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Home My WebLink About2015-01604 - doors � '' CITY OF ORONO � 2750 KELLEY PARKWAY * z 0 1 5 - 0 1 6 0 4 * DATE ISSUED: 12/3ll2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2927 FARVIEW LA PIN : 04-117-23-34-0010 LEGAL DESC : FARVIEW : LOT O10 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-LINDEFINED VALUATION : $ 20,000.00 NOTE: REPLACE(5)EXTERIOR DOORS AND(2)WINDOWS APPLICANT PERMIT FEE SCHEDULE 35622 STATE SURCHARGE(VALUATION) 10.00 NOREEN CONSTRUCTION INC TOTAL 366.22 265 3RD STREET SW DELANO, MN 55328- Payment(s) (612)720-3860 CREDIT CARD 6050 366.22 Minnesota State License#: BUIL-BC381014 OWNER HARRIS, RICHAGALE 2927 FARVIEW 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. This permit is for only the work described and does not grant permission for additiona►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 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 l80 days at any time afrer work has commenced. The applicant is responsible for assuring a11 cequired inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ^ %'�' � e,�� ` 2»�3/ �l.S plicant Permitee Signature Date Is u d y Signature Date � t City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �r Mailing Address: /-Q L/ �O�V PO Box 66 Permit number: �_�s' U / U/ � C rystal Ba y, MN 55323-0066 Date received: �2-�/' /S Street Address: Received by: y�, � 2750 Kelley Parkway Plan review fee: `1kESH� �G Orono, MN 55356 � � 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: ,��7 ��,�,� ��,1 LL, S c,� 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. Shutt/e bus service wil/be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLIC�4NT INFORMATION: Name: /�c'�iI`E��1 �%�5�; ...1 hC. State License# :�C 3 3 I D! �l Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) ��,�_ �� 3S(�G (office) Mailing Address: ��,s" 3�'�Q 5�= .S� ��tY� �Q (a��v Z�P� � SS3vZ� Contact Person: �(� p��C,-� Applicant is: Contractor / Homeowner (Clrcle One) Email and/or Fax: j �1oy��Cn � c� m��l � �r.�'1 PROPERTY OWNER INFORMATION: / Name: �ctlE �t1^r�s Phone (day): Address: v��I�7 ru✓��;�- 1� 5w c�ty: G r��U ziP: S3S� Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: �4 .S ,Cx f fr'��i� �;� f . w;v�o„v;, Type of Project: Any earth movement may also require �Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ 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) $ �o,Cxx�, UU � 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 the ' formation,t a licati n ma not be issued. ApplicanYs Signature: � �--� Date: I � 3 l�/,5 Owner's Signature: Date: Last Updated:January 2015 DATE TIM CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED PERMR NO.��'��Q 7 COMPLETED � � D��1� ADDRESS � F'o.�veec� L OWNER 9 a� TELEPHONE NO. CONTRACTOR �/'��K c�sZ.`. Zr�t• � DESCRIPTION �°k/,ou� 2e��• 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 v �INAL ❑ WATER HOOK-UP �FOLLOW-UP 4Q1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICODfTRACTOR TO MEET Y�U:_YE8_NO y COMMENTS: �/••�� /Faro�.- �'a•/�A � c4 /� �c,/ 4 � . � � �iKtL /�15/l��ityl '— 0 ' l�d O� �o rvtG� �` oZ w �kao� f� l. - �c.ri� S ra� d s�'1�� O /�, (��D�l�6-�� 0.4/l� - W � Q ? I�1/D r!L �/G��4/S CD w(/,��Q"� � W � � J � ❑WORK SATISFACTORY`.PROCEED �OJECT COMPLETE W ❑CORRECT VMORK 8 PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY OO ❑CORRECT WOpK,CALL FOR REINSPECTION TFJdPORARY V BEFORE CONERIN(3 pERMANENT ❑(bRRECTUNSAFECONDITiONWffHiN HOURS. O PHOTOTAKEN INSPECTOR Wlll RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the rrext inspection 24 hours in advar�ce. (952) 249-4600 OwnerlContracMr on site: Inspecta: ��.� White CopyAnspecto►'s Ffl� C�nary Cop�IlSlb Noda