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Home My WebLink About2014-00740 - doors � , CITY OF ORONO * 2 0 1 4 - H P1 7� 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 100 CRYSTAL CREEK RD PIN : 33-118-23-33-0009 LEGAL DESC : CRYSTAL CRF.EK : LOT 003 BLOCK 002 PERMIT TYPF. : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 5,300.00 NO'1'1;: DOOR RF;PLnCI�;Mt'NT APPLICANT PERMIT FF,E SCHEDULE 132.75 SNAP CONSTRUCTION STATE SURCHARGE(VALUATION) 2.65 8200 HUMBOLDT AVE S#120 TOTAL 135.40 BLOOMINGTON, MN 55431- Payment(s) Minnesota State License#: BUIL-BC638-61 CHECK 32971 135.40 OWNER WENINGER, MARK R JUILE 100 CRYSTAL CREEK DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT "I�he�cork for which this permit is issued shall be performed according to the approved plans and spccifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rclatcd�vork��hich requires separatc permits. All provisions of laws and ordinanccs govemine this rypc of work shall be compied with whether or not specificd herein.This pemiit will expire and become null and void if construction authorized is not commenced��ithin 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time aftcr work has commenced. I'he applicant is responsible f�or assuring all required inspections are requested in conformance with the State Building Code.This permit may bc revoked at any time for duc cause. ��— / . Y v Applicant P e ignaturc Datc Is. B��Signature Date ' ` City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �^� Mailing Address: / �-0�� PO Box 66 Permit number: / 1 Crystal Bay, MN 55323-0066 Date received: � , � � Street Address: Received by: �,� '� �J 2750 Kelley Parkway Plan review fee: �� Orono, MN 55356 � F��k�s�p�� ___-- 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: �,/ / r Job Site Address: � r Cr��i� �G, d�Uj�� rn/V 7�.3✓�O Will this be a Parade of Homes, Rem delers Showcase Home or other Display Home? ❑Yes '�No If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi/l be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Srj�,�b CUr1,S"�77AG�76Y� State License# aC� ��(0� Expiration Date: � �� p� Lead Certification Number: L�'�-Gj7� Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) �p/Z-333r Io2� Mailing Address: (�j p p � �� City: pp �� h ZIP: G'j l�.�f Contact Person: r Applicant is: rac r Homeowner (Circle One) Email and/or Fax: p�, � /'j�, }� d l7. 0 PROPERTY OWNER INFORMATIOH: Name: �'f(�,�^�' tl� �'f .�f" Phone (day): Z— !� G,J Address: p� f f City: Q � o ZIP: S$�35�0 Email and/or Fax: PROJECT INFORMATION: Overall pro�ect descri tion: Type of Project: Any earth movement may also require �Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ � D 0 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 by law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: Date: Owrer's Signature: Date: Last Updated:03/06/2013 5� p E TIME � CITY OF ORONO CALLED IN 7" �NSPECTION NOTI E SCHEDULED � _�� ERMIT NO. —� 7 COMPLETED ADDRESS �BD L�� f' OWNER TELEPHONE NO.��a -333 7�� CONTRACTOR �� DESCRIPTION �� -� �� I✓� � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � AL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a P.��D 17l�Q� R QDI�� — j o ,S��t S1Zc — �. � � ° ��o Ga� a0/"b vva�� W � �te�. �a. — s�4.l�.f� Q � W (.v a✓� �z..�e�•-� — W — � � J � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WOFiK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice