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Home My WebLink About2012-00736 - doors � CITY OF ORONO * Z 0 1 2 - 0 0 7 3 6 * ♦ 2750 KELLEY PARKWAY DATE ISSUED: 07/3U2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2675 SILVER VIEW DR PIN : 33-118-23-42-0012 LEGAL DESC : MEYER DAIRY ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : DOORS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 1,500.00 NOTE: REPLACE(1)PATIO SLIDER DOOR APPLICANT PERMIT FEE SCHEDULE 57.50 THOMPSON LLC STATE SURCHARGE(VALUATION) OJS 6108 BARTLETT BLVD. MOUND, MN 55364- TOTAL 58.25 (952)393-5349 PAID WITH CC# 7393 Minnesota State License#: 20602456 OWNER VAN OVERBEKE, PETER&AMANDA 2675 SILVER VIEW DR LONG LAKE, MN 55356- 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 permits. AII 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 all required inspections are requested in conformance with the State Building Code.This permit may be r ked at any time for due cause. � / 31 / �ti,Z �� -1/ �l l ! Z. Applicant Permitee Signat e Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �' City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Addr�ss: Permit number.�� —� 7�J O�0�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �, Street Address: Received by: �, Gti�' 2750 Kelley Parkway Plan review fee . �•��Ho�.� Orono,MN 55356 2 � Total Fee: � �• `�-' 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 applicatfons will be returned. (P/ease print) GENERAL INFORMATION: ` I {� Job Site Address: o�Cv��5 Si �vcr- VI�y I�r,J� (�ro�,o Nl�7 S s �5 (o Will this be a Parade of Homes, Remodelers Showcase Home or other Dlsplay Home? Yes No ff y�es,a specia/event permit is required wiM Police Department and City Council approva160 days prior to the event. Shuttle bus servioe will be required unless applicant demonstrates sufiicient on-site parking is available. Non-pe�mitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: o State License# a a�,Q 2 4 `�1� Expiration Date: 3 � Lead Certification Number: Expiration Date: (f�or w�ork on homes that were constructed prlor to 1978 Phone: 952- 393� 5 3�`j (office) (ceu) Mailing Address: p , + ��, City: ZIP: Contact Person: �� Applicant is: Contractor / Homeowner �ci►�i.o�.� Email and/or Fax: - rCu a' o� � "� PROPERTY OWNER INFORMATION: Name: pek-c.- 11c�n o�e�be4C� Phone(day): (o/Z— �j p- y q�,;�� Address: Z� �S S'�l ve,- 1� i"Q� E7�,'v t- C��Y� o ro r.o ziP: 5 S 3.�.6 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ,�Door(s} ❑Remodel ❑Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt ❑Repai� ❑Stortn Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage �Phaven,MN 55391 Phone: 952�471-0590 ❑Re-roof,other(speciry) ❑Siding ❑Other.(specify) Fax: 952-471-0682 ❑Window(s) �w.minnehahacreek.orq Overall Project Description; ��-4;o Sl t cl e� t`7 0�: 12.e,o�.c e,w.e�t '� Estimated Construction Valuation of Pro)ect(excluding land) i� 5 00.c U 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 altemative but to r�eject it until it is complete; • Some or all of the information that you are asked to provide on this application is Gassified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subjed of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and recorcJs of other govemmental agencies re uired b law. If ou refuse to su I the informatio the a lication ma not be issued. ApplicanYs Signature: ��^-ti-- Date: J�ry .3�. ��Z— Last Updated: OS-09-2011 TE TIME V CITY OF ORONU� CALLED IN 7�� /�-- INSPECTION NOTICE SCHEDULED •�� PERMIT NO. ao�a -0��3:� c P� ED ADDRESS 0��7� �L! �/`e1� I//�C� cU/�l G� OWNER TELEPHONE NO. 9J��-353�3�� CONTRACTOR r/GL . a DESCRIPTION p�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING � MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATEA HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPT�C INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W C � � O a � O � W � Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's Ffle Canary CopylSfte Notice