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Home My WebLink About2013-00670 - doors � � ' CITY OF ORONO * 2 0 1 3 - 0 PJ 6 7 0 * 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1815 FAGERNESS POINT RD PIN : 17-ll 7-23-22-0033 LEGAL DESC : MAPLEGATE INLET : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDEN�I�IAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILD[NG - UNDEFINED VALUATION : $ 2,050.00 NOTE: REYI,ACE EN"1'RY DOOR. APPLICANT PERMIT FEE SC}��EDULE 88.50 DENNIS SARELL CONSTRUCTION INC STATE SURCHARGE(VALUATION) 1.02 1 1368 RED FOX DRNE MAPLE GROVE, MN 55369- TOTAL 89.52 (612)723-2354 Minnesota State License#: IR665951 OWNER HYLAND, ANNA & SEAMUS 1815 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this pemiit is issucd shall be peribrmed according to the approved plans and speciYications,applicable City approvals,and the State Building Code. "I�his permit is for only the work described and does not grant permission for additional or related work which requires separate pemiits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein."I�his permit will expire and become null and void iY construction authorized is not commenccd within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. I�he applicant is responsible 1br assuring all required inspections are request �conformance with the State Building Code "I�his permit may bc revok at any time for e ause. ��-1�� , �-, npplicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �' City of Orono � Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) O Mailing Address: Permit number: �0/�-��0 7� PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: 7-� �/3 Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: `� �' Orono, MN 55356 Q tqKFSH�� / � �� 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: � �� / � � ��1�5�' ��_ � c� _ Will this be a Parade of Homes, Remodelers owcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approva/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/ PUCANT INF MATION: <t- Name: �' n ��( l ,,� �Yu��,� .�L.!�c State License# �r � Expiration Date: 2y a6( Lead Certification Number: �,/��`_ �r� J�� ._ f Expiration Date: S'`_ � �._., `�-(�� (for work on homes that were constructed prior to 1978 Phone: (cell) ( -��. �' (office) Mailing Address: � `a�. r�.� City: a /� ZIP: �"''3 6� Contact Person: ��,�, ' �,-��/ Applicant is: o trac r / Homeowner (Circle One) Email and/or Fax: ��S`�T S f(�t b Q ;�or-�v� .- ca.�-7 PROPERTY OWNER IN ORMATION: Name: � � .�� Phone (day): C� — �j'7 - ( Address: �r� a�e:.��-5'S , o� City: Q✓'d,2o ZIP�S� � / Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require �oor(s) �Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 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 required by law. If ou refuse to su I information a lication ma not be issued. Applicant's Signature: Date: � � � ��3 Owner's Signature: Date: Last Updated:03/O6/2013 '� " DATE TIME V CITY OF ORONO CALLED IN 7� � INSPECTION NO-yT-,ICE �{/y SCHEDULED ��z.3�/3 �?.:3� PERMIT NO.OR/�� "�VF/`� COMPLETED ADDRESS l �` OWNER T PHONE N ' - CONTRACTOR G� � �: DESCRIPTION ��` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a x J O a � O � W � Q � Z W � W � � � d � ❑WORK SATISFACTORY:PROCEED �$pJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR FEINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � GTATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor on site: Inspector. �� ,� White Copyllnspector's Fiie Canary CopylSite Notice