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Home My WebLink About2011-01202 - doors CITY OF ORONO PERMIT NO.: 20��-0�202 •, 2750 KELLEY PARKWAY - ORONO, MN 55356- DATE ISSUED: 10/07/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 4215 NORTH SHORE DR PIN : 07-117-23-43-0006 LEGAL DESC : ORCHARD BEACH : LOT 002 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 7,957.00 NOTE: REPLACE(3)DOORS WTHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 162.25 RENEWAL BY ANUERSON STATE SURCHARGE(VALUATION) 3.98 1920 COUNTY RD C. WEST ROSEVILLE, MN SS113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 168.23 Minnesota State License#: 20130983 OWNER WALDOCH, DOUGLAS 4215 NORTH SHORE DR MOUND, 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 governing this type of work shall be compied with whether or not specified herein.This permi[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 inspec[ions are requested in confom�ance with the State Building Code.This permit may be revoked at any time for due cause. �y�,�.`,e �v�. � i i i Applicant Permitee Signature Date Issued By Signatur Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. - City of O�ono ' � Buiiding Permit Application for lnternal Work ' �win�dows� doors, sidin , re-roof etc.) O MalJing Addr�ss: p�rmft number. v�0//—O/�.D � Og .�� PO Box 68 Crystal Bay,MN 55323-0066 Date te�eived: /O ��v—�� .�' St►�eet Add�ss: Received by: �� $o� 2750 Kelley Parkway Plan review fee_ � Orona,RAId 55358 Totel Fee: Main: 952-248-4800 Pax: 952 249-4618 �rww.d.orono.mn.us J��' � This application form rnust be completed in full and all required information must be submitted. �, (� Incomplet�applica�ong will be retumed. (P/ease print) GENERAL INFORMATION: Job Site Addr+esg: y a�5 cv s�•o�,e. �r; $. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,s apedal�voent permff/s requlied w!ri►Po/k:e Oepertment end C�"ty Councll epp�ova/80 daya prfa�!014�e svenL 3Huttle bus s�nrtrs wNl be �eqW►ed unless applrc��t demonetrades auffictent on-s/t�parking is evaUable. NwrFermlited events wtAltotbe eNawsd CONTRACT�R I APPLICANT INFORMATION: Name: Renewal By Andersen State License# 1920 County Road "C" West Expiretion Date: Phone: Roseville, N1N 55113 (cell) Mailing Address: CitY: ZIp: Corrtact Person: Licens�#20130983 ,t is: Contractor / Hom�nmer �ci�rae o�e� Emaii and/or Fax: 651-264-4777 PRCPERTY OWNER INFORMATION: IVame: '��cl�ine. �,J�10►.�0 G1� Phone(day): e1.�y� a —(�u�� Address: '�` _ C�t • Z!P• Email and/or Fax PROJECT IIVFORMATiON: � �'h�� Type of Projec� s � ' Any earth movement ma�r ev�quire � �� MCWD revisw 8 permits j�Door(s) ��`� ❑ Remodel ❑Waier Damage Minnehaha Creek Watershed Distrid(MCWD) s) C Repeir ❑Storm bamage 18202 Minnetonka Bivd ❑Sj��9 ❑ Restoretion O�phaven, MN 55391 ❑Other. (specify) Phone: 852�71-OS90 ❑Re-roof ❑ Fire Oamage F�: 952-471-0682 w�w.minneh�hecre� ora Overall Pro eet D�c�i tbn: Estimated Constn,ction Vsluation of Pro eet �xaludin land $ ,p(� APPLICANT ACKNOWLEDGEMENT: • • Agrees to pravide all informadon requtred or requeai�by the Building Department; • Cerf(fiea thal the lnformation supplied is true and oorrect to the best of hiaJher knowledge. The applicant recogniz�s that they are salely respo�ible for subrnittlrtg a complete application being awere d�at upon fanure to do so, the siaff has no altemative but ta reject(t until it is ccmplete; • 3ome or all of the iMormation that you are asked to pro�lde an this applicaiion is dassifled by Stete law as either prlvate or ooMidential. Prlvate data is i�ormation which generally cannot be Biven ta the public bui can be 8iven to the subjed of ti�e da�. Cortfidential data is )riformation which generally cannot be given � either the publlc or the subj�ct of the da�. Our purpose and intended use of this Infoimation is to annually update our recorda end recorda of other gevemmental agencles ired law. If ou refuse to su 1 the informatlon the a licetiom m �a1 be isaued. Appli�arrt's Signature: Date: �p�l+ Las!Updeted: 03-04-2008 Z 'd 06T9�bL9TS9 3�I11�135 lIWa3d Q '8 S I� SS �G TTOZ 90 ��0 . ,,^��e� .,: .- ,� , , I;� } k��_! Ir� E .�: ��,�J`51 f�.��i��li��. W S � D Perrnit Service 9533 — 367�' Street; North Branch, MN 55056 Phone 65 l-674-I 766 — Fax: 65 I-674-6 I 90 952-249-4616 - Fax City of Orono, Please figure out the building permit fee for this job and ca11 me with the fee amount so that I may come to the city and pay for/ pick up the permit. Also, please call if you have any questions. Thank You, C� Kara Benson 651-674-1766 �s� �c��-y- C�l�o -�a-�. � - ` � �� G�� r � � �c fi�u- ��-`�- �' c�°�' _ � � T 'd 06T9bL9iS9 3�IA213S 1IW213d Q B S �1 SS �L TTOZ 90 ��0 � �- ✓ � � D T TIME � . ITY OF ORONO (��" "� CALLED W � ~— t" ��/ � �, • � ' ��/n INSPECTION aOTICE // SCHEDULED -- --iL7�� PERMIT NO�"'� � L --�^�-� COMPLETED ADDRESS '��I� : l� � ��j t)�'� �-�l` , OWNER TELEPHONE NO/��'=� ��'y �-��c� CONTRACTOR �'�'�✓'-�(��l_? � �!1 �� p,r, . � 1.- � DESCRIPTION / %��i��v l �J�'�n� — / v��c ��:,��.)�'�j �c,� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLINGt Q � POURED WALL O 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA j ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES�NO � COMMENTS: � w a � � O �. � O � W � Q � 2 W � W � j d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail tor the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit : Inspector. ., � White Copyllnspector's File Canary Copy/Site Notice