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Home My WebLink About2014-00175 - doors , CITY OF ORONO * z 0 1 4 - 0 0 1 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2014 • ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 2745 KELLY AVE PIN : 21-117-23-23-0028 LEGAL DESC : REG. LAND SURVEY NO.0891 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,063.00 NOTE: REPLACE 1 WINDOW, 1 STORM DOOR, 1 ENTRY DOOR& 1 PATIO DOOR WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 221.25 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.53 1920 COLJNTY RD C. WEST MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 228.78 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC 130983 CREDIT CARD 8788 228.78 OWNER WOOD,JAY&BARBARA 2745 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 pertnits. 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. i `i�� / / Applicant Permitee Signature Date Issued B gnature ,,a�� Date / O ` � s Gity of �rono 13uilding Permit Application �ar Maintenance / Renovation (windaws, doors, siding, re-roof, �tc.) Mailing Addross: Permit number. '�►�� PO Box 66 Q � Crystat eay.MN 55323-0p68 Date received: o+ Str'eetAdd►ess: ReCeived by: �� . ��' 2750 Kelley Parkway Plan review fee: ��p4� Orona. MN SS356 Total Fee: Maln_ 952-249�Bp0 Fax= 952-249-d616 www.ci.orQno.mn.us T1'�is application form must be c�mpleted in tuil�nd all Tequired information must be submitte4. Incomplete appllcaitions wfll be retumed. (Please print) GENERAL INFORMATION: . � � �„ �� • Job Site Address; Wil!this be a Parade of Homas, Remodeters Shaw se Home or other DEspl�y Home7 Yes No !f yes,a spBc;al even[permlt 1a requirnd with Falice Dgpartm�nt and City Courtcll approva!60 days privr to the etrent Shuft/e bus sen�ice wid be �equired unless applicant demonstrates au/Frcien't onslte parking�!s ava,7able. Non-pem,iKed e vents w;11 not be allo►e�d CONTRACTOR 1 APPLICANT INFORMATION: Name: �t,n 1 ,A�t�(�e� State License# �C,��p�g Expir�fion date_ 3 I 31 t�ead Certficatlon Number: (� ^�'� � �� xpiration Date: t( (for work on homes tha!wenB construci�ed pr/or to i978 Phone: (,a��-^ v'� .�t{,O�" h (ofFce) (cell) Mailing Address: Icj o� , � ��G�, W�SS�- Ci�Y= v►1 �. ZIP: SS 1� Contact Person� Applicant is: on / Homeowner �c��o�� Email and/or Fax: PROI��RTY OWNER f�RMATION: � Name: Phane(day): A�ddress: � CitY� Zf P: �mail and/or Fax PROJEC7INFORMATION: Type of Project� Any eartlt movement may reqnire ��s) ❑ Remodel ❑ Fire Damage MCWD review&permits: [�Re-roof,asphatt Minnehaha Creek Watershed Dlstrict(MCWD) ❑Repalr ❑S#orm Damage 18202 Minnetonka Bivd 0 Re-roof,cedar ❑ Restoration ❑Wa#er Damage ��p��n, MN 55391 ❑Re-roof,ott�er(speciry) ❑Sidfng ❑Other: � q Phone: 952-q�71-0590 � Pe fY) Fax� 952-479�p682 �Window(s) www.minnehahacr�ek.or OverallProjectbescription:- PI „a,c-� 1 w� Ow�� . ' -� 'Q �stimated Canstructton Valuatlon of ProJe�t(excluding land $ �� -� APPLICAN7 A,CKNOWLEDG�MENT: ��'�� • Agrees to provlde afl inform2�Gon required or reque�ted by the 8uilding Departmonf; • Certifies that the ir�formation supplioci is true�nd txitrect to the best of his/her knowiedge, The applicanE recogniaes that they are solely responsible for submi#ting a complete application being aware that upon failure to do so,the staff has no altemative but to reject it until it is compEete; • Sorne o�all of the ir�formation that you are asked to provide on this applicatfon is classiAed by State law as either private er cartfidenbal, Private data is information which gaherally cannot be g�ren �o the public but can be given to the subject of the data. Cvnfidentfal data Is infvrmatfon which gen�rally cannat be given to eiEher thv public or the subject of the data. Our purpose and intended use af this information is to annually updaie our records and records of other govemmeMal a8encies r uired b law. If u refuSe to su I the infarmatifln,the� lication ma not be issued. At�oiicant's Sianature: Q �� Date: r �7�� E �E CITY OF ORONO CALLED IN — � �_ INSPECTION�IC / SCHEDULED � PERMIT NO. � � C PLETED ADDRESS OWNER T PHO E O�PS�-�r Td�g CONTRACTOR �'� � DESCRIPTION `�v[ �� " "`� �D ry��''� �� ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: � W a � ��N,1�' ' -�/'erc� Crc'�re, �m�S . ��SG/CQrC � �C�p�S � r.3�,�In o�1 a�ia✓� � � — C Jc7�it/t6 r S G,L�G� — I�C I �= Ce w�Q�G�� W � Q •n ZIGlct! rJRfio dC0/ � �jG/to�Li ��crrprf ,S�c��A� � wOrlL CQ,.w/,�l�tL W � J � ❑WORKSATISFACTOR`�PROCEED �OJECT COMPLEfE W ❑CORRECT Y1fORK 8 PROCEED O I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR YVILL REfURN ❑CITATION ISSUED ❑STOP OHDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor o�n site: /S�3 � Inspector: �^�' White Copyllnapector's Ffle Canary CopylSite Notice — !" � DATE TIME V CITY OF RONO CALLED IN INSPECTION NOTICE'/ -��CHEDULED - — PERMIT NO.r.��`t'-�� cOMPLETED ADDRESS � OWNER TE HON NO. 5 �� CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI D LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: a� . 4 /'o�tL� r � cJ ve .� j o �a•- e.�►t� �..- r�e.PlG.r.e��..�� — �. � ° ��c fsna�s ��c S��/�D— W � /.b�K �'e.wa��f� Q � W ' � J'�Gr',�:t �'c.cs�r� W � � J � ❑WORKSATiSFACTORY:PROCEED ��OJECT COMPLETE w ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK��R REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advar�ce. (952) 249-46�� OwneHContractor on site: Jc/ai1Fg Inspector. White yAnapecMr's File Canary CopylSite Notbs