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Home My WebLink About2010-00116 - doors t � CITY OF ORONO PERMIT NO.: 2oiaooii6 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 03/25/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3580 NORTH SHORE DR PIN : 08-117-23-34-0020 LEGAL DESC : BALDUR PARK : LOT 007 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 2,33634 NOTE: INSTALL A NEW PRE-HUNG WITH A SIDELIGHT AND REPLACE EXISTING STORM DOOR. APPLICANT pERMIT FEE SCHEDULE 88.50 C�W 2 STATE SURCHARGE(VALUATION) 1.17 2650 MINNEHAHA AVE TOTAL 89.67 MINNEAPOLIS,MN 5540Cr (612)276-1600 Minnesota State License#: 20318360 OWNER DAVIS,WADE 3580 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 sepazate permiu. 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 conswction 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 can espon ' e r assuring all required inspections aze quested in con rman � the State Building Code.This permit may be �oked at any t' e for e use. iZ-si �O i i pplicant Pe itee Signatu Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .� ► � � � � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �j,0,�. PO Box 66 • 0 x Q Crystal Bay, MN 55323-0066 Date received: ��'� `� Received by: a � �, ��, a Street Address: '�',�, � �? Gti 2750 Kelley Parkway Plan review fee: L�kE8H�4'� 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 INFORMATIO • f � �- Job Site Address: 5�� i) �r �� `Y; '� �(, (� G' L'�� Will this be a Parade of Homes, Remodelers Showcase Home or ot er Dis lay Fiom ? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will b required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/A PLICANT INFORMATION: Name: � � �� State License# " Expiration Date: ' j �(i Phone: � - L:(;' office cell Mailing Address: S(.i r e �, Cit : `' ZIP: ' 1 Contact Person: ' � Applicant is ��on�rac or �/ Homeowner �c��ie o�e� Email and/or Fax: �-'"" PROPERTY OWNE INFOR qT101�1; Name: � � j Phone (day): - ' - `� Address: cj ` C;� 1'1,G'r� �1V� Cit :(�i�un v' ZIP: i Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits �Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ 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.orq Overall Project Description:��` � j�� ' '';,�,7 '�� {�u;� v��;{ �j L� "°�-' ( . 'V n' (, �(j1�; Estimated Construction Valuation of Project(excluding land) $ � -, � � „Q�i�1� 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 irf#ormation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use f this information is to annually update our records and records of other governmental agencies re uired b law. If ou refu e to su I the inf rmation,the a lication ma not be issued. ��,��_�_ � - ApplicanYs Signature: , � Date: /C� �i.�—�°�c�-1 Last Updated: 05-04-2009 �� D`TE�// TIME � CITY OF ORONO CALLED IN ��— INSPECTION NOTIC�_�`� SCHEDULED � PERMIT NO. �� COMPLETED � ADDRESS 5 OWNE TELEPHONE NO.��?�3^�7�� CONTRACTOR � � DESCRIPTION �'��"" "' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDlTlONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on �� Inspector. White Copyllnspector's File Canary CopylSite Notice