Loading...
HomeMy WebLinkAbout2014-00472 - doors « �� CITY OF ORONO _ 2750 KELLEY PARKWAY * � 0 1 4 0 0 4 7 2 * DATE ISSUED: OS/27/2014 ORONO,MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 1770 SHADYWOOD RD PIN : 17-117-23-21-0023 LEGAL DESC : SHADY-WOOD : LOT 018 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,908.00 NOTE: REPLACEMENT OF(1)PATIO DOOR INTO EXISTING OPENING. APPLICANT PERMIT FEE SCHEDULE 88.50 STATE SURCHARGE(VALUATION) 1.45 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY, STE 300 TOTAL 91.95 30339- (763)542-8826 Payment(s) Minnesota State License#: BUIL-20268257 CHECK 68112 91.95 OWNER O'DONOGHUE,DANIEL&SUE 1770 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 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 I80 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 due cause. ��i��-- � �a� ' � Applicant Permitee Signa e ate Issue B Si nature Date Y g 05/19/2014 12:36 9522494616 CITY OF ORONO PAGE 02/02 M�Y '19/2014/MON 12;56 AM Elder Jones Building �Ak No. 952 854 4909 P, OQ2 , �. Cifiy of +Orono Building Permit Appl�cation for Internai Vllork (windows, doors, siding, re,roof, etc.) Me11�+s�aaress: � � "�"��T PO eox 66 Permit number: � — �, (� Crystal Bsy,MN 5532�Opfi6 Dete received: � -�j/ ''� ��� � Str9et Address: R9ceived by: ��-, ' G�' 2750 Kelley Parkway Alan review fee: �s8o�' Orono, MN 55366 Ma��� 95�-249-4800 Fax: 952-249-461 e Total�ee: 9i �l-'l�r i�OK Ci.otono.mn_us 7"his application form must b�complatad in full and aU r�equired inforr»atlon must be submitted, Incorraplete app�ic$tions will be return•d. (P/easo prir�t) GENERAL INFORMAT1oN: Job Site Addiress: � �7 0 �/�(� � � RO Q Will this be a Parade ofi Homes, Remedelers Sho e Home or other�isplay yome? Yes No !f yes,s Speclel evllnt p�mNt ia ngaul�gd�i�ry pppce Depenment and CKy Gbunpl!4pp�qyp�60 d� �ror � �ear+ired unfass epp/lcznt demonstra�as m,/fiolenl evr,oi�e p�ing�s avallabla. Non-eimpitte m���/��np�b�,t�o�dervlQ°w'I!Ae CONTRACTOR�APPLICANT IN�ORMA'fION: Name: 9S� 3yS- G e State I.icense# THD At-Home Se�tv�j�e,�c, 7' Phone: 2690 Cumberland Pk�ovy, Ste 30a ceii Mailing Address: Atlanta,GA 30339-3913 ZlP: Contact Person: Lic#CR268257�1�. 763/542-8826 Email end/or Fax- lomeowner ��,�o„a� PROPER7Y OWIYER INF� �ON 1 b Q n a Name: � � �{ � � Phone(day): s� y 2 � . p � 'I Address: / v R C' : �Q 7 Q�6 Zlp; "J�'S 3 j Email and/or Fax PROJECT INFORMAT�ON: Fype ot P►oject: Any opr[�h movement may require Door{s) �Remodel �W�a�Q�age MCWD review b p4e�� ❑Window(s) �epA�� ❑StOfm DamOgA Minnehah2 Geek W�ershed Dly�flct(MCWO) 18202 MirlfletOnka Blvd ❑Siding ❑Regtpr�ticn ❑pther. s � ��P����MN 55391 � p �� Phone: 952-471-0590 ❑Re-roof ❑Fre Damage ��� 952-471-0662 ���II�Po'ect DesCtiplion: Q �w.minn �stimabed Constructfon Valuation af F'ro'ect(excluding land $ �X�� � A � Q O '� APPLICANT�ACKf�OWLEDGEMENT; • AGrees to provide all informaGon�qyired or r�equested by tho BUilding Departmer�t; • Certifies that the infonnatlpe au�rpl(ed is true and con�to the best of his/he��a�Atl9e, 7k�e applicani recognl�aa that they are solely�p�Sibl2 for submifting a•opmplete application being aware tilat upon failure to do so,tha s�aff'h�,�a��„p but to�ejact jt until It is Co�tplete; • 'Some or all of the info►matlon thet ypu 8�e asked to provldo on thig appliCation 1s dslssifietl by State law as elthor pry'�te or confider►tial. Private dpta is irtformation whlch gena,�ly cannot be given to the public but cen be gfVpn ;o the sub)ect of the data_ Confidential data fs Informado�vvhtch generally cannot be Qiv�to etther the pubiic or the subjec! et the data. our purpose end lotended use of this iretorrnE,t;on Is to annually upaate our re�rqs and reoords oF other govemmental agencies requireC b law, �f ou refuse to su I the Irrfo��q� the a lic¢qOn ma not pe issued. APP�icaret's Sigr2ature: � � �ate� ��l q ��� � -�_'_ �_ i-ast UpdOted: 06-04-2009 DATE TI CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED PERMIT NO. ' COMPLETED �t-�4:�5 ADDRESS /�� ���w� �� OWNER TELEPHONE NO. CONTRACTOR �� �G�� � DESCRIPTION �Q�' ���• t~N ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �►VAL ❑ WATER HOOK-UP �bLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET 11�U:_YES_NO ,,, y COMMENTS:�/..�•'� /�o��Q.- �.S�l�� r`d <�!/ �r 4 � � ' � '�►/r1rG //js'��is.� ¢ J O � p� 4�10 DPQ� r���C�.rt�rJ 'L�-- p � e - W — $4rKC. 5�2 a in, cX�s��:� cs�1�. — � Q zaJer�' �o��. � �a.,.�.o��P � W °� �e.-.,�.�' �..*aC.� � � ❑VIiORKSATISFACTORY:PROCEED ��JECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REZURN ❑CITATiON ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� Owner or on site: Inspect White CopyAnapectoPs File Canary CopylSfte Notiee