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Home My WebLink About2013-00563 - doors , .� CITYOFORONO * z0 13 - 00563 * 2750 KELLEY PARKWAY �ATE ISSUED: 06/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 70 FERNDALE GREEN PIN : 36-118-23-44-0007 LEGAL DESC : ALLO-RAE"rERRACE : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 7,982.00 NO"I�E: fZl?PLACE(2) PATIO DOORS [N"I�O EXISTING OPN,NINGS. APPLICANT — PERMIT FEE SCHEDULE 162.25 THE HOME DEPOT A.H.S. STATE SURCHARGE (VALUATION) 3.99 2690 CUMBERLAND PKWY, STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 168.24 Minnesota State License#: 20268257 OWNER BEI.LINI, CHRISTOPHER&KELLY 70 FF,RNDALE GREEN WAYZA7'A, MN 55391 AGREEMENT AND SWORIY STATEMENT I�he work for which this permit is issucd shall be perfbrmed according to the approved plans and specifications,applicable City approvals,and the State Quilding 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 governing this type of work shall be compied with whedier or not specified herein.'I his pennit will expire and become null and void if construction authorized is not commenced within 180 days of Uie 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 assuring all required inspections are requested in conformance with thc State Building Code.This permit may be revoked at any time for due cause. . � � �7� /3 �� 7� � App i ant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �'��,0,�. ,: PO Box 66 �� \; Crystal Bay, MN 55323-0066 Date received: RECi��E� r a ,� r�• a'i' Street Address: Received by: ;�'F, ��a4`��tj,��,�, �ti% 2750 Kelley Parkway Plan review fee: �l9kEs�Ko��-�'� Orono, MN 55356 ��R�� 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. (P/ease print) GENERAL INFORMATION: / Job Site Address: 7� �"� �n cl Q l � G 1'( t n Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f yes, a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: p�/� State �icense# THD At- Home Service, Inc, Q S� 3�l�" • G a y 7 Phone: 2690 Cumberland Pkwy, Ste 300 (cell) Mailing Address: Atlanta, GA 30339-3913 ZIP: Contact Person: Lic# CR268257 Ph. 763/542-8826 lomeowner (Circle One) Email and/or Fax: PROPERTY OWNER INF,p RMATION• / Name: (� ! r �G r �/!) / Phone (day): S� �$ j • Q 1� ;/ / f Address: u � �`/� G !'e�1 !Z Cit : W p z G'�G ZIP: �s3 9 I Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits ��or(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: p V C1�0 tl/, �`� a u �rn r Estimated Construction Valuation of Project (excluding la d) $ p 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 b law. If ou refuse to suppl the information, the application ma not be issued. ApplicanYs Signature: X � � Date: L �� f � Last Updated: 05-04-2009 � ;�,, / .9ATq TIME \ / CIN OF ORONO CALLED IN � ��``�/ I_3 �' � INSPECTION NOTICE SCHEDULED � ` PERMIT NO. =�C�3 CL'`%ic 3 COMPLETED ADDRESS �l- " � � -j' OWNER (��I,�i�� 'F�I "�T��CEFRONE NO. � ` CONTRACTOR � DESCRIPTION 4� '(f'Y� I� ) ��„�/t` I � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEP FINAL v fi ❑ FOUNDATION/REMOVAL � O�ONTRACTOR TO MEET YOU:�YES_NO c�.� COMMENTS: � W a 2 J O ). � O � W � Q � 2 W � W � j � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSU CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 2a hours in advance. (J52� 249-4600 OwnerfConVactor on site: Inspector. \ v White Copyllnspector's File Canary CopyfSite Notice