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Home My WebLink About2014-00416 - doors 11111111111111111111111111111111111111111111111 Ilan e CITY OF ORONO * 2 0 1 4 — 0 0 4 1 6 2750 KELLEY PARKWAY DATE ISSUED: 05/07/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 1485 FOX ST PIN 02-117-23-33-000 1 LEGAL DESC UNPL,ATTED 02 117 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE DOORS ACTIVITY O/S BUILDING - UNDEFINED VALUATION S 3,100.00 APPLICANT PERMIT FEE SCHEDULE 103.25 STATE SURCHARGE(VALUATION) 1.55 CANDLEWOOD CARPENTRY LLC TOTAL 104.80 5960 AFTON ROAD Payment(s) SHOREWOOD, MN 55331- ts) CREDIT CARD 3708 104.80 Minnesota State License#: BUIL-BC443759 OWNER HENNEMAN, W P&A B 1485 FOX ST 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 arc requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. pficant Permitee Signature Da Iss d By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O • O Mailing Address: Permit number: '20 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ` 7-i Street Address: Received by: �F G` 2750 Kelley Parkway Plan review fee: t kESHO �, Orono, MN 55356 � � / Total Fee: <a (J k/ Main: 952-249-4600 Fax: 952-249-4616 www.ci.Orono.mn.us ' This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: I H Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Z No /f 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: (�✓ +��,�:;'J C�. �.- -c,�y State License# 5 y y 3 7,5 1 Expiration Date: Lead Certification Number: w s,-r- I I S_ Expiration Date: f f 2:=17- 11, (for work on homes that were constructed prior to 1978 Phone: (cell) L j 1- Sz� 1- 3-2 S 5S (office) Mailing Address: S Irv_✓ lZo City: 2�.-0;,o ZIP: 5-:533/ Contact Person: C;..1-a,s Z s c�v,,� Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: CHr,S C11� ,�:..�c��, . 1~-� . �o— PROPERTY OWNER INFORMATION: Name: 6iLL A Phone (day): f-wP Lt Address: ry City: 0 tom-it, w:11117 rZI P: _S 3 7 / Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ,Door(s) ❑ Remodel ❑ 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 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ 3,/vo 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: /1 -'7` f� Date: 5� Owner's Signature: Date: Last Updated: 03/06/2013 DATE TIME t OF ORONO CALLED IN CTION NOTICE SCHEDULED PERMIT NO.02W�—A2"/ COMPLETED ADDRESS ��Sr� /coX 5Z`- V OWNER TELEPHONE NO. CONTRACTOR Ca,f,:0Ze kJd,_2V j; DESCRIPTION dear eCQp/ ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. 'FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC a C✓s>wi W Z 70 04/,'QC �o✓ �( Cr O �✓KiVI/� �tiG< ��' �ar7d� 'r /IBQoOG�y W QC — rQnlQco� �v/ G�iL �K rs cou�v Q z j cc Uw SATISFACTORY:PROCEED / ftCJECT COMPLETE OCORRECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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. ( <vy� White CopylInspector's File Canary Copy/Site Notice