HomeMy WebLinkAbout2015-00382 - doors ' ' CITYOFORONO * 20 15 - 003ez *
2750 KELLEY PARKWAY DATE ISSUED: 04/03/2015
ORONO, MN 55356-
(952 249-4600 FAX: (952 249-4616
ADDRESS : 3585 LNINGSTON AVE
PIN : 17-117-23-43-0050
LEGAL DESC : NAVARRE HE[GHTS
: LOT O10 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
Oi5 Y'31�c\
VALUATION : $ 1,648.00 J
NOTE: RF.PLACE 1 SIDE ENTRY DOOR
APPLICANT PERMIT FEE SCHEDULE 67.17
STATE SURCHARGE(VALUATION) 0.82
SCHERER BROS LUMBER MAIL-IN FEE 2.00
10751 EXCELSIOR BLVD
HOPKINS, MN 55343 TOTAL 69.99
(952)277-1600 Payment(s)
Minnesota State License#: BUIL-BC239369 CREDIT CARD 9036 69.99
OWNER
SALLAS,CATHERINE
3585 LIVINGSTON AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
I'he 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[he 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 l80 days at any time after work hu commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signat Date Issu� y Signature Date
City of Orono
Building Permit�Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
O Mailing Address: Permit number
PO Box 66
� �0 Crystal Bay,MN 55323-0066 Date received: - - __
Sf�et Address: Recelved by:; -
y ��" 2750 Kelley Parkway l'11n review fee
`�t,�x�sHo��.� 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. (P/ease print)
GENERAL INFORMATION: ,/� �
JobSiteAddress: .3 '.�'��5 l /•VlhCi'��h /"7�/-�
Will this be a Parade of Homes, Remodelers Sho case Home or other Display Home1 Yes No
1I yes,a special event permlt!s requlred wlth Pollce Department and C!ty CouncH approval 60 days prlor to fhe event. Shudle bus service wlll De
requlred uniess app/lcant demonstrates suff'�cient on-site parkJng!s avaHa6le. Non permltted events wfll not be ailowed.
CONTRACTOR/APPUCANT INFORM ION:
Name: �G�/1.+¢.1'�2 V'O S , LlilYh C.•O
State License# (p Expiration Date: � /(o
Lead Certification Number: � ••�,(�30�—/ Expiration Date: g�i�"�/S
(for work on homes that were construcfed prlor to 1978
Phone: (cell) (office) -a,77—
Ma(ling Address: / aY V City: h ZIP: j"
Contact Person: p i� Applicant is: ontrac o / Homeowner �cir�ie o�.�
Email and/or Fax: C ' y� ,,�, SC.V� .�t.P' Hd
PROPERTY OWNER INFORMATION:
Name: }� G�,� �Gt S
Phone(day): � , �,. `
Address: ��S�.S I V!�4S'�Oh nV� City: �YOH O, �1�ZIP: ,��9/
Email and/or Fax:
PROJECT INFORMATION: Overall ro'ect descri tion: �a�=� �sl Gl� G��o� -
Type 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 Dist�ict(MCWD)
� 18202 AAinnetonka Bivd
❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391
❑Re-roaf,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.ora
Estimated Construction Valuation of Project(excluding land) $ • �
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide ail inforrriation required or requested by the Building Department;
• Ce�tifies that the informatfon supplied is tn�e and correct to the best of hfs/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 altemative but to
reject it untfl it is complete;
• Some or all of the informatlon that you are asked to provide on this epplication is classified by State law as either private or
confidential. Private data is informaUon 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 e(ther the public or the subject of the data. Our pwpose and
intended use of this inforrnation is to annually update our records and records of other govemmental ayencies required by law. If
ou refuse to su I th infortnation the lication me not be fssued.
Applicant's Signature: Date: 3 ���'
Owner's Signature: Date:
Last Updated:January 2015
p�,� TIME V
CITY OF ORONO CALLED IN
IHSPECTION I�OTI�C�F,�y�� SCHEouLED _y !/ _�-!
PERMR NO.��-=�-� COMPLETED
�Ess 35�5� L��..�s s�., �4*� •
ONVNEp TELEPHONE NO.
CON�RACTOR SG�iGrei ✓✓1/�S -
� DESCRIPTION ���sc� 3�e �►r ��'' ���'� �"��
!y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/(iRADING/FILLIN(i
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBIN(i FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANiCAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOO BURNER/FIREPLACE ❑COMPLAINT
� ❑ FINAL ❑WATER HOOK-UP ��OW-UP
W ❑ AS BUILT-SURVEY ❑SEWER FIOOK-UP ❑ FOUNDATIONIFIEMOVAL
_
v ❑ DEMO-SRE ❑ SEPTIC INSTAIL
Z pAMN811CpIfTMCTOR TO MEEi'YOU:._1!�_NO
� COMMENTSc
� Permit has expired per MN Building Code Sec. 1300.120 subp. 11
� Expiration, no record of a Final inspection.
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W Q WORKSATISFACTORY:PROCEED ❑PROJECf WMPLETE
a ❑OORRECT WOfiK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O �(�iECT WORK.CALL FOR REINSPECTIUN TEMPORARY
V gEFORE�NO PERMANENT
p CpqREC7 UNSAFE OOND1710N WRHIN ��• O PHOTOTAKEN
INSPECTOR 1MLL RETURN O CITATION ISuUED
❑STOP OROER PO�TED.CALL INSPECTOR
❑INSPECTIOt�i�QU1RED.C/1LL TO ARfiAN(iE ACCESS.
�N b�the naxt inspect�on za I�s�n aananos. (952) 249-4600
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