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Home My WebLink About2016-00463 - doors . CITY OF ORONO * Z 0 1 6 — 0 0 4 6 3 * 2750 KELLEY FARKWAY DATE ISSUED: OS/10/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 870 HUNT FARM RD PIN : 30-ll 8-23-44-0004 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTNITY : O/S BUILDING-LJNDEFINED VALUAT101�1 : $ 3,500.00 NOTE: REPLACE 1 EXISTING PATIO DOOR WITH NEW AND REPLACE 1 EXISTING W[NDOW WITH NEW PA7'IO DOOR,USING EXISTING HEADER APPLICANT PERMIT FEE SCHEDULE 108.38 STATE SURCHARGE(VALUATION) 1.75 WIPO HOMES MAIL-IN FEE 2.00 15623 NORMANDY LANE MINNETONKA, MN 55345- TOTAL 112.13 (612)396-6728 Payment(s) Minnesota State License#: BUIL- CREDIT CARD 7830 I 12.13 OWNER FOGELBERG, PAUL A&MELISSA 870 HUNT FARM RD LONG LAKE, MN 55356- 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 conshuction 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. l�(,� �_ 1��, I o�-t � �� r�.��ti � , i � , l � Applicant Permitee Signature Date Issued By Signat •e Date i • City of 4rono Buiiding Permit Application for Maintenance/Repiacement/Remodel — Residential ONLY {i.e. kvinciovvs, c�c�c�rs, sic�i�€�, r�-roz�f, �#c. -- N�} S-["FtJ�TURt`-,� EXPAI��#Uf�!} O Mailing Address: Permit number: � C�/ j � �O PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: � Street Address: Received by: l� y � 2750 Kelley Park�vay Plan review fee: ••—" `�t � Orono, MN 55356 ��SjjO�� Total Fee: jl2 . � � Main: 952-249-46Q0 Fax: 952-249-4616 ��nrw ci orono mn us This application form must be completed in full and all required information must be submitted. Incomplete appifcations wiil be returned. (Please print) `�y�s� ��`�j��,E'� 0%� GENERAL INFORMATION: �I� Job Site Address: �2�"7 L� u� 4- F �c,;� ' Will thls be a Parade of Homes, Remodelers Showcase Home or other Dtsplay Home? Yes No N yes,a special event permit rs required wifh Police Department and City Council approval 60 days prior to the event. Shuttle bus service witl be requrred unless applicant demonstrates sufficient on-site parking is availabte. Non-permitted events will not be atlowed. CONTRACTOR/APPLtCANT INFORMATION: Name: VV i PC: !-�Uv�-Q� State License# (�� - Z�p�y�2 Expiration Date: ,3��;1 Z p� 7 Lead Certification Number: N�'� Expiration Date: N �� (for work on homes that we�e consfructed p�1or to 7978 Phone: (cell) (,�I 2 - 3� (�, - (p?2� (office) Mailing Address: !�2; tJ arrn cu-�d C,a.s�, City: �.��„{�;,� �`,ZIP: 5�3�-{�,�- Contact Person: (-�� l I ►�o h l.�,v� Applicant is: ontra / Homeowner {Cl�cle One) Email and/or Fax: b ; l l C W� p o ln c��..Q��. r�c�rv� PROPERTY OWNER INFURMATION: Name: p Gl.v� � t�l-E',i l SSU.. �v ct��zeru Phone(daY): �Ia 2 - �L3a ~ �R�t� Address: �"I� Nvni- F�Lvf�� 1� c� ��tY� �vu;�a ZIP: '�-r352,� Email and/or Fax: ry�.�,l i SSC� �r�,,�..1�C•-' (�YvtC�.i 1 . c" c�� _ J�C ''�Ct�-c' / 'Cc tiC �Cl <SL �'f�/�/C��P � �:,�i'�?�LJ PROJECT INFORMATION: Overall ro'ect descri tion: � /" �� Type of Project: Any earth movement may also requlre � Door(s) ❑ Remodel ❑ Fire Damage MCWD revlew&permlts: ��Z� ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) �-�,�- 15320 Minnetonka Blvd G ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specit� ❑Siding ❑ Other:(specify) Phone: 952-471-0590 � / �� Fax: 952-471-0682 ❑Window(s) wµnv,mii�nehahacreek_orq �� Estlmated Construction Valuation of Project(exctuding land} $ � 3r.�Z'3!� APP�IGANT ACKNOW�EDGEMENT: . Agrees to provide all information required or requested by the Building Department; . Certifies that the information supplied is Vue 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 altemabve 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. Privete data is information which generally cannot be given to the public but can be given to the subject of the data. Confiden6al 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 inform 'on is to annually update our recards and records of other governmental agencies required by law. If ou refuse to su I the i orma' the a lication ma not be issued. App(icanYs Signature: Date: ��Z� �j l.p Owner's Signature: Date: Last Updated:January 2016 � � 1 ��'�"""" � � : �� TIME CITY OF ORONO cnLLED IN INSPECTION OTICE SCHEDULED -• : PERMIT NO.�t �� COMPLETED ADDRESS $�� OWNER TELEPH NE NO. � � 7 CONTRACTOR Q �� ' � DESCRIPTION � �+� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING VS ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W "�J AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOIdTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: a fr4��o �oe� /�,S�4A��9 '_ 0 �tM� $�Za �►��.�r � ^ � � /�// wo�lG dp Hn.,d�o'�'� �O W � Q � 2 � �b�/N.t •� �� "��l� � � J � ❑WORKSATISFACTORY:PROCEED JECT COMPLETE W ❑CORRECT WORK b PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT VYORK��L FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContraator on site: Inspector: � � "''' 7'�` White CopyAnapector's File Canary CopylSite Noti�