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Home My WebLink About2014-00510 - doors CITY OF ORONO * Z 0 1 4 - 0 0 5 1 0 * ' 2750 KELLEY PARKWAY DATE ISSUED: OS/30/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2560 DUNWOODY AVE PIN : 20-117-23-21-0023 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 004 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 2,050.00 NOTE: REPLACE PATIO DOOR APPLICANT PERMIT FEE SCHEDULE 88.50 STATE SURCHARGE(VALUATION) 1.02 WINDOW WORLD MISC FEE 0.00 221 l 11TH AVE. E. #130 MAIL-IN FEE 2.00 ST PAUL,MN 55109- TOTAL 91.52 (65l)770-5570 Payment(s) Minnesota State License#: BUIL-BC356847 CHECK 20730 9l.52 OWNER ESTOCLET,JILL 2560 DUNWOODY AVE WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordin�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 goveming this type 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 after work has commenced. The applicant is responsible for assurin�all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time ror due cause. �_/y,-----`-r, / / Applicant Permitee Signature Date Issued By i nature ��2�%� Date . � y - j�� , City of Orono � o� � � Sa Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: ��,0,�. PO Box 66 Permit number: O � O Crystal Bay, MN 55323-0066 Date received: �' °' Received by: � ��'��.'`i�:r �,JI Street Address: �,t,�� 2750 Kelley Parkway Plan review fee: ��'� Orono, MN 55356 9kESH�4/ �>- —_ = 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: Job Site Address: ' � � � J�� Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? ❑ Yes If yes,a special event permit is required with Police Department and Cit ouncil approval 60 days prior to the event. Shuttle bus servi e will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � ,�, � • '1 � , State License# ��l��y� Expiration Date: � Lead Certification Number: �'�.-r_ c��''�p'�Cj_� Expiration Date: ��_�T��- (for work on homes that were constructed prior to 1978 Phone: �� _ ��C - �-1�� (office) (cell) Mailing Address: � \� � City: ZIP: c- � Contact Person: ��- Applicant is: ntracto / Homeowner (Circle One) Email and/or Fax: �I�,�/�oQ L �i �l y� �� `��n . ��) PROPERTY OWNER INFORMATION: Name: ��,� ��, Phone (day): �`o I -`7l5- c1��h Address: a�( �j n�a�,r�;rx�� "�+v-� City: ��l,v-Y��, ZIP: ��3� � Email and/or Fax PROJECT INFORMATION: Type of roject: Any earth movement may require oor(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair [; Storm Da�nage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: � Estimated Construction Valuation of Proje t(excluding and) $ 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 re uired b law. If ou refuse u I t e inf mation, e a lication ma not be issued. ApplicanYs Signature: Date: I Last Updated: 08-09-2011 \�— ' ' DATE TIME V CITY OF ORONO CALLED IN �_ �_ INSPECTIONNOTIC _�OC'b SCHEDULED G � PERMIT NOo� J OMPLETED ADDRESS �5 � �� OWNER TEL P�J ONE N . -s�- O SS D CONTRACTOR � �'�v �CX- l � a DESCRIPTION ��U <�� `�" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a �l�lo poo✓ (��p�4� c�...c�•c L� — � � O � �4�.Q S iZ,e ' 0 � ti � . • � /"'��1�5� `7L41 h.< �JC-fiCi�c,r � .ACi��" Q � � l Nl�� W � W � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WIIL RETURN �� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for th t inspection 24 hours in advance. (J52� 249-4600 Owner ontractor on site: ��. Inspector. � White Copyllnspector's File Canary CopylSite Notice