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Home My WebLink About2009-00741 - bldg - door replacement CITY OF ORONO PERMIT NO.: 2009-00741 1 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2703 WALTERS PORT LA PIN : 21-117-23-23-0042 LEGAL DESC : WALTERS PORT : LOT 001 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,844.00 NOTE: REPLACE(1)DOOR WITHIN EXISTING OPENING. APPLICANT PERMIT FEE SCHEDULE 88.50 RENEWAL BY ANDERSON 1920 COUNTY RD C.WEST STATE SURCHARGE(VALUATION) 1.42 ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)5024777 TOTAL 91.92 Minnesota State License#:20130983 OWNER REESE,MR.&MRS. WILLIAM 2703 WALTERS PORT LA EXCELSIOR,MN 55331 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. 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due caust: Applicant Permitee Signature Date Issued By Sign re SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVIff 89. 5c") a. 10 I City of Orono q ). 9al Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 0.� PO Box 66 0 lO , Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: XEssos' Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us I Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: 074o Loa\IKX-j "?dr q Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No 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: Renewal By Andersen State License# 1920 County Road "C" West Expiration Date: Phone: Roseville, MN 55113 - (cell) Mailing Address: City: Zip: Contact Person: License #20130983 t is: Contractor / Homeowner (Circle One) Email and/or Fax: 651-264-4777 PROPERTY OWNER INFORMATION: Name: W'.\\_dj vh �ttS e Phone (day): _ �..ty�� Address: LS. City: zip: Email and/or Fax PROJECT INFORMATION: Type of Project: -F�0.C_k 1 docrr ;rN -e�c�S�i �� Any earth movement may require oor(s) ❑ Remodel MCWD review&permits ❑Water Damage Minnehaha Creek Watershed District(MCWD) Jndow(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ RestorationDeephaven, MN 55391 ❑ Other: (specify) Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 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 information that you are asked to provide on this application is classified 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 subject 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 records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: o Date: a o 9 Last Updated: 05-04-2009 // (.! // NTE--71, c TIME l� CITY EC ION NO CALLED L (T/ �ill1 INSPECTION NOTICE SCHEDULED PERMIT NO..-_Lh,L -(-L VJCOMPLETED ADDRESS �' (-ict z° G'f_/_ L�t� OWNER TEL PHON6ib L51 °R'&,' tl- CONTRACTOR >; DESCRIPTION �� n cy- ut ❑ 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 ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE IC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TOMEET YOU: YES NO o COMMENTS: CC W a J O a CC O U_ W QC Q Z W Z W CC cc ORK SATISFACTORY:PROCEED &ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED E CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTOTAKEN INSPECTOR WILL RETURN 11 El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor onsi e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice