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Home My WebLink About2013-00164 - doors ,,� " CITY OF ORONO * 2 B 1 3 - 0 0 1 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 03/11/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 3090 NORTH SHORE DR PIN : 09-117-23-32-0006 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL ��-�' CONSTRUCTION TYPE : DOORS 0� �j� VALUATION : $ 1,610.00 NOTE: REPLACE FRONT ENTRY STORM DOOR APPLICANT pERMIT FEE SCHEDULE 64.00 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 0.81 10751 EXCELSIOR BLVD HOPKINS,MN 55343 MAIL-IN FEE 2.00 (952)277-1600 TOTAL 66.81 Minnesota State License#: BC239369 PAID WITH CC# 3989 OWNER MCGLYNN,DAN 3090 NORTH SHORE DR 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 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 caase. �'2Z�.G( G� , l l i i Applicant Permitee Signature Date Issue y gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE. Mar, 1 ?�. 2013 1'2: 1�8PM � No. 0191 P. 1 .. ' � ' ( . City of Orono Building Permit pplication for Maintenance / Renovatio ; (win ows, ddors, siding, re-roof, etc.) �� O�� I M iliPO Box 6B� Permit number. a 0! 3 -b0/�p i Crystal Bay, MN 55323-0066 Date reoeived: .3- I- 1 � � , ... .... ...... .. a� a S et A�ldress: Re�eNed by' • . � � • o�`� 2750 Kelley Paricway Plan�review•fee: �g��,� rono,MN 55356 • . . ..... ..;,.. -=--' Totsl Fee`.�.. Main: 952-249-4600 F : 952-249�616 www.ci.orona.mn.us ' • This application form mu completed in full and all required information must be submitted. Incompl appUcatlons will be returned. (Please print) GENERAL INFORMATION:, /� Job Site Address: � � O N 4 S � u !�e- 0� (Z � �, WIII thls a Parade of Homes�Remodeler$Showcase Home or ctt�er Display Home7 Yes No Kye�e al�eHent permit is required with Police DepaRrYient and Clry Counci�app�ave160 deys prior to the event. Shu�tle bus serv�ae wu1 be . required unless appUcant demonstr�tes suAScier�t on-s(te pa�iaing is available. Non-perm'rfted eve�fs will not be allowed. • � I �ONtIZA '�O�/APF�LJ�ANT INF RMA710N: „ � Name: J�c_ �.� ' a � �� d- �U u e,►L. State LiCense# � � � 3 Expiration Date: � -- 3 =�--�� Lead Certification Number: �) �.� g � E'j S'� Expiration Date: ;�,3 -��-' (1�or woilc on hontes the!waa con�hucte�prior to f 978 Phone: � 5 � '�� -� lo (office) �(-� � �;�}rl '� �i � •� (cell) Mailing Address: o �' , � �� '' (�c� Ciry: K�' ZIP: � " �3 � Contact Person; � �4_� h �,,s ,� Applicant is: Contractor' Homeowner �croa o�.�. Email and/or Fax: a •�� , � p, PROPER OV�MER INFORMATION: Name: I �c.` �- D �k, 1n1 � Phone(da ): - - � � Address: � o � N e� s � City: �tZvrJ G ZIP: 553 Email an r Fa�c � y PROJEC INFORMATION: rype of p ec� My sarth movemeM may require MCWD revfew 8 permits: oor(s) I ❑Remodel ❑Fire Damage Minnehaha Creek Watershed District(MCWD) ❑R�roof, ph�lt ❑Repair ❑Storm Damage 18202 Mi�netonka Blvd ❑Re-roof, edar� ❑Restoration ❑Water Damage �ephaven, MN 55391 Phone: 952�71-0580 []Re-�oof, r(spsdy) ❑Siding ❑Other. (specify) Fax: 952-d71-0682 �W�ow�g� www.minnehahacreek.oro Overall P 'eet Descri tion: i�� (' n� � �.��2 S' •�2.� o `, 1L, Estlma Constructlon Valuatlon of ProJect(excludin Iand i �o ��'' APPLICA T ACKNOWLEDGEMENT:i . • Ag s to provide all informadon requiged or requested by the Building Department; • Ce i�es t�at the informadon supplied�s true and correct to the best of his/her knowledge. The applicant recognit�s that they are solely responsible for submitting comple�e application being aware that upon failure to do so,the staff has no attemative b reject it until it is complete, • So e or 11 of the information that you are asked to provide on this application is classified by Sta�e law as either private or co denti�l, Private data is information which generally cannot be given to the public but can be given to the subject of the da . Confidential data is information which generelly cannot be given to either the public or She subject of the data. pur pu ose and intended use of this infortnation is to annually update our records and records of other govemmental agencies re ired b law. If ou refuse to su I the infortnation the a lication ma not be issued. Applicant's ignature: �-1� c� �-n Date: J^f/ -� � Last Updatetl: 06-09-2011 o�vt DAT� TIME V CITY OF ORONO w y� INSPECTION NOT CE ,rS l� SCHEDULED — �� PERMIT NO. D �v�� I COMPLETED ADDRESS ��d N�/ v` ��' � OWNER e��TELEPHONE NO. ��z S�l �� CONTRACTOR >; DESCRIPTION � DOD 1'- � !h�.S � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 i ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL J BING RI E T C FIN L ❑ FOUNDATION/REMOVAL WNERI ONTRACTOR TO E YOU: _NO _//� � MENTS: /20 G�"C�d'd `�t� �DQY S f''�'( °` �ts�� a � � 0 � � 0 � W � Q � Z W � W � � /� GW ❑WORK SATISFACTORY:PROCEED (� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on s' e: Inspector. White Copyllnspector's File Canary Copy/Site Notice