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Home My WebLink About2011-00785 - doors . , CITY OF ORONO PERMIT NO.: 2011-00785 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3235 CRYSTAL BAY RD PIN : 17-117-23-41-0009 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,494.35 NOTF;: REPLACE FRONT PRE-HUNG DOOR WITH(2)SIDGLITES APPLICANT PERMIT FEE SCHEDULE 88.50 CREW 2, INC. STATE SURCHARGE(VALUATION) 1.25 2650 MINNEHAHA AVE TOTAL 89.75 MINNEAPOLIS, MN 55406- (612)276-1600 Minnesota State License#: 20318360 OWNER BAKKE, BRADLEY 7101 LANHAM LANE EDINA, MN 55439- 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 goveming this type of Hork 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 respon ' for assuring all required inspections are reques rm with the State Building Code.This permit may be rev ed at a ti _� / / u /� / � Applic t Per it Signature Date Issu By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � � ��'�� '�; �` � �" � . , , � � � , � City of Orono y Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) %_—==�� Mailing Address: � �'�'��T�� PO Box 66 Permit number: � �—�� Q ,� Q\� Crystal Bay, MN 55323-0066 Date received: ��r�t Received by: �a �� `.r � . F � Street Add�ess: �'�,n ��y,;��>, ��/ 2750 Kelley Parkway Plan review fee: L ��"��" � � Orono, MN 55356 `�kEsxo�''i -- ` _ = Total Fee: ; ''< Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � l ;' ' This application form must be completed in full and all required information must be submitted. Incom lete applications will be returned. (P/ease print) GENERAL INFORMATIOt�.- �� I Job Site Address: S ��, ' �; �;j� (; Will this be a Parade of Homes, Remod ers Showcase ome or other Display Home? ❑Yes No If yes, a specia!event permit is required with Police Department and City Council approval 60 days pnor to the event. Shuttle bus serv�will be �equired un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/A LICA I FORMATION: Name: �If�'�� State License# v ( G Expiration Date: 3 �7 � J�2 Lead Certification Number: - -� Expiration Date: 7 ��'"j- (for work on home that were constr cted prior to 1978 Phone: � -� —�2(j{) (office) (cell) Mailing Address `n�'j .�1L� � City: �,{,; ,S ZIP: Contact Person: �V �/,�{S' ( ^ q(�.i/1Applicant is� ontract / Homeowner (CircleOne) Email and/or Fax: PROPERTY OWN INFORM, ION: Name: YC� ��, Phone (day): �' - ' � Address: �j � ��, City� (/l (,) ZIP: Gj✓�r Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require �WindDoor(s) ❑ Remodel ❑Water Damage MCWD review&permits: ow s Minnehaha Creek Watershed District(MCWD) ( ) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑ Restoration ❑Other: (specify) Deephaven, MN 55391 ❑ Re-roof /� Phone: 952-471-0590 ❑ Fire Damage � �G Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: �a(',� . �,� � � � , ir✓ � � Estimated Construction Valuatio of Pro�ect(excl ding land) $ � , APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building DepaRment; • 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 refu e to su I the fnformation, the application may not be issued_ , ,`\`__ --�— � � ApplicanYs Signature: � �j 1 l ., v�� -�' Date: � r�l � Last Updated: 03-01-2011 � (y�� 7�- �j � 1 ��,� lh��! ��,�n�� -j� (��'p�i,� I M �J D T TIME `'� CITY OF ORONO CALLED IN / INSPECTION NOTl�E SCHEDULED — —�� PERMIT N0. `�D � " UO 7�� COMPLETED � ADDRESS .J �,�� OWNER G��Q� TELEPHONE NO. 1��Z �O7 �D�� CONTRACTOR �� ` �D �; DESCRIPTION �D�r � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o e��- 5 � e S 1 j � �g PA-�-� � ��d � � 0 � W � Q � Z W � W � � a W ❑WORK SATISFACTORY:PROCEED �I�ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. (� r-t� White Copyllnspector's File Canary CopylSite Notice