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Home My WebLink About2014-00866 - doors ` ' CITY OF ORONO * Z 0 1 4 - 0 0 8 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 08/12/2014 ORONO,MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 1015 LINDEN LA PIN : 07-117-23-13-0093 LEGAL DESC : LINDEN BEACH : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,753.00 APPLICANT PERMIT FEE SCHEDULE 177.00 STATE SURCHARGE(VALUATION) 438 SCHERER BROS LUMBER MAIL-IN FEE 2.00 10751 EXCELSIOR BLVD HOPKINS,MN 55343 TOTAL 183.38 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 18338 OWNER CARLSON,THORA ERICKSMOEN& SAPA MARY 1015 LINDEN LA MOLJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 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. � �/ ��/�e�/ / Applicant Permitee Signa ure Date Issue y Signature Date i � ,�Nc,a,�Q.ed' ��r r/( � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O, `O Malling Address: Permit number: o?d��" �d� �� PO Box 66 - Crystal Bay, MN 55323-0066 Date receivetl: '"��`� Street Address: R�ce(ved by ��, G`�' 2750 Kelley Parkway Plan reviewfee. - - l,�kEs�o��, Orono, MN 55356 - Total Fee: � � �. r�� Main: 952-249-4600 Fax: 952-249-4616 �ntww.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: .r Job Site Address: � a �J �.l�(�L�'f7 L�17� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes o /f yes,a specia/event permit is requlred with Po/ice Department and Clty Council approval 60 days prior to the event. Shuttle bus se►vlce wll!be required un/ess applicant demonstrates su�cient on-site parking is available. Non-permltted events wlll not be allowed. CONTRACTOR/APPLICANT INFOR,AQATIONi. Name: .��„e � u �,-j State License# Expiration Date: '�j �� Lead Certification Num er: . (�,i"j—' Expiration Date: �' (for work on homes that were constructed prior to 1978 Phone: (cell) (office) y�� -p��7 '��05c� Mailing Address: �O7Sl Ce lp �. Ci : ��S ZIP: ��j�{-3 Contact Person: ��p ��,��p Applicant is: Contra / Homeowner (Circle One) Email and/or Fax: L '��S V►�O V'-Q � SC��1^�e-�''{'JV'c�$ . C � Wl PROPERTY OWNER INFORMATI N: Name: S a A.V ' 6 Phone(day): - Q(�.. 0 � Address: dQ � City:Q`'D`!o ZIP: �j�3(� Email and/or Fax: PROJECT INFORMATION: Overall ro'ect descri tion: 7ype of ProJect: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoratlon ❑Water Damage Deephaven,MN 55391 ❑ Re-roof,other(spectfy) ❑Siding ❑Other: (speclfy) Phone: 952-471-0590 � � �S�l�i ng �0..�t 0 g2,' Fax: 952-471-0682 �doW s _ �� www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ 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. Confldential 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 required by law. If ou refuse to su I the'nformation the a li atio ma not be issued. ApplicanYs Signature: � Date: � Owner's Signature: Date: Last Updated:03l06/2013 /�� D E TIME �/ CITY OF ORONO � CALLED w � INSPECTION NO IC SCHEDULED �.'�_ PERMIT NO. ' COMPLEfED ADDRESS �� L / ��1 C�GP��] Ll-� . OWNER TELEPHONE NO. 1�� DSb � CONTRACTOR ��r � I?� S �; DESCRIPTION J �� ( � � ❑ FOOTING ❑ LUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � MB G RI � C AL ❑ FOUNDATION/REMOVAL OWNERIC TRACTOR T EET YO �{YES_NO c.� MENTS: ` W ' a o2 r 5l��4 � �oo.-s -f�d/Qc� ..�e�.ts - � � 0 � S�t r�q e s r L e �Sa.�►� o.D n4 . - 0 � W Q l.vpr K Co.•��le.� � � W �' • � ��/'hw��. '3�✓t4�� W � j � ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner ontractor on site: � � �Sa� nspector_ �/�-- White Copyllnspector's Ffle Canary CopylSfte Notice