HomeMy WebLinkAbout2010 - 00424 - doors CITY OF ORONO PERMIT NO.: 2010-00424
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/15/2010
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2565 WOODHAVEN DR
PIN : 33-118-23-41-0008
LEGAL DESC : LEVERINGS WOODHAVEN
: LOT 005 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 4,149.00
NOTE: REPLACE(1)PATIO DOOR WITHIN EXISTING OPENING
APPLICANT PERMIT FEE SCHEDULE 118.00
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.07
1920 COUNTY RD C.WEST
ROSEVILLE,MN 55113 MAIL-IN FEE 2.00
(612)502-4777 TOTAL 122.07
Minnesota State License#:20130983
OWNER
EARLING,NINA
2565 WOODHAVEN 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 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.
`-nota t° - l
Applicant Permitee Signature Date Issued B ignature '�r e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB iv.E.
Jun-O7-2010 07:19am From-CITY OF ORONO +9522494616 T-287 P 003/003 F-18T
--.. - - — - ---—
Building Permit Application for Internal Work
(windows; doors, sidin: , re-roof, etc.)
Meiling Address:
'¢Q�. PO Box HB Permit number. a7`)y,Oa
(, Q Crystal Bay,MN 55323-0066 Data received: ,o�j/�o70/�
' i
�.! Street Add/sss: Received by:
�.i� t<� 2750 Kelley Parkway
Plan review fee:
`>': Orono,MN 55358
Total Pee: 1�pj01,0,
Main: 952-248-4600 Fax: 952-249-4616 swfw.ci.orono.mn.u1
This application form must be completed in full and;all required information iort must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: a 5(D
Job Site Address: UZ ���', -1*---Q---
1/4II this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes ❑ No
if yea,a special event permit/s required with Police Department and City Council approval SO days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-slre panting is available. Nor/-permitted events will not be allowed.
CONTRACTOR 1 APPLICANT INFORMATION;
Name: Renewal By Andersen
State License It 1920 CountyRoad "C" West Expiration Date:
Phone:
Mailing Andress: Roseville, MN 55113 (cell)
Contact Person: License#20130983 City: ZIP:
Email and/or Fax; 651-264-4777 tis: contractor / Homeowner pieta on.)
PROPERTY OWNER INF RMATION:
Name: iii
Phone (day): (013Q-- t (Q a
Address: '1 City: ZIP:
Email andlor Fax •--
PROJECT INFORMATION: ��
Type of Project Fat ( eAdio cfoO ' C Sf� y 4
1`�f' i� � � • Any earth movement ma re ulntl
❑ Coor(a) ❑ Remodel MCWD review S permits
. 0 Water Carnage �t �'
e A Innehaha Creek V1lratershed District(MCWD)
❑Window(s) 0 Repair El Storm Damage 18202 Minnetonka Blvd
Deephaven.MN 55381
❑ Siding ❑ Restoration 0 Other: (specify) Phone! 952-471-0590
❑Re-roof 1 1:1 Fire Damage Fax: 852 71-0882
www minnehahacreg .I
Overall Project Description:
Estimated Construction Valuation of Pro•ect(excludin; land $ /'1' —
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 remrds of other governmental agencies
r [tired b law. If ou refuse to su I the information the a lication ma not be issued.
Applicant's Signature: �� Date: Q j"1
Last Updated: 05-04-2009
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DATE TIME
CITY OF ORONO CALLED IN VVV
INSPECTION NOTICE L� , / SCHEDULED g-/13'-
�� dK
PERMIT NO. o/olu-LiD!.27" COMPLETED /�
ADDRESS o2,56,5 ton at
OWNER TELEPHONE NO.105-1 2-47 kio&
CONTRACTOR 04 tit/ Aryl/A-444
DESCRIPTION t7:11- 1; ‘)/e/
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
cc cc ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ra) ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC
LU ❑CORRECT WORK&PROCEED ❑\ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR III 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. L�U 6 (..sgS
White Copy/Inspector's File Canary Copy/Site Notice