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Home My WebLink About2012-00385 (door replacement) (�` � CITY OF ORONO * 2 0 1 z - 0 0 3 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: OS/10/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2450 CARMAN ST PIN : 20-117-23-12-0059 LEGAL DESC : LEHMAN LAGOON : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,749.00 NOTE: REPLACE(2)DOORS WITHIN EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 147.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.37 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 �612�so2-4�� TOTAL Is2.s� Minnesota State License#: BC130983 PA[D WITH CC# 8788 OWNER PALMER,MARK&NANCY 2450 CARMAN ST WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approvcd 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 specitied 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 wi[h the State Building Code.This permit may be revoked at any time for due ca se. � i /� i /�- �i /O/ / Applicant Permitee Sig ure Date Issue y Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. v��y v� v� v..v �, �Building Permit Application for Maintenance / Renovation (windows, doors, sidin , re-roof, etc.) Mailing Address: Permit number: O,�Q�O PO Box 66 /Q �_ Crystal Bay, Mfd 55323-0066 Dete received: Jf � s' � Street Addres� Received by: � ,� 2750 Kelley Parkway Rlan review fee: �'1 4�� Orono,MN 55356 �j Ax�A�� Total Fee: ��-� oL� �� Main: 952-249-4800 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 applicatlons wlll be retumed. (Please prirrt) GENERAL INFORMATION: Job Site Address: C�yS� a'� �� • Will thls be a Parade of Homes, Remodelers Showcase Home o�other D(splay Home? Yes ❑ No If yea,a speclal event permif Is requlred wfth Polk:e Depertment end Clty CouncN approva160 days prfor to the event. ShvtNe bus seivlce w!I!be requir+sd unless appNcant demonstretes su�cient on�lte parking is avallabfe. Non pernutted events wlll not be ellou�d. CONTRACTOR I APP�tf:oNT iNFnRMATiON: Name: , f — �qO1� CU•�'`G�� I�t �S51j,: State License# Expiration Date: 3 j3 ! Lead Certification Number: ��'j_ a-�- aB3—) Expiratlo� Date: y/�S (for work on homes that were constructed prlor to 1978 (Cell) Phone: �OSI -o1(Dy-4�� (office} Mailing Address: i9ao Cd 1� ��C e� W,�s�. City: v��1t Z�P� rY11V $Sl�?j Contact Person: Applicant is; Contractor / Homeowner �ci�ie o�e� Email and/or Fax: PROPERTY OWNER INFORMATION: Narne: mp�.�� j O�IM�' Phone (day): g� �. �l��—QIO I ZIP: Address: �g;�.� C�' Email andlor Fax PROJECT INFORMATION: Type of Project: My earth mov�ement may require MCWD review�permits: �Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed Districi(MCWD) ❑ Re-roof,asphaH ❑ Repalr ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Re-roof,csdar ❑ Restoration ❑Water Damage phone: 952-471-0590 ❑ Re-roof,other(specify) ❑Siding ❑Other. (speclTy) Fax: 952-471-0682 www rninnehahacreek.ora ❑Vlrndow(s) OverallProjectDescription: 01 c�� S � � ' Estlmated Construction Valuation of ProJect excluding tand $ � 4� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • CerUffes ihat 1he infoRnation supplied Es true and coRect to the best of his/her knowledge. The applicant reoognlzes thffi lhey ane sdely responslble for submitttng a complete applicalbn being aware that upon Failure to do so, the staff has no altemative but to reject it until It is complete; . Sorne or all of the information that you are asked to provide on this application is classlfled by State law as elther privaie or confidential. Private data ls inforcnatlon which generally cannot be glven to the public but can be given to the subjec�of the data. Confidential data is informatlon which generally cannot be glven to either the public or the subJect of the daia. Our purpose and intended usQ of thls (nformatlon is to annuslly update our records and reoards of other govemmental agenaes r+e uired b law. IF u refuse bo su I the(nformation the a lication ma noi be issued. Aoolicant's Sianaiure: �� Date: ��'�a Z 'd 06T9fiL9TS9 3�Ih?J3S 1IW213d Q '8 S �I 6� �ST ZiOZ 60 FeW � �� A�E TIME v CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED I PERMIT NO.c��/o7 -��S COMPLETED ADDRESS a 7 S(� ��-�'( �Sf OWNER TELEPHONE NO,/.��, s� �`� �UC�S� CONTRACTOR �—��"�� >; DESCRIPTION a �� ` D ��dY � l� ❑ FOOTING ❑ PLUMBING F�NAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � ,�/` GW ❑WORK SATISFACTORY:PROCEED !/[TPROJECT COMPLETE W ❑CORRECT WORK&PROCEED • ;� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORFiECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED ❑STOP ORDEFi POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on s' e: � Inspector. � White Copyllnspector's File Canary Copy/Site Notice