HomeMy WebLinkAbout2016-00223 - replace garage overhead door & front entry door � „' CITY OF ORONO
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' `' '� 2750 KELLEY PARKWAY DATE ISSUED: 03/09/2016
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 601 MINNETONKA HGLD LA
PIN : 06-117-23-41-0091
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 009
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOOR
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LUATION : $�1,200.009
NOTE: REPLACE GARAGE OVERHEAD DOOR&FRONT ENTRY DOOR
APPLICANT PERMIT FEE SCHEDULE 50.12
STATE SURCHARGE(VALUATION) 0.60
VANCAMP,NATHAN&WENDY TOTAL 50.72
601 MINNETONKA HGLD LA payment(s)
LONG LAKE,MN 55356- CHECK 2505 50.72
OWNER
VANCAMP,NATHAN&WENDY
601 MINNETONKA HGLD LA
LONG LAKE,MN 55356-
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 dces
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 hereia This permit will
expire and become null and void if construction suthorized 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 atter work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any ime for due cause. ��
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Applicant Permit e Signature Da Issued By Signature Date
t B� ' City of Orono
ing Permit Application for Maintenance / Re lacem n �
p e t/ Remodel — �;�����,;,�►
(i.e. windows, doors, siding, re-roof, etc.— NO STRUCTURAL EXPANSION)
�Q�O Marling Address: � ,�, DC.��Z
PO Box 86 Pe►mit number, � (�' '
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Crystal Bay, MN 55323-0066 Date<received:
.► Street Addr�ss: Received by:
��. �.'� 2750 Kelley Parkway
`�'�ESHO��
�' Orono, MN 55356 Plan review feec Iq-
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: �,r� , '�d-
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This application form must be completed in full and all required information must be submitted.
Incomplete applications will be retumed. (Please print)
GENERAL INFORMATION:
Job Site Address: (D � 1'Lt;,�ne{oi1�A �}; ti�u�s L��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
N yes,a special event pemrif is required with Police Department and City Council approva!SO days prror to fhe event. Shultle bus senrice will be
required unless app!/canf demonstrates sulficlent on-site parking!s availab/e. Non permitted events will not be al/owed.
CONTRACTOR/APPLICANT INFORMATION:
Name: t�a.'i'11o,,,,� �fa,�C�o
State License# N�p ` Expirafion Date:
Lead Certification Number: � �� Expiration Date:
(fnr work on homes that were constructed prlor to 1978
Phone: (cell) ZI�'�'`�$" Z.3�`1 (office)
Mailing Address: �n ' h � ���5 [,�� City. � L,a,l�,¢. ZIP: � (a
Contact Person: N a,�� ��� Applicant is: Contractor / eowne (Circk One)
Email and/or Fax: no,,-(-�,��,,��a„���p � ���. ��
PROPERTY OWNER INFORMATION:
Name: �a�,� v��p
Phone(day): ��� _��_ 2�c�
Address: (y0( I�bl'�nne,�or�1L�. �`,a1�1� �.o��, C�tY' ��'Dvtio Z1P� ��3 5(�
Email and/or Fax: ��� ,,������� ��� . �� h
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PROJECT INFORMATION: Overall pro'ect description: Iq, cuf OVtX�Lt,a� �r +��Y
Type of Project: '� °"0'r
My earth movement may also require
�Door(s) ❑Remodel ❑Fire Damage MCWD review 8 permit�:
❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,cedar ❑Restorapon 15320 Minnetonka Blvd
❑Water Damage Minnetonka,MN 55345
❑ Re-roof,other(speciTy) ❑Siding ❑Other: (specify) Phone: 952-471-0590
❑Window(s) Fax: 952-471-0682
www.minnehahacreek ora
Estimated Construction Valuation of Project(excluding land) � p,p p
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide atl information required or requested by the Building Department;
• Certifies that the informatlon 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 altemative but to
reject it until it is complete;
• Some or all of the information that you are asked to provide on this appGcation is classified by State law as either private or
confidential. Private data is informa6on which generally cannot be given to the pubGc 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 govemmental agenaes required by law. If
ou refuse to su I the information,the a lication ma not be issusd.
ApplicanYs Signature: ��yWr✓l U�r-�'.w,e Date: _��$� I�
Owner's Signature: ���� V.�� 3 J$ � j�
Date:
Last Updated:January 2016
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'� DATE TIME
C�TY U'�F�RONO CALLED IN �
INSPECTION NOTICE �L2� SCHEDULED .� ! I�
PERMIT NO. ��--���� COMPLETED
ADDRESS '� t ��C� �
OWNER �h� I � ELEPHO-N�N �
CONTRACTOR ��
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'' DESCRIPTION n�I - Yl.� � C�'<�� �-�,
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ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL DC,���
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v�NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE �PTIC INSTALL
2 dW�IENCONTRACTOR TO MEET YOU:' YES_NO
� COMMENTS:
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O T�G �l.b� /��ififJ� � C.C�-+� 52M't-2 $'i lt
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W O VMORK SATISFACTORY:PROCEED �OJECT COMPLEfE
� ❑CORRECT WOHK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
0 ❑CORRECTVYORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERIN(3 PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
InspecMr. _� h'`- �"�'
Whits Copyllnspector's Flle Cenary CopylSks Notfcs