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Home My WebLink About2011-01201 - doors � CITY OF ORONO PERMIT NO.: 2o11-oi2oi � 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 10/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3898 NORTH SHORE DR PIN : 08-117-23-33-0048 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 860.45 NOTE: REPLACE FRONT PRE HUNG DOOR APPLICANT pERMIT FEE SCHEDULE 38.00 CREW 2,INC. STATE SURCHARGE(VALUATION) 0.43 2650 MINNEHAHA AVE MINNEAPOLIS,MN 55406- TOTAL 38.43 (612)276-1600 Minnesota State License#:20318360 OWNER GRANNING,ROGER 3898 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 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 consVuction 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' sible for 'ng all required inspections aze requested i onform e with the te Building Code.This permit may be revoked a y time fo e caus v�z'� � �/ / � App ic ermitee Si ature Date Issued By Si ure e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB : � � � �� City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Perrnit number: Og,�,jV.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: a � s, Street Address: Received by: �'�c, ` �,� 2750 Kelley Parkway Plan review fee: L9kESH�4`� Orono,MN 55356 �� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��;�� u"'��, This application form must be completed in full and all required information must be submitted. Incomple e applications will be returned. (Please print) GENERAL INFORMATIO • �O `C?[�,��cp � Y��! w �,J�IZ� Job Site Address: n u y U Will this b�a Parade of Homes,Remodelers Showcase Home or other isplay Home? Yes No H yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s ice il!be required un/ess applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be a/lowed. CONTRAC,TOR//�PPLI�C�T INFORMATION: Name: L�/ State License# Q Expiration Date: 3�( Z Lead Certification Number: — (p - Expiration Date: 27 ,�-r' (for work on hom s that were cons d prior to 1978 Phone: - (,�- � (office)�� / � - 7�� t (cell) Mailing Address �y�he, �(,, � City: ZIP: Contact Person: ti Applicant is: ontract r / Homeowner (Circle One) Email and/or Fax: PROPERTY OWN INFORMA ION: - Name: �a,(�n YL Phone(day): .. Address: 0 City: ��(� ZIP: 5°��p Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require �oor(s) ❑Remodel ❑Fire Damage MCWD review&permits: ` > Minnehaha Creek Watershed District MCWD ❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specity) ❑Siding ❑Other. (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq � Overall Project Description: ( � �( . Estimated Construction Valuation of Project excluding I nd) $ • 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 comp�ete; • 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 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 governmental agencies re uired b law. If ou refUs to su I the inform ' ,the a lication ma not be issued. Applicant's Signature: � Date: �U�Z� l� Last Updated: OS-09-2011 �1�� 51'� �� / � ��' �D TE TIME ✓ CITY OF ORONO CALLED IN / < INSPECTION�ICE �/ �^/ SCHEDULED / � L� � PERMIT N0. �< <�«� COMPLETED . ADDRESS .3�� / V y �Cx� �r� V`� OWNER T EPHONE NO�`�- 7�—� 7� CONTRACTOR r� � � �: DESCRIPTION ��-6't 4� ��/ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y � FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPtAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � Q� �Un.T �h-f-C--1 o � � � 0 � W � Q � z W � W � � � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑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. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � . -�,� � � White Copy/lnspector's File Canary CopylSite Notice