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Home My WebLink About2014-01169 - doors CITY OF ORONO * 20 14 - 0 1 16 9 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 1230 WOODHILL AVE PIN 02-117-23-21-0007 LEGAL DESC ORONO ORCHARDS : LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE DOORS ACTIVITY O/S BUILDING-UNDEFINED VALUATION S 14,395.00 NOTE: REPLACE(4)PATIO DOORS IN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 265.50 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 7.20 10751 EXCELSIOR BLVD MAIL-IN FEE 2.00 HOPKINS,MN 55343 TOTAL 274.70 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 274.70 OWNER WOOD,MICHAEL&JUDY 1230 WOODHILL AVE WAYZATA,MN 55391- 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. //,0/ /L9 Applicant Permitee Signature ate *Issd Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) OMailing Address: Permit number t nTO PO Box 66 = Crystal Bay,MN 55323-0066 Date,recelved�_'.. Street Address: Received by = 2750 Kelley Parkway Plan review fee Orono,MN 55356 �xr tion Total Main: 952-249-4600 Fax: 952-249-4616 www.d.orono.mn.us Fee This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: I,,/ /� Job Site Address: /v';3 0 VV oodh I'll Ayenye- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El Yes >Kl 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/APPI (CANT INFORMATION: Name: t)co evxv Gro S. uin -Y Cd State License# 3 Expiration Date: 3/ /,G Lead Certification Number: IVA T-11-11613 0 9-/ Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) 959-9 7 1 -/6,5P Mailing Address: 6 e J&Cv (Vo( City: - /r►S ZIP: 5554 3 Contact Person: ,� I Yl S vriore_ Applicant is: ntractor Homeowner (Circle one) Email and/or Fax: CA.,ismove �e,r �t)S • C'�-Yt� PROPERTY OWNER INFORMATION: Name: AA i C06ie Phone(day): - 7?1• v Address: 6930 i City: 6vboo ZIP: SCj I Email and/or Fax: PROJECT INFORMATION: Overall project description: 4 P16Le-C 4-Otil'()0(Q0VS lV1 CISf i(4 0 Nl S Type of Project: Any earth movement may also require ❑Door(s) El Remodel [I Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 El Re-roof,other(specify) El Siding ❑ Phone: 952-471-0590Other:(specify) Fax: 952-471-0682 E� indow(s) www.m4nnehahacreek.ora 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 aeplication may not be issued. Applicant's Signature: Date: !n 14- Owners ¢Owner's Signature: Date: Last Updated:03/06/2013