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Home My WebLink About2013-00885 - doors � f 4 CITY OF ORONO *� - 0 0 8 g 5 * 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 70 FERNDALE GREEN P[N : 36-118-23-44-0007 LEGAL DESC : ALLO-RAE TERRACE : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING- UNDF,F[NED VALUATION : $ 3,425.00 NOTE: Rt:PLACE(3)F;N"I�RY DOORS-NO S'fRUC"1'URAL CI I.�NGI�:S. APPLICANT PERMIT FEE SCHEDULE 103.25 DENNIS SARELL CONSTRUCTION INC STATE SURCHARGE(VALUATION) 1.71 1 1368 RED FOX DRIVE MAPLE GROVE, MN 55369- TOTAL 104.96 (612)723-2354 Minnesota State License#: IR665951 OWNER BELLINI, CHRISTOPH�R& KELLY 70 FERNDALE GREEN WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT "I�hc��urk for which this pcnnit is issucd shall bc�erformed according to the appruved plans and specifications,applicable City approvals,and the State Building Code. 'This permit is for only the work described and does not grant permission ior 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 specitied herein.This permit will expire and becomc null and void if constniction autl�orized is not commcnced w�ithin 180 da}�s of the date of issuance,or if construction is suspended for a period of 180 days at any time afier�vork has commenced. The applicant is responsible for assuring all required inspections are reyuested ir o onnance with the State F3uilding Code.This permit may be revoked an � ime for due si�� ' �-,� l Applicant Permitee Signature Date Lss i d By Signature Date SEPARf1TE 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�O Mailing Address: Permit number: _ � D PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: yF � 2750 Kelley Parkway Plan review fee: � Orono, MN 55356 `�'CBSH�� /��; / L/ 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 app cations will be returned. (Please print) S��J� GENERAL INFORMATION:�-�� ,��rn�� Job Site Address: �' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ^No /f yes,a specia/event permit is repuired with Po/ice Department and City Counci/approval 60 days prior to the event. Shuttle bus service wifl be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP ICANT INFORMATION: Name: C..'✓l nr.� � �:,t,�Gl �r1S�'�c��r� �e1� State License# ,� � Expiration Date: �j --3 � �� -d(y' Lead Certification Number: �''�-j-- �� ';�.�'�C) •- Expiration Date: �-� �'f - � Q�� (for work on homes that were constructed prior to 1978 Phone: (cell) (02--`7�� 3`� (office) MailingAddress: /j f=dy� C'cl,-e City: a e r��P ZIP: Contact Person: S�;�� Applicant is: Contractor Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��( ��o �-�.�� d Yl i� Phone (day): �� - �-/'� _ Q ��' Address: �7C� f--��,� (� r��., City:(��p ZIP�`>; ��/ Email and/or Fax: � PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require �Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�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 th information, a lication ma not be issued. ApplicanYs Signature: «—,--- Date: '� � � ` ��'3 Owner's Signature: Date: Last Updated:03/06/2013 UDqT� TIME ✓ CITY OF ORONO c �� O L INSPECTION OT E �CHEDULED - - PERMIT NO� -O0��J cOMPLETED ADDRESS ,�D _L�!''/1G�2�! �� OWNER TELEPHONE NO. CONTRACTOR �i1((�ll�Grl.��D'��L L..e�-�• �; DESCRIPTION � ,� �� 5 '-' �«� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � d � ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERT�FICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. / . / White Copyflnspector's File Canary CopylSite Notice