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Home My WebLink About2010-01122 (minor alterations-doors) t _ � CITY OF ORONO PERMIT NO.: 2010-01122 2750 KELLEY PARKWAY ORONO, MN 55356- nATE �ssuEn: 12�09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3721 CASCO AVE PI N : 20-1 17-23-31-0058 LEGAL DESC : CASCO HEfGHTS : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING - UNDEF[NED VALUAT[ON : $ 2,269.38 NOT�: rz�PLnc�.�ooas APPLICANT PERMIT FEE SCHEDULE 88.50 CREW 2, INC. 2650 MINNEHAHA AVE STATE SURCHARGE(VALUATION) 5.00 MINNEAPOLIS, MN 55406- MISC FEE 0.00 (612)276-1600 TOTAL 93.50 Minnesota State License#: 20318360 OWNER M M JIN, DOUG R WELTY & 3721 CASCO AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The��ork for��hich this pcnnit is issued shall be performed according to lhe approvcd plans and specifications,applicable City approvals,and the _ State E3uilding Code. This permit is Ibr only the work described and does not grant permission for additional or related�vork�vhich requires separate pcnnits. All provisions of la�vs and ordinances governing this typc of work shall be compicd with�vhether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced��ithin I 80 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 res nsible for assuring ail required inspections are requcstcd in co� � r iz e wiUi the State[3uildine Code.This permit may be revol:efl'�[ra�dti e; r clhe ca� ° i.- ) _ (� - /�i / � / ��/ , _ ^ � Appl � ermitee Signature Date �� Issue �Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ��.�f � ., . � ��' ` , � City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) r Mailing Address: Permit number: ��,�. PO Box 66 � �� Crystal Bay, MN 55323-0066 Date received: �'�;=�� Received by: a � -�, �. Street Address: �'�c, '° ''� �ti 2750 Kelley Parkway Plan review fee: �9kESH0�`'� 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 INFORMATI N:,, � , ,�. � _ � �� 1t� fj A �-- ��-: Job Site Address: ��' �a�( () `f �� Y �?�i�� "'�\; �J,� �� Will this be a Parade of Homes, Remodelers Showcase Home or o her Display Home? ❑ Yes o If 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 su�cient on-srte parking is available. Non-permitted events will not be allowed. Name:�CTOR/ P�CANT INFORMATION:, � !�' � I „' _� ��; lY �5� �1 /�� ,/ 1 V lX 7 State License# `�G�� t:�(�O Expiration Date: � � I�� Phone: - � " �)C office cell MailingAddress: -� iY�Y� ('1�� Cit :� L,f ZIP:� �' �', Contact Person: - b `�L` � " � Applicant is: ContractorJ / Homeowner (Circle One) Email and/or Fax: -" PROPERTY OWNER INFORM��Q : Name: � �i.�C �.0 Phone (day): __. � l Address: �" ��('C' Cit : �/�l`;'✓1(i ZIP:J�;`�l<�� Email and/or Fax PROJECT INFORMATION: Type of Project: � , Any earth movement may require ��V I(�� MCWD review&permits Door(s) ❑ Remodel ❑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 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ,�( (;, �,� � 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 re uired b law. If ou refuse to su I the� formation,the a lication ma not be issued. � ApplicanYs Signature: ,�' , � � Date: /� c ZC��G1 �' � Last Updated: 05-04-2009 Da� TIME � CITY OF ORONO CAL E�� c�---( INSPECTION NOTICE SCHEDULED �a' � _l�1 PERMIT NO. �B�D—�� COMPLETED � ADDRESS �7� � �� OWNER TELEPHONE N0.�5z- �� 1 3�i� CONTRACTOR �; DESCRIPTION ��Y � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TFEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� ❑WORKSATISFACTORY:PROCEED ��PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. C_., ,,��r"'� � � J White Copylinspector's File Canary CopylSite Notice