HomeMy WebLinkAbout2014-00750 - doors CITYOFORONO * 2014 - 0P1750 *
t 2750 KELLEY PARKWAY pATE [SSUE�: 07/15/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 345 FERNDALE RD N
PIN : 36-118-23-41-0028
LEGAL DESC : HILL O'WAY MANOR
: LOT 023 BLOCK 001
PERMIT TYPE : MINOR AL'I�ERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 8,353.00
NOTP,: RF.PI,nC}�: 3 Pn"I'IO DOORS WI"I�HI'� f�:XIS"I�ING OPENINGS
APPLICANT PERMIT FEE SCHEDULF 177.00
STATE SURCHARGE(VALUATION) 4.18
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C. WEST TOTAL 183.18
ROSEVILLE, MN SS l 13
(612)502-4777 Payment(s)
Minnesota State License#: BU[L-BC130983 CREDIT CARD 8788 183.18
OWNER
WILLIAMS,JAMES &JUDITH
345 FERNDALE RD N
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this pennit 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 additional or related���ork which requires separate
permits. nll 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 I 80 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 assuring all required inspections are
requested in conformance witl�the State I�uilding Code."Chis permit may be
revoked at any time for duc cause.
�� / /
npplicant Permitee Signature Date Issued 13y i nature Date
� � City of �rc�no
Building P�rmit Application for Mainten�nce / RenovatiQn
(windows, doors, sid�ng, re-roof, etc.)
MailingAddrgss' Permit number: � �y�b�� �
����Q CrystaXBay, MN 55323-0086 Date r'eCelvsd: -'�5^
Received by:
� ,, Street Address:
� ' � � 2750 Kelley Paricway Plan review fee:
���� Orono, MN b535B
Total Fee: ��� . I(�
Maln: 952-248-�4600 Fax: 852-249�616 .ci.o mn.us
7his application farm must be complefed 'sn full and ai!required Informatian must be submitted.
lncompEete applicat{ons wfll be returned. (Please print)
GEN�RAL iNFORMIA,TION: �y� ���
Job Sfte Address: • '
Wil!thls be a Parade of Homes, Remadelers Showcase Wom�or other Display Home? ❑Yes No
lf yea,a speciaJ evenf permft 19 requir�d wlth Police D9pa►tmenf and City Councif approva160 deys pnor fo fhe avent. Shu�e bus servlce wilf be
requlred unless applicant demonstrstes sui�icier?f on�ite parking is av&lla6le. Nbn-permitte�d events wl!!not be allOwed.
COWTRAGTOR/APPLICANT IN�ORMATION:
Name: i�. \ ��{-'���
State License# '$G1�09 Expiration Date: 3 f 3
Lead Certlflcation Number: �j�'j'.- ��a$3 - Exp{ration Date: �(
(for wnrk o�r homes that were constructed prior to 1978� (Cekl)
Phone: (o�J�� o� -�0�' ,�q (oftice)
Mailing Address� 1 � _ "� �• �• UJeS-'r C�tY'�C �11� ZIP: SS 1 3
Contact Person: Applicant is: on or / Homeowner �c��+a ona�
Email and/ar Fax:
PROPERTY O'WNER{f�FORMA710N:
Name� �',�n., `���- 0.�'�n �
Phone (day): �1`'SZ-- (D _ C��: ZfP:
Address: ^
Email�nd/or Fax M
PFtpJECT INFOi�MATION:
Type of Froject: My earth movement m�l require
IVICWD revfew&permits:
� Door(s) ❑Remode! ❑ Fira Damaga Mlnnehaha Creek Watershed bistrlct(MCWD)
❑Fte-rpof,asphalt ❑I�epair ❑Starm Damage 18202 Mlnnetonka Blvd
Deaphaven, MN 55391
� Re-roof,cedar ❑ Res#o�'dtlon ❑Water Damage Phone= 952�7�-0590
[�Re-roof,other(specsfy) 0 Sfding �Other:(specify) �ax: 952�71-0682
www.minnehahacrEek.o�r
❑1Mndow(s)
Overafi Pro sct Description: "Pz �aG¢ �3 �i �-�b �or"r S C.�I:'^ :Sf' Q �
Estimated Construction Valuatlon of ProJect(exctudin land $ $ �S
APPLICANT ACKN4WLEDGEMENT:
. Agrees to provlde ail information required or requested by the Building Depa�tment;
. Certifies th�t the informatlon supplled is We and correct to the best of hls/tier knowledge. 7he applicant recognizes that they
ere s�lely responsibfe for Submitting a complete apptication being aware that upon failure to do So, the staff has rto altemative
but to reject it untll It is Complete; �
. Some dr alf of the Information thaf you are asked to provlde on th(s appEicabon is classfied by State Iaw as either private or
confidentlal. P�ivate data 1s informat;an whiCh gen�rally cannat be giv�n to the publla but can be g�ven to the 5ubject of the
data. Confid�ntlal data �g �ninrmatlon which generelly cannot be given to either the pLlbflc or th6 subjoCt af the data. Our
purpose and intended use of this informaUon ls tv annually update our records 8nd recorcis of other govemmental agencias
re uired b lsw. tf au refuse to su 1 the information the a lication me not be issu�d.
Date� ���U�`;�'�d
At�olicanYs Sian�fi.ire: � (f
DATE TIME �V�- `
CITY OF ORONO � CALLED IN
INSPECTION NOTIC� SCHEDULED
PERMIT NO. � COMPLEfED ,f�
ADDRESS �S�� _S �rrt.��e �•�'• /I�•
OWNER TELEPHONE NO.
CONTRACTOR �h�*-1 ��—���
�; DESCRIPTION �� r��� `
�
lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
�,��NAL 0 SEWER HOOK-UP "❑,�C�O�MPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. o1�+�dLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
2 OWNEFiICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a /Qe✓w�•� lta�i� ,_ -�.l,e� �$ c..t �/ �'a� 4
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� ❑WORKSATISFACTORY:PROCEED '�PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O C�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
I for the next inspection 24 hours in advance. (952) 24g-460�
nerl tractor on site: J4/JQ GtliGl«•+�r
Inspector. �^-�
White Copyllnspector's File Canary CopylSite Notiee
✓
DATE TIME
CITY OF ORONO CALLED IN !t�-!�
INSPECTION OTICE SCHEDULED /D-f'--1 5L :
PERMIT NO. �� COMPLEfED
ADDRESS ��S �.���I�'
OWNER TELEPHONE NO. �5��.�Lo y��OeE�
CONTRACTOR 1���-�� �� ���+�/��
� DESCRIPTION ��- ���- �^�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED C7 UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. J5 � 249-46��
OwnerlConVactor on site:
Inspector. � ���
White Copylinspector's Ffle � Canary CopylSite Notice