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HomeMy WebLinkAbout2009-00204 - doors CITY OF ORONO PERMIT NO.: 2009-00204 2750 KELLEY I'ARKWAY ORONO, MN 55356- DATE IssUED: OS/04/2009 . 952 249-4600 FAX: 952 249-4616 ADDRESS : 1220 GARDEN CT PIN : 07-117-23-32-0045 LEGAL DESC : TONKAVIEW GARDENS : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 1,200.00 NOTG: REMOVE WINDOW&REPLACE W/DOOR IN SAME HEADER APPLICANT PERM[T FEE SCHEDULE 47.75 NEW SPACES EXPRESS LLC STATE SURCHARGE(VALUATION) 0.60 2105 W 143RD ST. TOTAL 48.35 BURNSVILLE, MN 55306- (952)898-5309 Minnesota State License#: 1586 OWNER ERICKSON, RICK 1601 SUNNYBROOK MINNETRISTA, MN 55364- AGREEMENT AND SWORIv 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[3uilding Code. This permit is for oniy 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 wmpied with whether or not specitied 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in�nformance with the State Building Code.This pern�it may be �/�/ 1 revoked at an time for due cause. �'` �� �`.���4 �--; y , �;� '-� �--�t c`Y��c�� � C� > Applicant Permitee Signature Date [ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application �—_„ Mailing Address: Permit number: ��;0,�.� PO Box 66 '� �' Crystal Bay, MN 55323-0066 Date received: ��; � ,� �'���_ �,��� StreetAddress: Received by: ��',�,� '°��r.�,:9_ �ti!% 2750 Kelley Parkway Plan review fee: kESHoY�`� 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: ��?r,? � �'�.n��',.� 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 Counci/approva/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 I APPLICANT INFORMATION: Name: �/,�"., �S",rz �.E _r State License# � / �� � Expiration Date: �/,,•�j/��, Phone: Y,��- g3 P'�' - .S 3�� �� (office) ��-3,4 �?- ii� � (cell) Mailing Address: �� v_� w, �y� " � .s; City: ,/�4„�� ��,�/-= ZIP: ,s',S�� Contact Person: `-� � -�� � Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: f�, � y,�w�-,o� �c S - �o ..,, y�-�- ���; -�� yg PROPERTY OWNER INFORMATION: � Name: r � /-z� ����o.�. Phone (day): Address: 1�r2 u ��.���j-,,, �r— City: 6 2,� ,,rio ZIP: �s���� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits �-�Door(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: �,��,�� �,,,ti �a,,,, �,, �,� ,�,� ��� _,z Estimated Construction Valuation of Project(excluding land) $ ��9�, o� 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 you refuse to supply the information,the application may not be issued. ,--��� ApplicanYs Signature: / � j_���, Date: ���'' CHECIi OFF LIST FOR ISSU.4NCE OF PERMITS • FOR OFFIC� USE ONL I' ADDRESS OR LEG_qL: �22.o GA�taOL+-� r��u,�- � PID: DESCRIPTIO� OF ii'ORIi: �Z.E;f���;; �,,,,,,vo•,s �,., � .!�'�?�d"t ZO.NINGREL'IE�'B�:• //� ^ �� DA7'EAPPROI'ED: BUILDINGREG'IEN'BI": ''� DATEAPPROi�'D.•� y_ o q FEES TO BE CKqRGED: % Misc. Fees Calculated Bv: � � � PERMIT I es_�� No ' PL.4�'REVIEN' I es No� SEY1 ER CONNECTION ST14TE SURCK4RGE I'"es � No NATER CONNECTION I.�jT ESTIGATIDIV FEE Yes No-�� P_4RI;FEE SA C ��'es _No�� SITE 11�'SPECTION _�-umber o''SAC linits 07'HER !spe �� � �� �I�� ZONING CHECIi LIST Zoning District �p G� �^ � —_____�_________�__ / ��� Fir�e DeDarrnzent: Post Ofjice: School Districz: Lot Area: Sq.ft. Acres �f'idth Depth Su�-vey Sudmitted: 3"es 1Vo � Date of Su�roey: i' P�roposed Setbacks: �I i Front(Lake): Righ1 Side: i Rear(Street): Lefi Side� Aa_'iacent 5u-uctures: Netian�l: Buiiaing Height: Def Hgt. Peak�t. Lot Coveraoe Graain� Staf`,4poroval Date: Bt': Coun�il.4ppi•oval Date: Septic: StaffApprovai Date: B1': Zonin�File r Resolutio�z ; Resolution Date: �: Shoreland District h4C11"L�pe�•mir: AV�. S�tDaCli,' Pi1l�SetbaCh � Lot Col�erao�: .�-iscing Froposed HardcoveY: (1_-�� '"�-'�0' ��0-�00' ;D�-1000' ' Ha1-aco»er f"ariaizce Reqzrir•ed 3'es A�o Date of Cozu�cil.�ppr�i•Ql RE11�qRIiS("i�r linuse�: �3 I BUILDINGREVIEN'CHECIi LIST UBC: � C0/1'STR UCTIOA'T'YPE: �/ Sq Footage ,S Per Sg Fr; Basement s = 1 st Floor s = 2nd Floor x = Garage x = x = TOTAL Estimated Consrruction G'alue: ,fi /Z d0 � Inspecrions Required: W'ork Requirin;Separ�zte Permits: Site Plumdino Fire � Hardcover Remova/ Mechanical N'ater Corzraection Footing Septic Sewer Connection Framinc Fireplace Lawn Irrigation ""� ' Insulation (Masonry) Other N%all Boar�d (A1jg.) Yf'ell(State Permit) _�Final Grading/Filling Electrical(Sta[e Permit) Ofner REIIIARKS(INHOUSE): � � REVIEN"B�'OTHERS: � DATE: ,4ccess: raisting Ne�+ ,9ccess,4Dproti�al: Late Bi• � � RENLARFiS (TD BE NOTED OA'PERMIT): �; —io�-�vz° � �2' � � o a rn v DOG ROOM 12�-�"x i2.-7" �n 6�_��� L N � / BATH � 8'-4"x 8'-5" ��ry O r�'� FURN WH � �� - NEW WS � ii� �� 'v ro 3'2 1/2'� 11,_4'. 8'-10 1/2„ � "a Name Plan Type Date S9cale Written specifcations sup�ercede ' N��w RIGK 8 BRENDA ERIGK50N EXISTING PLAN 5/4/2009 �/8"= 1'-0" drawings and 2D drawings ����Lr supercede 3D drawings �� ���A�� Address ProJed Type Owner 5ignature Drawn By Page# G. Co ri ht 2009 of New 5 ces 2105 West 1.43rd Street 1220 GARDEN GOURT py g pu Burnsville,MN 55306 ORONO,MN 55364 KITGHEN,DOG RM,DOG NLN Lic.#1586 952-89'8-5300 GROOMIN6 RM,LL FAMILY'RM