HomeMy WebLinkAbout2014-00492 - doors '' ' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 4 9 2 *
DATE ISSUED: OS/27/2014
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2509 KELLY AVE
PIN : 20-117-23-12-0037
LEGAL DESC : REG.LAND SURVEY NO. 1428
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,579.00
NOTE: REPLACE(2)PATIO DOORS IN EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 147.50
STATE SURCHARGE(VALUATION) 3.29
PELLA NORTHLAND MAIL-IN FEE 2.00
15300 25TH AVE N.- SUITE# 100
PLYMOUTH,MN 55447 TOTAL 152.79
(952)345-6047 Payment(s)
Minnesota State License#: BUIL-BC645090 CHECK 68147 152.79
OWNER
NADLER,CHARLES&CANDICE
2509 KELLY AVE
EXCELSIOR,MN 55331-
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.
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Applicant Permitee Signature Date Is ed By Signature Date
MA��21/2014/WED 02:27 AM Elder Jones Building FAX No, 952 854 4909 P, 002
,- • ►
City of Orano �
Building Perr�it Application for Infiernal Work
(windows, doors, siding, re�roaf, �tc�) �
�. MailingAddress: Permit number: - 7
�p.�Q,j�Q PO Box 66
Crystal Bay. MN 55323-0066. Date received: "�,• -'/�
�`���•. Received by:
�3 ,�:�� �, 5treetAddress:
� �' Y Y Plan reviaw fee:
�^.d, ;� �r�"9� �ti� 275p KeRe Parkwa
� � t�°"� � Orono, MN 55356 /s���
���8�/ Total Fee:
Main: 952-249-4600 �'ax: 952-249-4616 www.ci.orono.mn.us
This application form must be compfeted in fuI) and all required information must be submitted.
Incompfete applic�tions wili be returned_ (Please print)
GENERAL lNFORMATION: � 5. � � //� // �� �
Job Site Address: t� L �
Will this be a Parade of Homes, Remodelers Shc�wcase ome or other Display Home? ❑ Yes No
!f yes,a special event permif�s rpquirad with Police Department and City Council approva/60 days prior to the evenf. Snuttle bus sen�ice wifl be
required unless applicant demonstrates s�cient on-site Aarking is available. IVon-permitted events will not be a!lowed.
CONTRACTOR!ApPLIGANi'1[VFORMATIQl3:
Name. g5 a/3Y� •G p� 7. Jo4:
State License# Pella Nortl�land
Phone: 15300 25t1�Ave N. Ste 100 Ce��
Mailing Address: ���p����5�,¢q.'] zlp:
Contact Person: Lie#BC645090 Ph. 763/745-1400 �omeowner �c���e o„e�
�maiE and/or Fax:
PROP�RTY OWNER lNFORMATfON: ��� y��� �
Name: �y
Phone(day): S 2/� • h� 7
Address: � 11 �VG Gi �rPl.lS/o !' ZIP: ���c�
Email and/or Fax
PROJEGT{NFORMATION:
7ype of ProJect: Ar�y earth movement may require
MCWD review&permits
�Goar�s) ❑Remodef ❑WaYer Damage
Minnehaha Creak Watershed DistriCt(MCWD)
�Window(5) Repair �(Storm E?amage �8202 Nlinnetonka Blvd
� Deephaven,MN 55391
❑Siding ("]Restoration ❑ Other.(specriy) phone: 952-471-0590
Fax: 952-471-0682
[,�J Re-r00'F � Fire Damage wWw,mirinehahacreek.ord
Overall Project Description: O r n q��u/' !`t� Q C,� L �! P / � ��
Estimated Construction Valuati�n of Project(excluding iand) $ (r $
APP�ICANT ACKNOWLEDG�M�NT: � '
• Agrees CO provide all information required o�requested by the 6uilding D�partment;
. Certifies that the information suppl9ed is true and correct to the best of his/her knowledge. The applicant recognizes Cnat they
are solely responsible for submEtting a complete application being aware that upon failure to do so, the staff has no aitemative
but i0 f2jeCt it Until it is complete;
* Some or ali of the information that you ara asked to provide on this appliCation is classified by Stats law as either private or
�pnfidential. Private dat� is iftfOflhBtion which generally cannot be given to the pUbliC but can be given t0 the subject of the
data. Gonfidential data is information which gsnerally cannot be given to either the publie or tha subject of the data. Our
purpose and intended use of this informaUon is ta annually updaYs our records and records of other governmental agencies
re uired p law. 1f ou refuse to su I tne information the a licatipn ma not be issued.
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Applicant's Signatur�: �/� Qate:
x
Last Updated: 05-04-2008
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI E SCHEDULED
PERMIT NO. -� a COMPLEfED ,//�?✓�'=�
ADDRESS a S 6 Q �e!ly �e .
OWNER TELEPHONE NO.
CONTRACTOR ���l� �a�'����
� DESCRIPTION �a�`� �-'�-� �"���
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ��NA� ❑ SEWER HOOK-UP ❑ COMPLAINT
v � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� O WORKSATISFACTORY:PROCEED ✓�PROJECTCOMPLETE
W ❑CORRECT WORK 3 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwneriContractor on site:
inspector: ^^�
ite CopyAnspector's Ffle Canary CopylSite Notiee