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Home My WebLink About2014-00814 - doors r . � CITY OF ORONO * 2 0 1 4 - 0 0 8 1 4 * 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS : 225 HOLLANDER RD PIN : 25-118-23-44-0007 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS VALUATION : $ 6,492.00 NOTE: REPLACE(1)ENTRY DOOR AND(1)WINDOW INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 147.50 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 3.25 10751 EXCELSIOR BLVD MAIL-IN FEE 2.00 HOPKINS,MN 55343 TOTAL 152.75 (952)277-1600 Payment(s) Minnesota State License#:BUIL-BC239369 CREDIT CARD 3989 152.75 OWNER CLOSE,JILL&LOUIS 225 HOLLANDER RD WAYZATA,MN 55391- AGREEMENT AND SWORN 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 Building 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 whether or not specified 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � 7�� ,�� Applicant Permitee Signature Date Iss By Signature Date � � � City of Orono Building Permit Application for Maintenance / Replacemenfi / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �T MaifingAddress: Permit number: �� -�� Q{VO PO Box 66 Crystal Bay, MN 55323-0066 Date received; ��./ Sfreet Address: Recelved by: _____,�� , G`�` 2750 Kelley Parkway Plan review fee: �qk�sHo�`` Orono,MN 55356 -- - Total Fee; � ��,�� Mafn: 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: �,�2.5 �G�./��?� �Q(� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes �(,No I/yes,a special event permit is required with Pollce Department and City Council approval 60 days pdor fo the event. Shuttle bus service w/ll be required unfess appllcant demonstrates su�clenf on-slte parking fs availab/e. Non-permitted events wiU not be allowed. CONTRACTOR/APPLICANT INFORMA710N: Name: �C'-(/l�'-Q i� OS .. L u �V ' State License# � �,� Expiration Date: � � /� Lead Certification Number: N�,�(�,3a , ) Expiration Date: � � (for work on homes fhat were constructed prior to 1978 Phone: (cell) (office) � 5a-,�Z`7'!—/fv5�- Mailing Address: jb '�( City: �,� � ZIP: ,CjS 3 Contact Person: p(, � �'y� yh Applicant is: � rac o Homeowner (Ctrcle One) Emailand/orFax: ��'�C �nvA � SCInp��l�o"rbS. COV1� PROPERTY OWNER INFORMATION: Name: �`�"l( � C(�S`e- Phone(day): pL� . Gj Address: / 6-�s�.� ` C.�G W D QC� CitY:�A-�/ZCL'� ZIP: �j3`�! Email and/or Fax: PROJECT INFORMATION: Overall ro'ect descri tion: C' VY�d C�11G� � 2•V� G�(�4 V' , Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review&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(spectfy) ❑ Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) �VIt'Y�C�6p1^ www.minnehahacreek.ora 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 updaie our records and records of other governmental agencies required by law. If ou refuse to su I th informatlon the a Iication ma not be issued. . Applicant's Signature: Date: � ' �/4�- Owner's Signature: Date: Last Updated:03/06/2013 � � CITY OF ORONO * 2 0 1 4 - 0 0 8 1 4 * 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2014 ORONO, MN 55356- � 952 249-4600 FAX: (952)249-4616 ADDRESS : 225 HOLLANDER RD PIN : 25-118-23-44-0007 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 002 BLOCK 001 PERMTT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS VALUATION : $ 6,492.00 O'� `'('t'�'� �� NOTE: REPLACE(1)ENTRY DOOR AND(1)WINDOW INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 147.50 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 3.25 10751 EXCELSIOR BLVD MAIL-IN FEE 2.00 HOPKINS, MN 55343 TOTAL 152.75 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 152.75 OWNER CLOSE,JILL&LOUIS 225 HOLLANDER RD WAYZATA,MN 55391- AGREEMENT AND SWORN 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 Building 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 goveming 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date DATE T�� CITY OF ORONO CALLED IN /b- — INSPECTION NOTI E SCHEDULED � " PERMIT N ' �8� COMPLEfED ADDRESS OWNE � TEL HONE N0.9Sd"�S��`11� CONTRACTOR � DESCRIPTION �� Z- �P�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG 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 � � FINAI ❑ SEWER HOOK-UP p COMPLAINT r O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � �✓n�t� 2�ry �crar r�.DYac�«a_•_� - j _ . O �4Nt� ODKf•^ PxL��✓�v/ !S SG4le� � �. � � � � IJI�l4')d�.Jf - s�.r!C O�/�i. � s4~!' '` QvrCL G � $a.•[� S6�,►Lc � B J��./eo✓ �S � f� ld� - W ' � �r.br�c ct��t ,�e-�� w � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT VYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerfContractor on site: �[— Inspector: �� White Copyllnapector's File Canary CopylSite Notice