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Home My WebLink About2013-01047 (replace patio door) . -�. CITY OF ORONO * 2013 - 0 1fd47 * 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2440 CARMAN ST PIN : 20-117-23-12-0058 LEGAL DESC : LEHMAN LAGOON : LOT 003 BLOCK 00] PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 3,152.00 NOTE: REPLACE(1)PATIO DOOR INTO EXISTING OPENING. APPLICANT pERMIT FEE SCHEDULE ]03.25 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 1.58 2690 CUMBERLAND PKWY, STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 106.83 Minnesota State License#:20268257 OWNER REEP,GREGORY& SALLY 2440 CARMAN 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 are requested in conformance with the State Buildins Code.7�his permit may be revoked at anv time for duaeca e. l l C�r� l l Applicant Permitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. , � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �v 0.�\� PO Box 66 ;��Q , �� Crystal Bay, MN 55323-0066 Date received: �II a t+ ?�• a,�;I Street Address: Received by: ��' ��=��h�,_'� ti/�' 2750 Kelle Parkwa ��'i,.,�.�;�;`,';��% Y Y Plan reviewfee: �-kEsxo4" ' Orono, MN 55356 Total Fee: 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:� yY� Job Site Address: C,Q� /�� Q n ,s']'��`Q d � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f yes,a specia/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-permifted events will not be allowed. NaOme RACTOR/APPLICANT INFORMATION: Jp�, Q$�/3YS•GrY7 State �icense# THD At- Home Service, Inc, Phone: 2690 Cumberland Pkwy, Ste 300 (ce��) Mailing Address: Atlanta, GA 30339-3913 ZIP: Contact Person: Lic# CR268257 Ph. 763/542-8826 lomeowner (Circle One) Email and/or Fax: PROPERTY OWNER IN �OR��TION:�p Name: Phone (day): �J�i"a � 7 t • /Y ! Address: � � y 0 Q r M c/1 5'�!'/ G � Cit � �/�d/1 0 ZIP� J�'s 3 9� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require Door(s) ❑ Remodel MCWD review& permits ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �O 0 1 o Q�e a/` /`/p �Q (,� � ,�,� Estimated Construction Valuation of Project (excluding land) $ � � �j"? 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 b law. If ou refuse to sup I the information,the application ma not be issued. ApplicanYs Signature: �J Date: ` b l Y l� 3 Last Updated: 05-04-2009 �� DATE TIME J CITY OF ORONO CALLED IN ��'� INSPECTION NOTICE SCHEDULED /(-ZZ-l3 0'�3�� PERMIT NO��3 �"�I�S�7 COMPLEfED ADDRESS o��O �Q�(-j'1'l�-.a S`f" OWNER � TELEPHONE NO.��7Z �79 ��S CONTRACTOR � � DESCRIPTION v �� «� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHOREM/EfLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v BING RI ❑ SE AL ❑ FOUNDATION/REMOVAL 2 OWNE ONTRACTOR TO MEET U: Y NO c�.� MENTS: � W a � J O � � O � W � Q � 2 W � W 2 j d W� ❑WORKSATISFACTORY:PROCEED �BQJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerfConVactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice