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HomeMy WebLinkAbout2010-00561 - doors CITY OF ORONO PERMIT NO.: 2010-0056� � 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 07/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4030 DAHL RD PIN : 07-117-23-11-0022 LEGAL DESC : PIRATES COVE : LOT 018 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 5,630.00 NOTE: REPLACE(3)PATIO DOORS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 132.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.00 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MISC FEE 0.00 (612)502-4777 MAIL-IN FEE 2.00 Minnesota State License#: 20130983 TOTAL 139.75 OWNER GILBERT,JAMES&MARY 4030 DAHL RD MOUND, MN 55364 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 governing this type of work shall be compied with whcther or not specified 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 with the State Building Code.This permit may be revoked at any time�or due cause. `�-� L+^ / / / / Applicant Permitee Signature Date Issued By i nature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OV . Ju1-07-2010 02:32pm From-CITY OF ORONO +9522494616 T-349 P 002/002 F-317 —••> ... �r� v��V - � Building Permit A�plication for Internal Vllork (windows, r��oors, sid�ng� re-toof, etc.) Malling Addig9s: ��'��7' P0 9ox 86 �' permit r�umber: �0/D-G}� � Crystel Bay, MN 55323-0068 Date reoe�ved: � /D '� 5heetAddreas: Reoeive4 by: 2760 Kelley Parkway `k �y� O�ono,•INN 55356 p�an revl�wfeo: Mein: 962-249�4800 Fax: 682-Z49-4818 }��ci.o�nn`�n L� r�+e1 Fe�: �`/,39��� This appllcation f+onr� rnuat be cpmpleted in Tull and all required fnform�tion must be aubmitted. Incomplete appllcabons wl(I be retummd. (P/eese print) C3ENERAL INFORMATION: Job SIM Addross: y� � �Q�� �Q Wiil this be a Parade of Hornes, Remodelers Showcase Home or other Display Home? Yes yY�, e spacle/o ver�pernyt Is roqu�rsd witlr PoAoe pep,ynn,ent end Gl�y�ounci/apprv�a/80 d�ys prior b h�s ewnt. gt,utNe bw se,y;«w1u� 0 �equ/red unleea sppporn►demonansro�sc�Rlcient on-a1M,oeMdnp is ove�lap/e. /�,rt.perm/tfsd eventa wlfl►at 6e e�bw�e0, CONTRACTOR/APPLICAN7INFORMAI'IQN; Name: .� Renewal By Anc�eS�et� � I . P h o n e:��n�e* - 1920 Co i u�ty R o a d '�C,� Wes t��' ' E x p i re t i o n D a t e� Ma(ling Address: R�seville, MA1 55113 �', " - celt Contact pereon: �` Licens�#20130983 C'-�__ Zlp: Email andlor Fax� 65l-264-4777 , �t is� Ccntractar / NQmeowner �ci�cio o�.� PROPERTY OWNER(NFO MATION: rvarna: G ' �V3L.(:� Phone da � � Y)� .y� . Address: �5: �mail and/or Fax Cit : Z�p: PROJECT INFORMATION: lyps of Projece� Any,sarth movsmertt may raqule� ❑ Door(a) ❑Remodel ❑Weter pamege � MCWO rovisw g perm�t� ❑Window(s) []Repe�r ❑3torm dBmage F Mlnnehahe Creek Waterehed Dist�ict(MCWU) 7820�Minnetonka Blvd ❑ Sidinp ❑Reaboratlon � � � � Deephaven,MN 53381 ❑Other. (Specify) �' Phono: 852-471-056p []Re-�Of ❑Fire pam�ge ;' ` . Fex: 982-47�-0882 Ovar�ll Pro eet Dsscri tlon: www•minnengn�►,poo-,,.,,. Eslimatod Constructlon ValuaHon of Pro ect o Cludln laqd) � ��� �� ' � APPLICANT ACKNOWLEp�E�pENT: • A6fe��provlde all irTfomtation required or requeated bythe euilding Oepertm9nf� ' � C6RNle8 thet the Inforrnation supplied is true and cortoc.i 1p me best of hle/her knowled 7he e are solely reaponaible 1or supmitfing a camplete application beinB awe� th1�t upon feilu�re to d�ao,fhe�staff heanr�io altematl�ve but t0�ejeC1 k undl it ia cornplete; � Some or all oi the fMormat�on that you are asked t� pro�ide on th(s applicatlon i' claesiRed by State law as Bither oonPfderKial. Privele data ia intormation which genera��y ���o� p� A�en to the publlc but Can be n►en to 1he eub �V�e ar deta. Conffdentfal data i6 information w}�iah generally can�ot be gfven to e(ther the public or the eubject of the date. Our purpose and Intended uee of th;s Inlprmation Is tc annuelly update our recorda end records of oth�rr gp�ernmental egence8 re ulred b law. IP ou refuae ( a I the fnfarmetion the e f tion ma not be lasued. ,!1,Ci " I�./ OPl��ant's Signature: ��v/ O � � Del�: � � i�l Uptlefed: DS.Oq-2009 2 "d 06S9bG9TS9 3�IA213S 1IW21�d a � S I'I G0 �4T OTOZ GO i�C DATE TIME ✓ CITY OF ORONO CALLED IN � ICc%�� INSPECTION NOTICE SCHEDULED ' PERMIT NO���v' S�' � COMPLETED ADDRESS �fd�� ���^ i 2� OWNER TELEPHONE NO.f � t� ��'�` ���' CONTRACTOR � � �'�'E'-�'°' � ��°`-`�� >; DESCRIPTION � �` J � G�u� �_, � •� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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. O FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ��►A � �� �c�'� � W a � J O �. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �pROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor o site: . � Inspector. o _a�� L_� White Copyllnspector's File Canary CopylSite Notice