION REQUIRED_CALL TO ARRANGE ACCESS. �� Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: w-' Copypnspector's Ffla Canary CopylSke Notiee !7 Q�IrT� TIMF �`�`, CITY OF ORONO CALLED IN ��J `' INSPECTION NOTICE SCHEDULED � PERMIT NO. �'(o'��g� �Er ADDRESS �� OWNER T�"EP ONE NO. � � S� CONTRACTO 'eGl� `7V S��J � � DESCRIPTION �� 1 v� '=�'�""' ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W � � ✓ — J O � o� 0 � W � Q � 2 W � W � � � O W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � RRECT VYORK,CALL FOR REINSPECTION TEMPORARY � �'° FORE COVERING PERMANENT � ❑CO RECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �9 249-46�0 OwnerlContractor on site: `� Inspector. White Copyllnspector's File Canary CopylSite Notice � �� TIME C.�� CALLED IN �p�C &�1�1lLED ��,�p �olG •oo y9f �Eo ;��' - ApppEBg /b S o SI��.Jao� ��• OMINER ♦ �P�1�. CpNTR11CTpp G[C�✓c �l t � DES�P"f 10N /�=�r /�'-� 1. w a� o��-F�►�. ❑S�F��. � p aou��w�u. O�xrcj R� �occ,�►v�ow�oa�iwNo Q�ATION WATERPROOF O PLUMBMKi FlNAL ❑TREE REMOVAL � p a�ooN sue D�cww�cn�Ai ❑srre ws�cnoN ❑F�xro p��u.� O�u►�o w�us � O aasuu►raN O w�euRN�w�ucE 0 co�WNr ` �� p w��r�ooa-uP .�-� W �AS BU�T-SURVEY O s�R F�K'UP O�ATIONIREMOVAL J [�DEAAO-StTE �SEPTIC INSTALL TO MEBTV�Ik._11■i_NO � 1��1ENT8c��.'t �oldQs.. �s.le.0 •� c� � � � �.� �it!'/cc�� i � j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 ' � Expirafion, no record of a Final inspection. � � W � � � ' W W � � � O WOAKSAn8H1CTOli1GPROCEED O PFIWEGTOOMPI.E�E � OOOf�CfWOfMCiPFOCE� OISSUECENTIRCATEOFOCCUPIWCIf � O OOF�CT WOiy�,CALL FOR REINSPECTION � TB�APORARIf BEFORE 0�1G P�AANB�IT OOOF�CiUNSAFE00ND1T10NWRHIN HOURB. OPHOTOTAKEN ��R�� O dTATN�N�IJED O STOPOi�D�1P08TED GILMlSPECT'OR O N18P�TIOM I�GUIREDi.CALL TO AARANGE At�CE8S. ��tl,,,�t�tlon 2�no�.,b.ar.noa(952) 249-4600 , O�Co�M�cbr on si� . � �� a.� v�p,poM,,,p.o�or�s Fp. c�n.n►oov�M�.r�o�o.