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Home My WebLink About2013-01263 (doors) ` ! CITY OF ORONO * 2 PJ 1 3 - 0 1 Z 6 3 * 2750 KELLEY PARKWAY ppTE �SSUE�: 12/03/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2447 CARMAN ST PIN : 20-117-23-12-0014 LEGAL DESC : NAVARRE : LOT 007 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ ]0,000.00 NOTi?: DOORS, REPA[R, RESTORA"I�ION IN REMODF.LIN<i APPLICANT PERMIT FEE SCHEDULE 191 JS BLUTH, JOSEPH STATE SURCHARGE(VALUATION) 5.00 2201 WEST DREAM DRIVE NORTH MANKATO, MN 56003- TOTAL 196.75 (507)625-6986 OWNER BLl1TH, JOSEPH 2201 WEST DREAM DR[VE NORTH MANKATO, MN 56003- AGREEMENT AND SWORN STATEMENT I�he work ibr which this permit is issued shall be performed according to dic approvcd plans and speciYications,applicablc City approvals,and [he State Building Cude. rhis permit is tiir only the work described and does not grant permission for additional or related work which requires separate permits. AII provisions of laws and ordinanccs goveming this type of work shall be compied ti�ith whether or not specified herein.This permit will expire and becomc 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[he Sta[e Bu� ig Cod This�er ' ma be revoked � e for / / pp icant Permifee, � nat Issue By Si a re ate SEPARA"rE PERMIT REQUIRED FOR WORK OTHER T AN DESCRIBED ABOVE. � � � 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: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: �F ` 2750 Kelley Parkway Plan review fee: L Orono, MN 55356 � `qkBSH�� Total Fee: (a/,,,� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � 1(/ 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: �O�J �� Will this be a Parade of Hom , emodelers S owcase Home or other ispla Home? ❑ Yes No /f yes, a specia/event permit is repuired with Po/ice Department and City Counci/approval 60 days prior to the event. Shutt/e bu service wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �� State License# Expiration Date: Lead Certification Number: Expiration Dafe: ' (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: Contact Person: � L�,{ Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: , ^ � PROPERTY OWNER INFORMATION: Name: \ ��'-`— -�-�� 1� �LC�'7`� Phone (day): �' . ��C�� Address: � ��)r � y � -�� City:�� , IP: � Email and/or Fax��_��-�- � � � �� PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require �Door(s) �emodel ❑ 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.orq Estimated Construction Valuation of Project(excluding land) $ �'l�T,��-�� 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 u date our records and records of other governmental agencies required by law. If ou refuse to su I t rmation, the a cati n a not be issued. ApplicanYs Signature� Date: Owner's Signature: Date: /��3 � Last Updated: 03/06/2013 "�`�` DATE TIME CITY OF ORONO CALLED IN d"a1 INSPECTION N TICE SCHEDULED �-�?b-1 � /O' PERMIT NO. COMPLETED ADDRESS °� �� e S� OWNER J�- �� TELEPHONE NO. SD 7 3$ l d Z�O CONTRACTOR � DESCRIPTION J�S�- � �� `�"� � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI�LING Q ❑ POURED WALL '�MECHANICAL RI ❑ LAKESHORE/WETLANDS y O FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z �`IAISULATION ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTFiACT R TO MEEZ YOU: YES_NO � � F(r e,�T4�.'e - ��.�-hy� C loce✓Q.��– C�. � COMMENTS: rav�na.. ��4 1��i� .e,x �S-s�- � ��5 " ��W 1J4�/S` QQ "��l' ,(�✓t-� �Qt�— O /��l G'tt L<<l '�-" 7�C4''S !1✓e ��4�dC � � �° L` �e��N S — �- l4 Xr4-� -�e� �j�o?y'� W Q 17�w K �`is i�/ — a�%� c�C�.��s ��o v�� - � Z � ��f �D�K��a'�w s S e�� .J�v t�GaA e.r � w D� � � ' j i�i�sL �bU�vc•cS d W� �IYORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � ' ion 24 hours in advance. (g52) 249-4600 Ownei Vactor on ' Q-6�— � . Inspector. White Copyflnspector's Ffle Canary CopylSite Notice