HomeMy WebLinkAbout2011-00729 - doors CITY OF ORONO PERMIT NO.: 2011-00729
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/02/2011
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 435 OLD CRYSTAL BAY RD S
PIN : 04-117-23-31-0002
LEGAL DESC : AUDITOR'S SUBD.NO.230
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 1,532.00
NOTE: REPLACE SIDE PATIO DOOR
APPLICANT
PERMIT FEE SCHEDULE 60.75
CREW 2,INC. STATE SURCHARGE(VALUATION) 0.77
2650 MINNEHAHA AVE
MINNEAPOLIS,MN 55406- TOTAL 61.52
(612)276-1600
Minnesota State License#:20318360
OWNER
HEMMEKE,MELISSA A
435 OLD CRYSTAL BAY RD S
LONG LAKE,MN 55356- i
AGREEMENT AND SWORN STATJMENT
The work for which this permit is issued shall be perfoed according to
the approved plans and specifications,applicable City a provals,and the
State Building Code. This permit is for only the work d scribed and does
not grant permission for additional or related work whic requires separate
permits. All provisions of laws and ordinances govemin this type of work
shall be compied with whether or not specified herein.T is permit will
expire and become null and void if construction author' d is not
commenced within 180 days o1'the date of issuance,or i construction is
suspended for a per} d of 180 days at any time after wor has commenced.
The applicant is,r*onsible for assuring all required ins ections are
requested in cd ance with the State Building Code. 'his permit may be
revoked at I e or due cause.
/
..
_,/ � / 120 71 6- AI ; 7/ 02.- / /(
App'MR'P-' itee Signature Date Iss /' By Signature Date
SEPARATE PERMIT REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
a r
City of Orono . ' `
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: O/ ,.
Ov
0 j� PO Box 66 Permit number p
o Crystal Bay, MN 55323 0066Date received: f
11_"':'--: E
t, street Address:
Received by:
N:'ilit
( ) Gti`� 2750 Kelley ParkwayPlan review fee:Hog� Orono, MN 55356 -�
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Total Fee: •d ` e -
Main: 952-249-4600 Fax 952-249-4616 www.ci.orono.mn.us p - i 3�
This application form m st be completed in full and all required information must be submitted.
Incoplete applications will be returned. (Please print)
GENERAL INFORMATION 5 id �' Rd
Job Site Address:
Will this be a Parade of Homes,Re odelers Shona e Home or nth r Display Home? ❑Yes akItsio
If yes,a special event permit is required wl Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant de nstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/A PLICANT INFORMATION:
Name: WV,
State License# O3'I 4" ,0 T Expiration Date: 3
Lead Certification Number: '(p,, _I Expiration Date: a -�!
(for work on homes�that were constructed prior 1978 I
Phone: W Id-Q-7(4 j((6 (office) (cell)
Mailing Address: (p�jb nne i ti Ave, City: C, ZIP:E64010
Contact Person: -FIT sc Applicant is: (Lontrac o / Homeowner (circle one)
Email and/or Fax: —
PROPERTY OWNERINFORMATION:
Name: f r-e415511, +- ' nme
Phone(day): 15?_ -$f(p
Address: 4-3 "' JS a ryazj City: f 6 ZIP:5S3 (p
Email and/or Fax `" J ''""""JJ
PROJECT INFORMATION:
Type of Project: Any earth movement may require
4Door(s) 0 Remodel 0 Water Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd
Deepha❑Siding 0 Restoration 0 Other:(specify) Phone:v95,MN -0555 91
0 Re-roof1iO_ /, Phone: 952-471-0590
0 Fire Damage e la� Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description: k-ptaa 90.6 §..-fib doh
Estimated Construction Valuation of Project(excludihg land) $ I 5 36'x `
APPLICANT ACKNOWLEDGEME T:
Agrees to provide all information re uired or requested by the Building Department;
. Certifies that the information suppli d is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submittin 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 inform tion which generally cannot be given to the public but can be given to the subject of the
data. Confidential data is informa ion which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use o •is itformation - to annually update our records and records of other governmental agencies
re•uired b law. If ou refus- to su•.I.a.: i-fo ation,the a•.lication ma not be issued.
mmla
IL Applicant's Signature: 110.4B1/141d04. .. Date: 1 _. I
Last Updated: 03-01-2011
DATE TIME
CITY OF ORONO CALLED IN _
INSPECTION NOTICE SCHEDULED 5-2R-17)
PERMIT NO. 741/-06,7aq COMPLETED
ADDRESS 4{35 o/d drys S
OWNER TELEPHONE NO. 5-z-5731'.-57f76'
CONTRACTOR _Cts' z- _
DESCRIPTION F`/ra-( "x /1)42,7-0 "(k"'
1.14 D FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FI
Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVE f
y 0 FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL/
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
• 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
v 0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
? 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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LU0 WORK SATISFACTORY:PROCEED y9-ABOJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
10 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
bj (1-1Inspector. � �
White Copyllnspector's File Canary Copy/Site Notice