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Home My WebLink About2014-00581 - doors� �' CITY OF ORONO � 1 * 2 0 1 4 - 0 0 5 8 1 * 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2014 ORONO,MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 310 HOLLANDER RD PIN : 25-118-23-43-0010 LEGAL DESC : HOLLY ACRES : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,478.00 NOTE: REPLACE(1)PATIO DOOR WITHIN EXISTING OPENING. APPLICANT PERMIT FEE SCHEDULE 147.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.24 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 ROSEVILLE,MN 551]3 TOTAL 152.74 (612)502-4777 Payment(s) Minnesota State License#:BUIL-BC 130983 CREDIT CARD 8788 152.74 OWNER SIDMAN,JAMES&JOYCE 310 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 sepazate 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 reyuired inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � (/ Y ��ii.G(�- �P l /a l I Applicant Permitee Sign ure at Issue y Signature Date � �� City of �rono � Buildi �g Rermit Application for Mainten��nce I �enovation � � (windows, doars� siding, re-roof, etc,) Mailing Addr�ss: Peimit number. .. D/ -�$�' O�p j,�,� �a�x ss " " Crystel Bay,MN 55323-0086 Dste.rec�ived: Fieceived by: a, Street Add�sss_ 2750 Ketley Parkway Plan review fee: � �� drono, MN 5535fi /5� 7�j 7ata1 Fee: 7 Main: 85 249-46Q0 Fax: 962-249-4815 .c1.or no.mn Thls ap iCstian form must be campleted in full and all required inf�rmation must be submitted. incomplet�applications will be returrted. (Please print) GENERAL INFdR ION: � I O �6 `` � �r- '�� JoB Slte Address: � YYill thls be a Pared of Womes,Remadelers ShoM►casc Home or other Dtsplay Home? ❑Yes No !/yes,e specie!event rmrt is repN►+ed wwlth Polir�DePartment end Clly Couna!approva!SO days Wiorfo the evenk Shutde bus�wlll be required u less aPPricsrrt dsmonstrates sufl9clent on�slte pa►ldng is aveNaWe. �lOn pemiltted events will no#be adoWed• CON�'RACtOR 1 AP LICANT IN�ORMAI'ION: Name: � 'A '�'�� State License# G\309$ F,�cpiration Date: �J 3 �ead Certification Nucnber: �j �r � a S3 — Expiration Date: 4 (for work on l�ome f�at we►o9 constrvcied AIiOr�0 1978, (Offic8) (cell) phone: (aS1— aZ ��0$$` Malling Address: � � . � " •. We. CitY:'�,c ; � ZIP: $S 1 �� Contact Pe�son: � Applicant':s: ntra ar / Homeowner �c��.o�l Email and/or Fax: PROPERTY OWNER lNFORMATION: Name: � t� � `�Y`nl�.Y1 Phos�e(daY): � ZIP: Address: 1 C�' Email and/or Fax PRdJ�C7 tNFb ATIQN: �y��move�ne�may require T�Ipe of Pro)ect: MCWD roview S permlts: �pp��s� [�Remodel �F�e��9s Minnehaha Creek Wstershed District(MCWD) 18202 Mlnnetonka Sbd ❑�te-roof,�aphalt 0 Repa9r ❑Storm Damage p�p��n,MN 55391 [�j Re•roof,cedar I�Restoratlan ❑Water Damage Phane: 952-471-0590 R�roof,other(�s ify) ❑Siding I��er:(spec�Yy) �ax: 952-471-08$2 Q www mi ne��kors� oW�s� — Ovarall Pro'ect I?e�crlp#ion: p� 1 D�. " o �Uc� � -�21X �S C� ; Es�imated Con ion Valugtlan of Prol�ct(excluding(and) S 4( .Q APPLICANT AC OWLEDGEMENT: • Agr�es to p e$�l inform8flon�qutred or rec�uested by the Building Department; . Certfies that he i�ormatian supplied is We and oorreCt to the best aF hisTher know4edge. The applicant reoogni�es that they aCe solely r pOnsible for submttting a complete applica�on being awa*e that upon falure td do so,1he staff has no attemative but to reject� untll ft is complete; . . Spms or all f the Information that you sre asked to provide on ih�aPPlicaflon is Classified by State 1aw ss�ither pnUate or cpnf[deqti8l. Ptivate d�ta is iritolmation which generally cannot be given to the pubfio 6uE can be given to the subject oi the data. Gonfl entlal data is information whkh generally cannot be g�ven to efther the publlc or the subject of the data. Our purpose an int�ended use of this inform&tion is to annually update our records and records of other govemmanta! agenci�s uired p I w, )f u refuse to su ihe informatlon,tf'�e a lication me not be issued. AoaficanYs Sianatu e: �, o�r�: � �� y . � oy�� DAT TIME � - 1 CITY OF ORONO CALLED IN � INSPECTION O 1 E SCHEDULED - .� PERMIT NO. '" S� COMPLETED ADDRESS 3 �D �d-U I�C�� OWNER ELEP ONE NO.�7�T�� CONTRACTOR � � DESCRIPTION � � `—`� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTtiACTOR TO MEET 1f�U:_YES_NO y COMMENTS: � �atb �oa/ rej4/.ac�..�r'�c� — O $�En4Q' S/LG � �XtS'tl'K e,PK1. �' G,�.�r�ar S,s�lcD — o� 0 W � I„�o r K Ca�� Q � z W � W � J � ❑WORKSATISFACTORY:PROCEED *�PRAJECT COMPLETE . W ❑CORRECT V1�RK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owne tractor on site: �C�U�G s� Inspector: �-- White Copyllnspector's File Canary CopylSRe Notice