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Home My WebLink About2012-00945 - bldg - door replacement VL CITY OF ORONO * 2012 - 0094S * 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2012 ORONO,MN 55356- (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-UNbEFINED VALUATION : $ 4,116.00 NOTE: REPLACE(1)DOOR WITHIN EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 118.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.06 1920 COUNTY RD C.WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 122.06 Minnesota State License#: BC 130983 PAID WITH CC# 8788 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 cause.Applicant Permitee Signature Date ISS9 fBy 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.) MaNing Address: 'g►0, PO Box 66 Permit number_ -� Q Crystal Bay,MN 55323-0066 Date received: - Street Address: Received by: 2750 Kelley Parkway off$' Orono. MN 55356 Plan review fee: Main: 952-249-4600 Fax: 952-249-4616 MM-ci Orono rn us Total Fee. Iq'q'D,& This application form must be completed in full and all required informmust be submitted. GENERAL INFORMATION; incomplete applications will be returned. (Please print) ^ Q,` S Job 31te Address: p( ��( Lo Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Ll Yes U No M yea,a specie/event permit/a required with PON"Department and City Council approve/ao days wfor to the event. Shuffle bus seMos will be requited unless applicant demonstrates suRhclent an-aIle parking/s avomble. Non-pem~9vents wN/not be eNowed. CONTRACTOR/APPLICANT INFORMATION: Nam®: 1 '111 �+l iar�{rSe�rV State License# 5C-1,609157B Expiration Date: 'y/31 Lead Certification Number: 00 AIT_ a'}a S 3 -1 Expiration Date: 3115 (tor wank on homes that were aonsftated pdw to 1978 Phone: _ (c5 - a(Ot`-4'+-+-+ (office) (09111Mailing Address: 1 •• •• We,%+ City; ZIP: S Contact Person: Email and/or Fax: Applicant is: / Homeowner (mme one) PROPERTY.OWNER INFORMATION: Name: ` Phone (day): �".I _ Address: CS; City: ZIP: 9LODO= Email and/or Fax PROJECT INFORMATION: Type of Project: Doors) ❑Remodel �rMCIND review&earth movernent mrmits ulna ❑ Fire Damage Minnehahe Creek Watershed District(MCWD) Re-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,ceder ❑Restoration ❑ Water Damage Deephaven, MN 55391 ❑Re-roof,other(sp&cW) ❑Siding ❑Other. (specify) PFax: 952.471-06820 Windows)boor wniw.minnehahacreek oro Overall Pro ct Description. Estimated Construction Valuation of Project(excluding land S 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 albemative 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 date 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 ageneses required b law. If u refuse to su I the information thea lication mW not be issued. Aoolicant's Sionature:h4A-4�4401r- � Date: l�SeP-tl c7- 2 -d 061911►L9199 33IA83S 1IW83d a B S M L0 :01 ET02 ST daS DDATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICSCHEDULED PERMIT NO. / —X� /COMPLET D ADDRESS OWNER TELEPHONE NO. —2 J k9l, CONTRACTOR DESCRIPTION 14 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W o. cc J O cc O LL W cc Q f2 Z W z W CC W ❑WORK SATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORKS PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 1-1STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46100 Owner/Contractor on site: Inspector. U79:419`1 White Copy/Inspector's File Canary Copy/Site Notice O sct— TIME CITY OF ORONO CALLED IN '5//'g I /_ - INSPECTION NQTICE CHEDULED PERMIT NO. aCha P/24ecOMPLETED ADDRESS a� -�yA OWNER &!PHO E N 71 94/& CONTRACTOR � r DESCRIPTION �Dnn ❑ 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 ❑ 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 ❑ SEP41C FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU YES_NO COMMENTS: W CL O cc O LL W CC Q Z W W cc Z) O Wj ❑WORK SATISFACTORY:PROCEED JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑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 on site: Inspector. White Copylinspector's File Canary Copy/Site Notice