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Home My WebLink About2014-00567 - doors � _ CITY OF ORONO * z 0 1 4 - 0 0 5 6 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2014 ORONO, MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS : 275 HOLLANDER RD PIN : 25-118-23-43-0025 LEGAL DESC : HOLLY ACRES : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,374.00 NOTE: REPLACE(1)PATIO DOOR IN EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 103.25 STATE SURCHARGE(VALUATION) 1.69 PELLA NORTHLAND MAIL-IN FEE 2.00 15300 25TH AVE N.-SUITE# 100 PLYMOUTH,MN 55447 TOTAL 106.94 (952)345-6047 Payment(s) Minnesota State License#: BUIL-BC645090 CHECK 68297 106.94 OWNER MILLER,PAUL BRUER&LINDA 275 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 are 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 .� � � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) - -- Mailing Address: Permit number: ___ �Q� PO Box 66 �� Crystal Bay, MN 55323-0066 Date received: Received by: '� �.� ; ,�� StreetAddress: �\� �i��,�� (�r��,� �ti�� 2750 Kelley Parkway Plan review fee: � � > t '�'��a;{$tr•�r rv ; Orono, MN 55356 ��=��ES H�4.' _�____-.- Total Fee: Main: 952-249-4G00 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:� � �. �/0 //Q � Q/� r, �O � (� Job Site Address: �� < < Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permif is required with Police Department and City Council approval 60 days prior to the event. ShutUe bus service will be required unless applicant demonstrates suf(icient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: �Od. QS? 3�s' G � Y�, Name: — -- State License# Pella Northland Phone: 15300 25th Ave N. Ste 100 (cell) Mailing Address: Plymouth, MN 55447 ZIP: _ Contact Person: Lic# BC645090 Ph. 763/745-1400 �omeowner (Circle One) Email and/or Fax: --- PROPERTY OWNER NFORMATION: Name: ! /� C � �� -- Phone (day): ��'7 �{7 b • � o � / ' Address: � 6` p 4 //� �VQ � City: W a T G �G ZIP: 'SS'c3 9_�__ Email and/or Fax PROJECT INFORMATION: — Type of Project: Any earth movement may require MCWD review& permits Coor(sj ❑ P.emadel ❑ 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.or Overall Project Description: �j / O d 0 0/� C �J1 / X/ � t 0 � / Estimated Construction Valuation of Project(excludin land) $ APPLICANT ACKNOWLEDGEMENT: ' . Agrees to provide all information required or requested by the Building Department; • Certifies tl�at 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 uniil 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 re uired b law. If ou refuse to suppl the infor ation,the a plication ma not be issued. ApplicanYs Signature: /✓ � Date: � ` � �� / Last Updated: 05-04-2009 L� I � DATE TIME ✓ CITY OF ORONO CA�LED IN 7"�'� ./ INSPECTION IC SCHEDULED 7` .�.a�— � 5�- � PERMIT NO. �� "�5 7 C PLETED ADDRESS -a�s . C�� ' 1d OWNER � �r T E HON N095�"T�� g��' CONTRACTOR a-- �' ►''b � � DESCRIPTION ��a `-�''w� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��jNAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a /?��0 �6a� r��C'.�C�r.✓�2�.rZ�- O '!�( M�/P �j!Z C � �O �r d.+.t•`L cT � - �o/6C Cv�-DIQ-f-� — 0 � W � Q Z �� C �c�� W � W � � O W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 wnerl tractor on site: L�� +��Q� tor. te Copyllnspector's File Canary CopylSite Notice