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.
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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
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- � 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�:
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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�'�
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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_�
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