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Home My WebLink About2013-00073 - doors !.* CITY OF ORONO * 2 0 1 3 — fd 0 0 7 3 * ! � 2750 KELLEY PARKWAY DATE ISSUED: OU3U2013 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3535 IVY PL PIN : 20-117-23-42-0035 LEGAL DESC : CASCO COVE : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 16,000.00 NOTE: REPLACE(3)PATIO DOORS AND(1)WINDOW-NO HEADER CHANGE APPLICANT PERMIT FEE SCHEDULE 280.25 GORDON JAMES CONSTRUCTION STATE SURCHARGE(VALUATION) 8.00 5159 MAIN STREET E P.O.BOX 306 TOTAL 288.25 MAPLE PLAIN,MN 55359- (763)479-3117 Minnesota State License#: 20531961 OWNER BAZIL,PETER&SUSAN 3535 IVY PL 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 hereia 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 revo d at any e or cause. / � 31 � I �� r - ppl' ant Permitee S' ature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. { 4 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �-- Mailing Address: Permit number. - d��7 �,�. PO Box 66 �,� �� Crystal Bay, MN 55323-0066 Date received: /�� ` . � Received b : ,� �°�tl,�;� �` �, Street Address: Y �\�,F, ��!� � �ti`�' 2750 Kelley ParkwaY Plan review fee: ��l � r�� Orono,MN 55356 ��H°4 �8S e`�.5 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 �n�ww.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: '�535 '�-��( ��AcG� pP2p� O 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 Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wrll not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �-�or2�0� c��M,�S G�� S`["�2,t�CT�Ot�1 State License# G 5� �c4 (�� Expiration Date: �j- � �- Z O r"; Lead Certification Number: (,�� .. 30�5 0 �-1��bl Z Z`� Expiration Date: Z�Z�� -Z o{ (, (for work on homes that were constructed prior to 1978 Phone: �S- -��(�3 (office) (cell) `i SZ'2 -_----___----._ Mailing Address: S�Sq W.�,�,v� S.�y�,L�T 5�z-T� Zc9c� Cit�� p��,USIP: �535 ^ Contact Person: ��-�� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: dP��Q�S , �p� _ ,��. - � PROPERTY OWNER INFORMATION: Name: f�7�L � SU�S-=E t�/`�?�'Cr Phone (day): �51-2v L- G�6 r Address: �53,�'" _�� City: dcZo rJ v ZIP: Email and/or Fax �� PROJECT INFORMATION: Type of Project: Any earth movement may require �Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ( ) Minnehaha Creek Watershed District MCWD ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �'Window(s) �Il�`� www.minnehahacreek.org Overall Project Description: � / � � �i ,� �r,,,,, �0 o4�C�• Estimated Construction Valuation of Project excluding lan ) $ /(,,��, 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 re uired b law. If ou refuse t u I the in rmati n,the ap lication ma not be issued. ApplicanYs Signature: Date: �� Last Updated: 08-09-2011 / � ,. � — �� DATE TIME V CITY OF ORONO c E��,a o iN a-�-�� INSPECTION NOTICE SCHEDULED p? -�/ -L� PERMIT NO�d/3�L-YY�I3 COMPLETED ADDRESS � OWNER T HONE NO.�s 'al • a 7 CONTRACTOR � DESCRIPTION � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FiLLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o ��c�(t� s A� � � . C� , ��5' � �� ,� � '"�� .� � ,� C! � ��v�' < <, , W � Q � z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �L � � White Copyllnspector's File Canary Copy/Site Notice