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Home My WebLink About2016-00955 - doors " � �- - CITY OF ORONO � 2750 KELLEY PARKWAY * 2 0 1 6 — 0 0 9 5 5 * DATE ISSUED: 08✓11/2016 ORONO,MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 2308 SHADYWOOD RD PIN : 17-117-23-44-0106 LECAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 014 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CA NSTRi�C{TION TYPE : I�C��RS�� 1�1C'-�-�(J 1 VALOATION : $ 1,200.00 NOTE: REPLACE(1)ENTRY DOOR APPLICANT PERMIT FEE SCHEDULE 50.12 STATE SURCHARGE(VALUATION) 0.60 DESIGN CRAFT CONSTRUCTION INC. TOTAL 50.72 3619 85TH AVE N#B Payment(s) BROOKLYN PARK,MN 55443- CHECK 6298 50.72 (612)760-0888 Minnesota State License#:BUIL-BC692134 OWNER STASKE,ELIZABETH 2308 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 specificarions,applicable Ciry approvals,and the State Building Code. This pertnit is for only the work described and dces not grant permission for additional or related work which requires separate pertnits. 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 1 the date of issuance,or if construction is suspended for riod of 180 d ys at any time after work has commenced. The appli t is responsible f assuring all required inspections are reques in conformance w' the State Building Code.This permit may be revo d at any time for d cause. � ��<<li4 �-Gl � � i �� i� Applicant P �tee Signature Date Issued By gnature Date , . . City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: ��(p— �� O PO Box 66 I Crystal Bay, MN 55323-0066 Date received: ''� ` �-� a a Street Address: Received by: ti�, � 2750 Kelley Parkway Plan review fee: t � Orono, MN 55356 Ak�SH�� Total Fee: 5 (� ,� 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 submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: `n Job Site Address: 23oF� 5�r-Y��,a,,c� 11�pL, Will this be a Parade of Homes, Remodelers�howcase Home or other Display Home? Yes o 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 available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: l �os�c_r.�rc��N- ��,r��u,c��lov,, 1�1C-, State License# ��S��c,� Expiration Date: �� .� Lead Certification Number: ��.�_ ��5��1 Expiration Date: �1r��g (for work on homes that were constructed prior to 1978 Phone: (cell) 1..�,�,-� _Q o (office) -i�,g_3��3_ 2-5's-� Mailing Address: �- City: o ^�G� ZIP: -�.��y Contact Person: Applicant � : ontractor omeowner (Circle One) Email and/or Fax: ��,� � ��, � y� PROPERTY OWNER INFORMATION: Name: b'.��'�l.c-�1'�. ��.s1,�.� Phone (day): ��2_'L2-�_ ,py'L,S Address: 2�� „�,,�Wo,�� City: ;�,r ,� ZIP: �3Q � Email and/or Fax: � PROJECT INFORMATION: Overall project description: Ty e of Project: Any earth movement may also require Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �12Lb. �' 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 inf ation that Au are asked to provide on this application is classified by State law as either private or confidential. Priva data is informatioh which generally cannot be given to the public but can be given to the subject of the data. Confidential data s information which enerally cannot be given to either the public or the subject of the data. Our purpose and intended use of qhis information is to nnually update our records and records of other governmental agencies required by law. If ou refuse to su I the information, e a lication ma not be issued. ApplicanYs Signature: Date: k) ��,► V Owner's Signature: Date: Last Updated:January 2016 c-� / �DAT� TIME CITY OF ORONO CALLED IN �� _�� INSPECTION NOTICE SCHEDULED PERMIT NO.��MPLETED ADDRESS � �v� �� OWNER �� T EPH NE N � �a� � CONTRACTO S l C� � � DESCRIPTION �� -Q- 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ySE�PTIC INSTALL 2 R TO MEET YiOU;/�.YES_NO y COMMENTS: W 4 Fre�.� �.c�✓�- .�a�� (• — a �x�s C�� a/K�_ — wo r 6C Co►..��c�`-e �-- � cf. e�t✓ RS' 0 W ,p Q Il��n�4[� / .S . .O� ��.. ��.G- /��2 - - i �� r r ��..r � ` �o W � � • J � ❑W'ORK SATISFACTORY`.PROCEED �' OJECT COMPLEfE ,.�CORRECT WORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPIINCY � ` 0❑CORRECT VMORK,CALL FOR REINSPECTION TEMPOMRY V BEFORECOVERINf3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cafl forthe next inspectfon 24 hours in advance. (952) 249-4600 OMmerlContractor on site: Inspector: _{.; wn�es covynnspeo�ors Fiu Canary CopylSit�Notle�