HomeMy WebLinkAbout2015-01122 - doors CITY OF ORONO * 2 0 1 5 - 0 1 1 z 2 *
2750 KELLEY PARKWAY DATE ISSUED: 09/02/2015
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 445 LINDEN AVE
PIN : 06-117-23-41-0108
LEGAL DESC : LINDEN WOODS
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTIVITY : O/S BU[LDING-UNDEFINED
VALUATION : $ 38,623.00
NOTE: 6 PATIO DOOR REPLACEMENTS IN EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 591.71
STATE SURCHARGE(VALUATION) 19.31
PELLA NORTHLAND MAIL-IN FEE 2.00
15300 25TH AVE N.- SUITE# 100
PLYMOUTH, MN 55447- TOTAL 613.02
(952)345-6047 Payment(s)
Minnesota State License#: BUIL-BC645090 CRED[T CARD 0182 613.02
OWNER
HEATON, BERTON& ROXANNE
445 LINDEN AVE
LONG LAKE, MN 55356
AGREEMEIYT AIVD SWORIY STATEMENT
The work for which this permit is issued shall be performed according[o
the approved plans and specifications,applicable Ciry 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �2�
� ° (:.
� � �� � �< � �,�-- c_; _z_,� J ���.�-� �� �_ l , :� , � �_
Applicant Permitee�ignature Date Issued B Signature Date
SEP/01/2015/TU� ;0; 10 PM Elder Jones Building Fn� �'�, ��2 854 4909 P, 003
' City of Q�-o�na
� B �Id�ng Per-mit Applicat�o�n for In�ernal V'V'ork
(windows, doors, siding, r�-roof, etc.)
��--�� ' Ma�ling Address: C-� _ , -�; ,.
'��,0.(�.� PO Box b6 permit number. L�i�. ��7
'� � Crystal Bay, MN 55323-0066 Data reca�ved� "t I Z. l ��
� r� �
� =`�"i`"''„ Rec�ived by: ��
���,� ; �T�.�,;';, � StreEt Address:
\�, ,i�°-;;i��,^.,� Gti� 275o Keflsy Parkway pian review fee: A
���s����s��o�.�i � Orono, MN 55356 )
`--�� Total Fee: r' l--
Main: 952249-4600 Fdx: 952-249-46"16 www,ci,orono,mn.us ,L�� '
This ap�icafion form must be campleted in fulf and a!I required information must be submitted.
Incomp[efe applica�ions wi[I be reYurned. (Please prrnt)
GENERAL INFORM' TION:
Job Site Address: � � �f',1� �I l� �d n ��/'e ��,� �C..
Will this be a Parade of Homes, Remodelers Showcase Nome or other-Display Hon,e? ❑ Yes ❑ No
!f yes,a specia/evertf p I rmit is raquired with Policc�Department and L`ity COuncr!�pprovaf 60 days prio�t0 thA evRnf, ShutUe bUS SENice w(!/be
required unl�ss applieant dEmonsirates sufflcl�nt on-s/ie parking(s avallable. Non-permitted events wiu not be allo�ved.
CONTRACTOR/APP ICANT INFORM,ATION:
rvame: �'s� 3 Y S . G ti�/7
State �icense# �ella Northland -� '
PI�one: � �^��, 153Q0 25t1a.A.ve N. Ste 100 {ce�l)
Mailing Address: p�ymOYlt�'1, MN SS44"7 z1�'�
Contact Person: ��„ �,ic�BC�i45090 Ph. 763/745-140d �omeowner (Clrcle�ne)
Email and/or Fax:
PROPERiY OWN�f2 FORMA7I�N: �
Name=
Phone(day): � (. � `
Address' Y!�j �(,(, City:�4/E Q �Q f G ZlP: �S ,'3�' l.^^_
�mail and/or Fax
PROJECT[NF�RM/�TIDN:
Type Of 1'rpjeCt= - Any earth movement rnay require �
_ _ MCWD review& permits �
"� Door(s) ❑ R�model � ❑V1y�ter Damage 1 "�-
, Minnehaha Creek W�tershed DiStricF(MCWD)
❑Window(s) Q ftepair ❑S�orm Damage �I 18202 Minnetonka �Ivd
beephaven, MN 55391
❑Siding ❑ Resforation ❑ Other: (speClfy) - � Phone: 952-471-0590
Fax: 952-471-0682
j ❑ Re-roof ❑ Fire Damage � www.rninneha r k. r w__�J��
Overal! Project Description� (,� ,r( � �
�—
Estimated Construcfi n Valuafion o#Project(excludin tand) $ � �. (, 7
--•-�----r� � • -- ---
/aPPLICANT ACKNO LEDGENlENT:
i . Agrees to provide alI information required or requested by ihe Building DepartmenC;
� • CeR;fies that the nformatlon suppliec! is tn�e �nci correct to the best of his/her knowledge. Th� appliCanC recognlzes that they
` are soiely respon,ible for submitting a complete application being awarg that upon failure to do so, the staff has no alternative
but to reject it unt I it is co��pfete;
• Same or all of th in#ormafion thaf you are aSked to pfOVide 011 thls appliCation is classified by State law as either private or
confidential. Priv to data is information which generally cannot be given to the publiC bu� can be gi�en to the subject of the
data. Confidenti i data is informatibr whiCh gener�lly C2nnOt be given to either the public or the subject of the data. OUr
purpose and inte ded ��se of th;s informaYlon Is to annually update our records and records of other governmental agencies
re uired b law. I ou refuse to su I the informa#ion,the a licat'or�ma not be issued.
� � g� � ��� �
ApplicanYs Signature: I'� Date:
Last Uptlated: 05�04-2009 �
DATE TIME
v
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMfT NO. ��� -a��a� COMPLETED a �d�'�7
ADDRESS �'S'�- L�7�Ie.� �vr-
OWNER TELEPHONE NO.
CONTRACTOR ���14 �Ydt�l4nQ
� DESCRIPTION �•r ��(J�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAIN7
Q �FINAL ❑ WATER HOOK-UP �FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: /�iiNr'z` /ldlc�er �i•/B� .2�5 �'4l� �'c'�✓ 4
ar .
� �i�4L w/s�.
j
o ' /ZD O�le `lo n'1e -
� - I?D G�G'G�ss 1� �e c.� T.(/l!a i� � a��
�
° l�/�s r�l�J�� - -
W
�
Q .
2 ,��/v��� CJ�c�� rcA
W
�
W
�
�
�
W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT VMORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECaNERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-48��
OwnerlContractor on site:
Inspector:
White Copyllnspector's File C��ary CopyfSlts Notks
� /^
v�
DATE TIME
qTY OF ORONO cnuen iN
INSPECTION N TICE-f`'l�� SCHEDULED � 'Jr
PERMR NO. v MPLETEO �
A�DR�S ��
O'WNER TELEPHON O. 7 L��-7�/ C�
CONTRACTOR �
� DESCRIPTI�I � (�� � �/C�S � � / /'I�/
� ❑ FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADINGIFILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FlNAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ CONAPLAINT
�r ❑WATER HOOK-UP ❑ FOLLOW-UP
-SURVEY ❑ ER HOOK-UP ❑ FOUNDATION/REMOVAL
MO-S ❑ IC INSTALL
OM1N TO MEET 1f�U: YES_NO
� MENT'�
4 , ozn.� o��e✓ PG44�S�S 4 ��r .�G
� � . �
, j1'j 3 n Qc.��on �� ��t L��✓ �.�e�iL K(e � Z�`
�.O
� so �te tt�t.�e v l��lca�s� d+r a-�s �f
� ��i� !�1�� /7.s�'•v s�oo�3 -
W
OC
�y
F�
W
W
�
j
W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� O OO�iECT YMOi�C 3 PRO(�ED ❑ISSUE CERTIFICATE OF OCCUPANCY
O/�RECT YMORK G1LL FOR REINSPECTION TEMPORARY
C�v PERMANENT
O OORRECTIINSAFE00NDfT10NWITHIN HOURS. O PHOTOTAKEN
INSPECTOR YVIL.L RETIJRN
O STOP ORDER P06TED.G1LL INSPECTOR ❑pTATION ISSUED
❑INSPEC710N RECUIRED.CALL TO ARRAN(iE ACCESS.
csn ror a�e next inspection 2a nours�n ar�ce. (952) 249-460
ctor on site: /p x •�
Inspector: �'^"�' —
Whib CaPYM�Ct�'S FlM Gnary CopylSlb Nolke