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Home My WebLink About2013-00476 - doors � � . CITY OF ORONO * 2 0 1 3 - 0 0 4 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/1U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2730 SILVER VIEW DR PIN : 33-118-23-42-0007 LEGAL DESC : MEYER DAIRY ADDN : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 4,431.00 NOTE: REPLACE(1)DOOR WITHIN EXISTING OPENING. APPLICANT pERMIT FEE SCHEDULE 118.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.22 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 122.22 Minnesota State License#: BC130983 PAID WITH CC# 8788 OWNER MONSON,DALE&CAROL 2730 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 Ciry 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. C � � �l �l l �� i%�� P/ �/ l!� Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � ' �� ;City of Orono Building Permit App�ication for Maintenance I Renovation (windows, doors, siding, re-roof, etc.� �O� MaNing Address: Permit number. � 3—Oa T 7 PO Box 86 �� Q Q Cryst'�q�l Bay,MN 55323-0066 �ale reoeived: �/� � � =-,;� � Stneel Address: Reoeived by: " �� ,� 2750�Celley Parkway Plan re+riew fee� ��Hp4�' Oronqr,MN 55356 Main: g52-249-4600 Fax: 952-249�{616 www.ci.orpno.mn us Tota!Fee: �/�0�, Z� This application form must be co►npleted in full arzd alf required information must be submitted. Incomplets applications will be retumed. (Please print) GENERALlNFORMATION: ;; 5}l�r V�,I.�l� �r� Job Site Addre�s: Will this be a Parade of Homes,Remadel�rs Showcase Home or o�Display Home? Yes No lI yas,a specla!event pemiif is required with Polfce Dypa�tment and Gity CounclJ apprnva!60 days prior to the ev�ent, Shuttle bus servfoe wr71 be required unless appticarrt demonstrates syMf(cierit orrslte parking is aveHeb/e. Non�permitted ev�nts wIp not be e!!or►sed. CONTRACTOR/APPUCANT IAIFQRMATf01�: Name: �.�, � ,A ,t�Ser� State License# "�G1309$'3 � Expiratian Date: �f 3� Lead Certification Number: �j,A-('_ a��83 -1 Expiration Date: � (!ur worlk on hwnes that wero constructed pribr to t g78 Phone: (05�� a -y�.�}`�. (office) �� M�iling Address: , 'i �► �• : ey� City; ; C ZIP: $S Contact Person: Applicant is: ntra / Hvmeowner �ci.cie one� Ernail and/ar Fax: PROPERTY OWNER INFORMATIO : Narne: .�7 ;' � Phone(day): ,{,� Address: ' Ciiy: ZIP: Email and/or Fax PROJ ECT lNFORMATION: Type of ProJect: I►ny earth movement may require � �KS� ❑Remodef `Q Fire Damage MCWD revfew 8 perntits: Minnehaha Cresk Watershed District(MCWD) ❑ Re-roof,asphaR ❑Repair :,[]Storm pamage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ��]Water Damage �phaven, MN 55391 Phone: 952�77-0590 ❑ Re-rvof,other lsPe�Y) ❑Siding ;�Other:(specifY) Fax: 952-4T1-0682 ❑Window(s) www.minnehahec►eek.ora Overall Project Desorlption: W �� Estimated ConsUs�ction Vaivation Project'�xcludin land) � ,�.� � APPUCANT ACKNOWLEDGEMENT: • P�qrees to provlde al!inf�rmation r�equired o�r+equested by 1he Building Department; • Certifies that the informatlon supplied is true and Conect to the best of hislher knowfedge. 7he applicant recogniaes that they are solely responslble for submitUng a compfete application being aware that upon failure oc do so, the slaff hes no altemative but to reject it unGl rt is complete; • Some or all of the information Mat you are asked to provide on th� applicatFon is classified by S�te law as either priyste or confidential. Private data is informatlon whi¢h general�y cannot be given to the pubbc but cen be given to the subject of the data. Confidential data is in6orrr�ation whicFi gener�ly cannot be given to either the public or the subjec� a{the data. Our purpose and irtit ded use of this inFormatior� is to annually update our records and reoord5 of other govemmental agencies uired b �aw. I u refuse to I the infom�adon,the a lication ma not be issued. AcaQlfcanYs Sianature• � ��7 ��: 1 f�'�(�y�� , !! Z 'd 06i9bL9TS9 3�IA213S lIW�l3d Q '8 S M SZ �8 ETOZ I T �nC �� DAT TIME � CITY OF ORONO cn��Eo iN — }�� INSPECTION NOTI E / SCHEDULED — 1L��''��1 PERMIT NO. O �OO �CJ COMPLETED � ADDRESS 4�7`�D SC�.[ Ul �� OWNER TELEPH E NO. �5� � T 4'(-�3� CONTRACTOR �` >; DESCRIPTION �""''D �D�r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADiNG/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952� 249-4600 Owner/Contractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice