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Home My WebLink About2010-00226 - patio door � CITY OF ORONO PERMIT NO.: 2010-00226 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/22/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2225 DEVIN LA PIN : 03-117-23-21-0012 LEGAL DESC : THE NURSERY : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�I TYPE : DOORS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 3,024.00 NOTE: REPLACL;(1)PATIO DOOR WITHIN EXISTING OYENING. APPLICANT PERMIT FEE SCHEDULE 103.25 RENEWAL BY ANDERSON STATE SURCHARGE(VALUAT[ON) 1.51 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 106.76 Minnesota State License#: 20130983 OWNER HUST, DAVID&HEIDI 2225 DEVIN LA LONG LAKE, MN 55356- 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. "1'his permit is for only the work described and does not grant permission for additional or related work which requires separate permits. AII provisions of laws and ordinances goveming this[ype of work shall be compied with whether 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 atter 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 for due caus . j � � �, '� . ,^.. — 's App � ant Permitee Signature �Date � � � � � � �� I�su�� y �gnature Dat SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. �� .�o REc�rv�Q a o� City of Orono APR 2 2 2010 I��.�� Building Permit Application for Internal W��oFORo� (windows, doors, siding, re-roof, etc.) � /-_ Mailing Address: �� 1C/ �,Q,0� Permit number: ' � ' � C� Y lV�� PO Box 66 /�� ;i�� „ Q�,� Crystal Bay, MN 55323-0066 Date received: �� ::�.. � �� - '..;;_. �.�; Street Address: Received by: � ��t��,��'_ °� 2750 Kelley Parkway Plan review fee: ,A IY �/ �r Esxo4`/ Orono, MN 55356 -- Total Fee: �`Cj� �� 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. (P/ease print) GENERAL fNFORMATION: Job Site Address: aaa S � ��Y1 O� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Renewal By Andersen State License# 1920 County Road "C" West Expiration Date: Phone: Roseville, MN 55113 (cell) Mailing Address: City: ZIP: Contact Person: License #20130983 t is: Contractor / Homeowner (Circle One) Email and/or Fax: 651-264-4777 PROPERTY OWNER INFORMATION: Name: U�2.�C�'� HUS�"' Phone(day): q� a ,y'}l�.(D9 I� Address ��a5 '��.U��n Lc�.v�..Q City� ZIP� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review 8�permits ❑ Water Damage ❑ Window s Minnehaha Creek Watershed District(MCWD) ( ) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration Deephaven, MN 55391 ❑ Other: (specify) Phone: 952-471-0590 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek orq Overall Project Description: � VJI.r� ; '� U Estimated Construction Valuation of Projec (excluding land) $ 3oa�+ �' APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; i • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they I 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 refuse to su I the information, the a lication ma not be issued. Applicant's Signature: �,n�l r''iy\� Date: � d �pr�f J J� Last Updated: 05-04-2009 - ,� �� . re �� al ,� ' ,,,, �,. � � � �>r ,�:.�,t x�► � w�„d�w .��i.�<<�»�•„� W S & D Permit Service 9533 - 367�� Street; North Branch, MN 55056 Phone 651-674-1766 - Fax: 651-674-6190 To Whom It Mav Concern: I am an authorized agent by Renewal by Andersen to pull. pay for, and obtain their building pern�its. l have enclosed a self�addressed stamped cnvelope for you convenience to mail the permit back to me. If there is a problem with this please feel free to give me a call at 6>1-674-1766. Thank vou tor vou assistance. , �l/l,Q�. ��YL� Kara �3enson WS&U Pennit Service 651-674-1766 - Phone 651-674-6190 - Fax ��J DA E TIME V CITY OF ORONO CALLED IN �=� v INSPECTION NOTICE SCHEDULED �� PERMIT NO.a�l� -'400�� COMPLETED ADDRESS aa a 5 �� L� OWNER T LEPHONE NO.�`� Z��d�� CONTRACTOR �>� , >'; DESCRIPTION �� — I �� _ � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FtLLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti O ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ��1'�PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED � fSSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. G 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. (952� 249-4600 OwnerlContractor on site: . Inspector. I� � White Copyllnspector's File Canary CopylSite Notice