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HomeMy WebLinkAbout2010-00631 - doors CITY OF ORONO PERMIT 1Y0.: 2oiaoo63i �' 2750 KELLEY PARKWAY , " ORONO, MN 55356- DATE ISSUED: 07/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3452 LIVINGSTON AVE PIN : 17-117-23-43-0018 LEGAL DESC : NAVARRE HEIGHTS : LOT 017 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,737.00 NOTE: REPLACE(3)WINDOWS,(1)PATIO DOOR AND(1)ENTRY DOOR INTO EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 177.00 PELLA WINDOWS& DOORS STATE SURCHARGE(VALUATION) 5.00 15300 25TH AVE N. -SUITE# 100 PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 (952)345-6047 TOTAL 184.00 Minnesota State License#: 20165884 OWNER MARTIN, CORBIN 3452 LIVINGSTON AVE 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 additiona]or related work which requires separatE permits. All provisions of laws and ordinances governing this type of work shall be compied with whether ot 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� �'�,`'J� c-'ti' / / / / Applicant Permitee Signature Date [ssued By Si ature D e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . � , � City of Orono Building Permit Appiication for Internai Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �Q� PO Box 66 Crystal Bay, MN 55323-0066 Date received: 0 , a ��c�,.t. Received by: .a � .� Street Address: �.;:� s, �� ,�: �"' G,� 2750 Kelley Parkway Plan review fee: �,ykESHo�`,� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.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: 3�s�- L U 1 !� L Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? ❑ Yes �y�lo /f yes,a specia/event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shutt/e bus service wi/l be required unless applicant demonstrates su�cient on-site parking is available. Non-permitfed events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Pella Windows &Doors Phone: 15300 25th Ave N. Ste 100 (cell) Mailing Address: Pl outh, MN 55447 ZIP: Contact Person: � r u � � lomeowner (Circle One) Email and/or Fax: �f S'� 3uS- G b�/ '7 Lic#20165884 Ph. 763/745-1400 PROPERTY OWNER INF¢RM�A�;� � r // n Name: �� T Phone(day): _��1 S� f ui �� V L Address: q S? ��o n � � 4 S[ c��y� Oro n � ZIP: SS 3 � � Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits '�Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) �.[tepair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.or Overall Project Description: �►!1 oW S � I � � !/1 1� t1�o�!' f! n t�r�1n .� l n � Estimated Construction Valuation of Project(excluding land) $ 8 7 3 �,,o�n�n � � 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 to su I the information,the a lication ma not be issued. ApplicanYs Signature: �� !_ Date: ���? l ! � Last Updated: 05-04-2009 �V�� D TIME " CITY OF ORONO CALLED IN g � INSPECTION NOTICE SCHEDULED � � PERMIT NO.a?6lD —�OE73� COMPLETED ADDRESS �T�Z �—lU�h�I��tl�'1 ,/ 1 V v OWNER TELEPHONE NO. �SZ ZOp —$/�SL CONTRACTOR E� � DESCRIPTION p:.�tirl�Y �G��%1���—� �C?'aY'� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED v ❑ SI SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contracto�on site: Inspector.__�.5, White Copyllnspector's File Canary CopylSlte Notice