HomeMy WebLinkAbout2010-00663 - doors I
'' � CITY OF ORONO PERM�T No.: 2oiaoo663
2750 KELLEY PARKWAY
I � ORONO, MN 55356- DATE ISSUED: OS/10/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3050 SUSSEX RD
PIN : 04-117-23-32-0010
LEGAL DE C : FOX BEND
: LOT 004 BLOCK 001
PERMIT T PE : MINOR ALTERATIONS
PROPERT TYPE : RESIDENTIAL
CONSTRU TION TYPE : DOORS
ACTIVIT : O/S BUILDING-UNDEFINED
VALUATI N : $ 2,150.00
NOTE: RE LACE SLIDING GLASS DOOR WITHIN SAME SIZE OPENING
i
I
I
I
APPLICANT PERMIT FEE SCHEDULE 88.50
HAME I BUILDING CENTER STATE SURCHARGE(VALUATION) 5.00
18710 ]GHWAY 55
PLYM UTH, MN 55446- MAIL-IN FEE 2.00
(763)4 8-6601 TOTAL 95.50
Minne ota State License#: 20631040
OWNER
FEUS ,CHARLES&LINDA
3050 USSEX RD
LON LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The ork for which this permit is issued shall be performed according to
the a proved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not ant permission for additional or related work which requires separate
per ts. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expi e and become null and void if construction authorized is not
com enced within 180 days of the date of issuance,or if construction is
sus nded for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
req es[ed in conformance with the State Building Code.This permit may be
rev ked at any time for due cause. �
' �--- �/ %" / %�i
� /�i /C�
A plicant Perm' ignature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
i li
Au� 03 ;� 12: �p HAMEL LUMBER 7634786284 p.1
y
- D�/ ��/
C�ty of Orono
; Building Perm�t Application #or Ir�ternal Work
�windows, doors,'sitiin , re-raaf� etc.)
- Mailing Addr�ess:
Q � P Permit numF�er, vZ0/O— D !P
O Box 66
/� � Crystal Bay, MN 55323-0066 Date received: $ � /d
!
•� �r Str�et Addness: � Received by: �(,�_
� • �/r 2750 Kellsy Parkway �
� MIV 55356 f�!an review fee:
Orono, �
Tota�Fee: ��,�`j—d
ain: �52-249-4600 Faz: 952 249-4616 �iNv�v.ci.cr�no.,�i�.us
; his application form must be compieted in full and aN required information must be submltted,
Incomplete applicatfotu will be retumed. (P/ease print�
GEN ' L FORMATION:
,�oa s t�a �ss: .�o s'� S°'�ss��c ,�'o•
Wil( t s be Parade of Homes, Remodelers Sho�rvucase H�me or other Display Home? Yes o
1/ ,ja sp 'al eventDennlf ia rs9u�rad wltl►Fb►ke Depettment enrl C�ty Councl!appmve160 daJs pdorl+c 1he avent ShuMla b�s se,rvlce Lvld be
uired unless qpp6csnt demonshetes sulfncient on�if�e peNrfng�a e►raila6fe. Non�ermlttear eventa wNl not be a�bwtid.
C�IV C R d AFPLICANT lNFQRMATION:
Narr� .�v-r�F� /�o-i�,o��,G L',�-v1'a��Z.
State id�e # �063/� a �xptraBon Dete: � . ��y
Phan : 76� Y�� — G�v � office 6f� �yG --�s'a GeII
Maili g jAd ss: 1�'7�D ��✓� ss City" piy�•+�Yr�' ZIP• ts�y�
Cont Pe n: ,r.,�.�r �, 1�c<�,y�Gtiy Appticant is; � a ar Hvrrteowner (Cir�l�One►
v
Emai a J Fax: �'trcc e'.�sis�rici�iv�.r�,.....�.aso-.�o.�c��r�+s2 ,cr�,-.,-_ �76?� y7� ��y
FRO � OWNER�NFORMATION:
Nam :; �/sf�,¢G�f �'�vSS
Pho e i(da G�.z Y8-� /���
Add as: �osa Sr.ss�c ��o, Cilv- G�� ZIP� SS3s6
Em I�nd r Fax
PR EC �NFORMA714N:
TY af P • Amr earth movement�ay r+equire
MCWD roview 8 psmnits
o4�(s) �in�� ❑ Rernode� �Water Damage
�Minnehahs Creek Watershed District(MCIAID)
p itpdo ) p Repair p S'�orm Demage 18202 Minnetonka Blvd
❑ iding ❑Resloration ' ` t �P�Bn,MN 55391 •
❑a�er. (specif�); Phone: 952-471-0590
❑ ei-roo ❑Fire Dartta e Fax: 952-471-0662
9 ��•rvr+i..�,�rn��i�a hacr�nk.�r:�
O il ect Descri tion: .e�,r.�s�' r��'yi.►�r.-: � S'./�r•�G d1,�ss �vP.,� —s.�,f,f Si �'a �•�.-v�
Es mat Constructlon llafualion of Pro ect excludin land $ : ' /tp, a.�,
A PLI NT ACKNOWLEDGEMENT:
•' rees to provide all informaiion required�r requested by the Building Departmeni;
� rtiFies that�he information supplied is true and aorred to the besi of hiaTher knowledge. The applicent reCognizes that they '
e solaly reaponalble for subrnitting a complete application being aware that vpon failure to do sp, the staff has no eftemative
t ta reje�t it un4'rl it is carnplete; •
� me or all of!he iniarmetion thst you are aslced W provide on this applic��ion is classified by State Isw as either private or
nfideMial. Private data is infnrmation which generally cannat be given to the pubtle but can be given to the subjecl af the
fa Confldential data is informetlon which genera6y Cannof be given tn either the public or th0 subject of the date. Our
urpose and intended use of this infortnation is to ann�ally update our recsrds and records of other govemmentai agencies
uired b raw. It �retuse to su i tfie Info►maUon the a lication ma no4 be issued.
�
pli 's Sfgriature: � ��.�----� Date: c��3�o
- �—'
�
sp!Jp ed: 08-64-2008 � '
�
�
DATE TIME ✓
CITY F ORONO CALLED IN r��
INSP CTIOI�i OTI E SCHEDULED _� -i w=,�CL
PER IT N0. ��D COMPLETED
ADD ESS 3o5d �S''�7G ��L_
OWN R �e�-S TELEPHONE NO. �'��Z 3?3
CON RACtOR � ��57
>; DES RIPTION ` ��� � � ���
�
� ❑ FO TING ; ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIILING
Q ❑ PO RED UUALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FR MING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ IN ULATI(� ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ R DON S� B ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FI AL ; ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ D MfJ-Sh E ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ D MIO-F�I AL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ P UMBIi�i RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OW ER/CO�1 RACTOR TO MEET YOU:_YES_NO
� CO MENTS:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WOR�CISATISFACTORY:PROCEED PROJECT COMPLEfE
� CORf��CT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
W
O CORp�CT WORK,CALL FOR REINSPECTION TEMPORARY
V BEF�HECOVERING PERMANENT
COR CTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
1 SPECTOR WILL RETURN
❑ CITATION ISSUED
�i ST ORDEFi POSTED.CALL INSPECTOR
❑I INS CTION REQUtRED.CALLTO ARRANGE ACCESS.
i I !
� Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on si� � ��
Insp�ctor. �
� White Copyllnspector's File Canary CopylSite Notice
il I