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Home My WebLink About2011-00213 - doors y„ CITY OF ORONO PERMIT NO.: 2011-00213 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/25/2011 9�2 249-4600 FAX: 952 249-4616 ADDRESS : 1960 FOX RIDGE RD PIN . 03-117-23-13-0011 LEGAL DESC : FOX RIDGE : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING - UNDEFINED -- VALUATION : $ 2,650.00 NO�I'F_: RI:PI.ACE 1 PATIO DOOR WITI IIN EXIS'I�ING OPGNINGS � �__ � �_ APPLICANT pERMIT FEE SCHEDULE 88.50 f RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 1.33 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (612)502-4777 MISC FEE 1.67 Minnesota State License#: 20130983 TOTAL 93.50 OWNER MORISON, LUC[A 1960 FOX RIDGE RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT Thc N�ork for which this pennit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State 13uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires scparatc � permits. All provisions of laws and ordinanecs goveming this type of work k shall be compied��ith��hether 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. iThe applicant is responsible for assuring all required inspections are requested in confonnance with�the State I3uilding Code.This permit may be revoked at any time for duc cause. �� / / / / Applicant Pennitce Signature Date Issucd By; nature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED OVE. ,► `'� City of Orono � 0`�j Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: � PO Box 66 Permit number: � Crystal Bay, MN 55323-0066 Date received: �� ;�O �., O�, �, ,;u. ;I �,;� �i��c�-'<, a�j; Street Address: Received by: �c� �,� '" `�� 2750 Kelley Parkway Plan review fee: r9kESII��`'� 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: I Q �Q � t � . WII this be a Parade of Homes, Remodelers Showcas ome or other Display Home? ❑ Yes ❑ No lf yes. a special event permit is required with Police Department and City Council approval 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/APPLICANT INFORMATION: Name: Renewal By Andersen State License# 1920 County Road "C" West Expiration Date: Phone� Roseville MN 55113 (cell) Mailing Address: � City: ZIP: Contact Person: License #20130983 t is: Contractor / Homeowner (Circle One) Email and/or Fax: 651-264-4777 PROPERTY OWNER INFORMATION: Name: _ L l,�L; YY�p�('�S o�r� Phone (day): -� Address: �� _y�-3— Sa�- City ZIP Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require �,,(Il� °`"�a a�� w1�� X`5�� MCWD review 8�permits � Door(s) �-Q ❑ Remodel ❑Water Damage ❑ Window s Minnehaha Creek Watershed District(MCWD) ( ) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration Deephaven, MN 55391 ❑ Other: (specify) Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ a (p�Q— 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; i • 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 i 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYsSignature: r_„�J Date: �( AQ(�� l� Last Updated: 05-04-2009 � � `�� TE TIME V CITY OF ORONO CALLED IN � �/ /� INSPECTION NOTICE SCHEDULED �� PERMIT NO.�a��-oa�3 COMPLETED ADDRESS D �/�- OWNER TE EPH NE O. � �� CONTRACTOR ��C- �� >; DESCRIPTION ��%'� " ,7��"�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL , ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA�( ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES L NO / � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED (�PROJECTCOMPLETE Y ` W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site- Inspector. � �.J l � White Copyllnspector's File Canary CopylSite Notice