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Home My WebLink About2014-00479 - doors � ' ' CITYOFORONO * ZpJ 14 - 00479 * 2750 KELLEY PARKWAY DATE ISSUED: 05/20/2014 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3845 NORTH SHORE DR PIN : 17-117-23-22-0045 LEGAL DESC : SHERRI LAKEVIEW ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,257.00 NOTE: REPLACE(1)ENTRY DOOR WIHTIN EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 118.00 STATE SURCHARGE(VALUATION) 2.13 RENEWAL BY ANDERSON TOTAL 120.13 1920 COLJNTY RD C. WEST Payment(s) ROSEVILLE,MN 55113 (612)502-4777 CREDIT CARD 8788 120.13 Minnesota State License#: BUIL-BC 130983 OWNER FRITZ,LOREN 3845 NORTH SHORE DR MOLJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. C��a�r��J � , , Applicant Permitee Signatur Date ssu By Signature Date � - . � C�ty of Glrono Building Per�mit Application far Maintenan�e / Renovation (windows, doors, siding, re-roaf, etc.} �a� MailPO Box 66 Permit number. �� 7 � 0 Crysta!Bsy,MN 5532�0(366 Date received_ cS–e�7" � Street Address: Recelved by: ,,`� 2750 Kelley ParkvvsY Pian review fee- ��,�+° Ornno,MN 55356 Totai�ee: 9Aain: 852-24g4600 Fax: 952-249-4616 www.ci.orono,mn.us This applic�Gon f�orm mus#be oompleted in full and alE requf�ed ir�formafion must be submitted. ^� lncomplete�pplications wlll be r+gturned. (Pl�ase prrnt) �o�a • �� GEN�RAL(NFORMATION: Q U c r��`�'� � �O f�-Q,. �� Jab Site Addrssg: a -i .a Wiil#his be a Parade of Hom�,Remodelers Sh�w'case Home ar other Dlsplay Home? Yes No If yes,a speciaf eviar�f permlt/s►r�qulrod with Police Deparfinent and G'ty CouncA epprova/60 days prlor to the e+�sm. Shu1Ne bus servke wi11 be nequired unlpss applicant demonsha099 Suffklerrt an-site palldllg Is available. Nanyoe�r7'rKted events wlN n0Y be dllOwed. CON7RACTOR/APPl�1CANT INFORMATI�N: Name: t�l.�uJo.\ ��A��rSer� State License# �gG��p9 g�3 �xpiration Date: ��3► Lead Cert�ication Number: 1�3 f�'Y r c��'o��3 �1 �xpiratiort Date: ..,, y J 15 — (for w�aui�on homas that werr construcied prior to�978 Phone: �5�� o� ^�j�0�$- (of�ics) (cel!) Mailing Address: 19 olb C�. 1�d�•G•� W�S�^ CttY� � e �IP: S Contact Perso�' Applicant is: tra / Homeowner (c�ca o�) Email and/or Fsuc: PROPERTY OWN�R INFORMATION• 1 Name: �a Y�Yl � i T� � Phone(day): � � Address: Clty: ZIP: Emait ar�d/or Fax --- -- - PR4.lECT INFORAAA'I'lCN: Type of ProJeat: My earth movement may requlre �Door(s) ❑Remadel ❑Fire Damag� M��`��: Minnel�ha Creek Watershed�7istrict(MCWD) []Re-roof,a�phalC ❑Repair �Starm C�amage 18202 Mlnnetonka Blvd ❑Re-ropf,cedar �]Restoration ❑Water i3amage De�ph�ven,MN 55391 Phone: 952�71-Q590 [j RQ.roorF,otherlapeciiy) ❑Siding �Other.(specify) Fvc: 952-471-0882 Q Wlndow(s) ��1�_ � ��aC/�'"""'"�-minneha ek_or r� t Overall Rroject Desariptian: � Es#imated Constructicn Valuation of Project(excluding land S .� APPLiCANT ACKNOWLEDG�MENT: • Agrees ta provlds aA intvm�ation requlred or requested by the Buifding Departmert#; • Certlf�s that the information supplied is hve and aorrec�to ths best of his/l'�er fmowfecige_ The epplicarrt reoognizes that they are solely r68�ble tor submitfing a complete applic�tion being aware that upon failure to do so, the staff has no altema�ve but fo reject it ur�fii�t is CAmplete; • Some or all of tt�e ininrrn�Hon that you are aslced to provide vn thls application is clegsitfed by StHte law as eifher privaie or oonfidential. PtivBte da� is infom�atiron which generally cann0t be given to th� publlc but can be given to the &ubjer.t of the ds�ta. Canridsntial data Is Irrinrmation which generally cannot be given to either the public or the subject af the data, Our purpose and int�ded.use of thls information is to annually update flur reoords and rec�rds of other gqvemmental agenaes r ulred b law. If rePuse to su 1 the in'Form�tlon the a lication ma not be issued_ ADOI1CaflYs Sianature: �� #e: �� `�� ATE TIME V CITY OF ORONO CALLED IN Z � / INSPECTION TIC '/ cSCHEDULED -- �� PERMIT NO� —�T'7 /nCOMPLETED _ ( ADDRESS � �� /�`' �-�' `�� OWNER ELEP ONE NO��'�� g � CONTRACTOR e� G Y(� � DESCRIPTION ��" � W ❑ FOOTING ❑ PLUMBING F AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS � O ❑ F AMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ EMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�.� COMMENTS: � W a � � O � O � W � Q � 2 W � W � � � W ❑WORK SATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED IS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. ��5 � 49-46�� OwnerlContractor on site: Inspector_ White Copy�lnspector's File Canary CopylSfteNotice