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Home My WebLink About2013-01071 - doors ,r ► CITY OF ORONO * z p� 1 3 - 0 1 B 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/1U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3255 CRYSTAL BAY RD PIN : 17-117-23-41-0012 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 : $ 4,751.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 118.00 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 238 10751 EXCELSIOR BLVD HOPKINS,MN 55343 MAIL-1N FEE 2.00 (952)277-1600 TOTAL 12238 Minnesota State License#: BC239369 PAID WITH CC# 3989 OWNER WOLFE, MR& MRS WILLIAM 3255 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o 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 specitied herein.'�his permit will expire and become null and void if construction authorired 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 requeste in conformance with[he State Building Code.This permit may be revok d at any time for due use. � Jol /� l / � l / ll Applicant Permitee Sign � re Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . • Cifiy of 4rono Building Permit Application for Maintenance I Replacement / Renovation (No structural expansior�. Only windows, doors, siding, re-roof, etc.) �O^} Ma11rPg�A�d X�6s�s- Permit number: �/�—f>/D r�� Crystal Bay,MN 55323-OQ66 t?ate received: ! — Street Address: Received by: -ern y �'' 2750 Kelley Parkway Plan review fee: `� � Orono, MN 55356 r�kESN�� Total Fee: � /a�.3� 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 mus#be submitted. lncomplete applications will be returned. (Please print) GENERAL iNFOl2MATION; Job Site Address: 5 � �Q �G�� Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No If yes,a specia!event permit is required with Police Department and City Counci!approva!&0 days prror to the event. Shutfle bu erviCe wi11 be required unless applicant demonstrates sulficient on-site parking is available. IVon-permrKed events wil!not be s!lowed. CONTRACTOR/APPLICANT INF�RMATION: Name: �,y� $ . (,l State License# a 3� ��q Expiration Date: 3 31 �0!� Lead Certificafion Number: �f�j, a(o3 QS�/ Expiration Date: � (ior tvork on homes that were constructed prlor to 1978 Phone: {cell} (office} S' -02 7�/6�j� MailingAddress: Q / �'Q SLd/' City: Gln $ Z1P: �- Contact Person: N��_S�y�pr Applicant is: n ract / Homeowner �c�reie o�e> Email and/or Fax: ^ ��'y� ay� __ �C� p{��/�jjs . C�'�`- PROPERTY OWNER fNFIORI�AATION: Name: �j t i I � �OCt/vl w1� �-Q- Phone (daY): a.- �(- (p7 � (,�.�2C�. Address: ^�SS" ,��,�.� `� �. City:.�� ZIP: rj`j3�1 1 Email and/or Fax: PROJEC7 INFORMA710N: Overall ro"ect descri tion: Fype of Project: Any earth movement may also require �:Doar(s) ❑Remodel ❑ Fire Damage MCWD revlew&permits: ❑Re-roof,asphait � Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD} 18202 Minnetonka Blvd ❑Re-roof, cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof, other{spectiy} ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Constructlon Valuation of Project(excluding fand) $ 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{or 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 classifed by State law as either private or confdential. 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 fhe data. Our purpose and intended use of this information is to annualfy update our records and records of other governmental agencies required by law. If ou refuse to su I th information th I' t�on ma not be issued. Applicant's Signature: Date: 1! 0��3 Owner's Signature: Date: Last Updated:03l06/2013 �/ D9TE TIME ✓ CITY OF ORONO CAL ED IN �� INSPECTION NOTICE D D7/ SCHEDULED �� _s��e� PERMIT NO.ao�3� � COMPLETED ADDRESS 3ZSJ� ��Srl��'�-"'7 /`�''' ' OWNER Gv�� TELEPHONE NO.QSZ �7/ 9�O 7� CONTRACTOR a� � DESCRIPTION �� r�� ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ I.AKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPIAINT � 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d ^- � ❑WORKSATISFACTORY:PROCEED /�OJECT COMPLEfE �i � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection�4 hours in advance. (952) 249-46�0 OwnedContractor on ite: Inspector. White Copyllnspecto�'s File Canary CopylSite Notice