HomeMy WebLinkAbout2016-00766 - doors CITY OF ORONO * Z 0 1 6 - 0 0 7 6 6 *
2750 KELLEY PARKWAY DATE ISSUED: 06/30/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2755 DEER RUN TR E
PIN : 04-117-23-13-0014
LEGAL DESC : CRYSTAL BAY PRESERVE
: LOT 007 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTIVITY : O/S BU[LDING-UNDEFINED
VALUATION : $ 29,772.00
NOTE: REPLACING(2)ENTRY DOORS
APPLICANT PERMIT FEE SCHEDULE 490.12
STATE SURCHARGE(VALUATION) 14.89
MINNESOTA RUSCO, INC. MAIL-IN FEE 2.00
5558 SMETANA DRNE
MINNETONKA, MN 55343- TOTAL 507.01
(952)935-9669 Payment(s)
Minnesota State License#: BUIL-002173 CREDIT CARD 0722 507.01
OWNER
STAHL&CYNTHIA ARNOLD, PETER
2755 DEER RUN TR E
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shal►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 gran[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 specified herein.This permi[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 alI required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date ssued Signature Date
��6/3�/2016 14:25 952-935-9544 MN RUSCD PAGE 02/02
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B�aa�d�ng P�rmit Apppdca�ion fiar 11l��int�a���a�� ! R�pia�emer�� 1 Remodei -� �iesRde�t'sa� Q��,Y
Qe.�. qn�ieadawr��, c��,ors, sad���c�, r^-��ca�'. ^dc. -- �d� ��"�;�.6�TUE��L, ���l�.k��9��E)
�� �_� Mailin.q Addr'ess; Rermit number, ���/ `�
�V PD Box 66
Crystal Bay, MN 55323-0066 Dato received: �
Str�Qt Address; Recefved by:
�F ! � � ; 275D Kelley Parkw�y Pian review fee:
r,� , �,�' Orono, NfN 5535G
�rR r,511 C>'�
'tOtal Fee: I
� Main, 952-249-46o0 Fax: 952-249-4616 ww�nr.ci.orono,mn.4� Q�1 �
This application form must be campieted in fulf and all required information must be submitted.
incomplete applic�ations�nrili be returned. (F�Ieaso print)
G�N�RA�INFORMA�'f0[�: r
Job Site Address: Z�l rj� ���� I�V rl rG��� � a � �� o lu/U �c3��
Vl/itl this be a F'arade af Homes, Remodelers Showcase �orne or ather Display Hom�7 ❑ Yes No
If yes,a speGz�l evont permr't is�quir�d with Police Departmenf and C;ty Counc,�approv�l 6Q days prior to fhe cv�nt. Shuftle buS senrice �!1/be
requlred unless applrcent d�mOnstrates suft7clent on-sRe parldng fs available. Non-permitted events wll!not bo aJ/owed,
COfVTRACTOF2/APP/�,�ICANT INFORMATfON:
Name: ``'��.�����. �.V S�� ��� . ....__ ,,.._
State License# G¢,1��-�,�� Expir�tion Date:
Lead C�rtification Number: �xpiration Date:
(for work on homes tha#were consrructed prior to 1975 ����
Phpne: (cell) � (office) ���-� �j� ��g
Mailing Addr�ss, �p�d �t1V (o City: ,ZiP: � _�
Contact Person: r - Q -� Applicant is: n actor / Nomeowner �circ�o one�
EmBil 8t1d/OI'Fr�x: C,�1F � II�; "J(�-GpM
PROPEPTY 01NN��NFORMAi 10
Name: � �P.�''� "� h � _..
I�hone (day)' �'2�. 92.� � ll $y
Address: _ �Z� S� ��r- t�V_,rl ��'�� � �.r Ciky; Q�/Jr7� _ZIP� jr,7��j�0
Emaif and/or Fax: �� i �.Co
PROJECZ 19VFORIV�ATpON: Ouerall ro'ect descri tion�
Type of Project: Any e rkh movement may also rcquir�
'�D�or(s) ❑F2emadel �Fire Damage Mcwp review 8�permRts:
❑ �te-roof,asphalt ❑ M�opair � Storrn �amage M;nn�haha Greek Watershed Dlstrict(MCWb)
1�320 Minnetanka�ivd
❑ Ro-roof,cedar ❑ Restoration �Water Damage Minnotonka,MN 553�i5
❑ Re-rooP, other(spec�ijr) ❑Siding ❑ Other, (specify) Phone: 952�71-0590
Fax; 952-471-b682
[�Window(s) www.minnehahacre�+l<,ora
Estimated Construction Vafuation of Project(excludio�g Cand) $ Z`I '"1 �`Z.
APPLIC6\IVT ACKMQWLEDG�M�NT:
• Agrees to provide all information required or requested by the Buiiding D�partment;
� Cerifies that the information supplled is true and correct to th�bost of hislher knowledge. The appiic2nt rec❑gnizes t'�at they are I
solely resporrslble for submitting a compl�tg appfication being aware that upon `aiiure to do so, the stafi has no alternative but to
reject It until if is complete;
� Some or a'I of the information that you are askod to pmvide on this application is classified by State law as elther private or
� confdenilal. Priv�te data fs information which generally r,�nnot be given to thc pubfic but can be g}ven to the sub.ject of the data,
ConfidEntial dat� is inform�fion whlCh generally Cannbt be given to oithcr the pubfic or the sUbj?Ct of the d�t�. Our purpo;e and
intended use of this information is to annually update our records and records of other govornmantal agencies required by 1aw. if
ou ref��se to su 1�ihc info ian Che application may not he issucd. _�
Applieanfs Signat�ar�; ..- --_-- Date: ���(�_..,..,._.---.
Owner's Signature; ��te;
1.�st Clpdated;Januery 2013
���,.y..,�.,.,,�...,�.��.,._._— �,._ _. �„_„----� ---
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED — ' ��
PERMIT NO. � OMPLETED
ADDRESS o�.7 SS � �� //�/�� �
OWNER TELEPHONE NO. � " °� 7O��7�_
CONTRACTOR �S� �/��
�; DESCRIPTION `���C� ��S
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4! ❑ AS BU�LT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �ja�rROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. L
White Copyllnspector's File Canary CopylSite Notice