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Home My WebLink About2015-00426 - doors CITY OF ORONO I�' I II I 1 I'' * 2015 _ 00426 * _,,� 2750 KELLEY PARKWAY DATE ISSUED: 04/14/2015 ORONO, MN 55356- 1 (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 001) BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDE$ITIAL CONSTRUCTION TYPE : DOORS 1 ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 2,000.00 NOTE: REPLACE I DOOR IN EXISTING OPENING i APPLICANT PERMIT FEE SCHEDULE 77.44 STATE SURCHARGE(VALUATION) 1.00 DESIGN CRAFT CONSTRUCTION INC. TOTAL 78.44 3333 80TH AVE N Payment(s) BROOKLYN PARK,MN 55443- CREDIT CARD 0143 78.44 (612)597-5989 I Minnesota State License#:BUIL-BC69?71134 OWNER HEMMEKE,MELISSA A 435 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- 1 AGREEMENT AND SWORN TATEMENT The work for which this permit is issued shall be(performed according to the approved plans andlspecifications,applicabler 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 ordinancesveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction uthorized is not commenced within 180 days of the date of issu ce,or if construction is suspended for a period of 180 days at any time er work has commenced. The applicant is responsible for assuring all req fired inspections are requested in conformance with the State Buildi Code.This permit may be revoked at any time for due cause. Aatei -----ci," (---66_,A.A. 0,,,,,,, a I ,-( i&--- Date SignatureDate Applicant Permitee� �gnature Issued By i City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) �o*4* Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelle Parkwa Y Y Plan review fee: Orono, MN 55356 'kEsfo� 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 INFORMATION: Job Site Address: St 0/6 Cfr ki ( 13f"V Will this be a Parade of Homes, Remodelers Showcz�se Home or other Display Home? ❑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 be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Gd s qr Cr ct C +{c 1-10)) ✓C, State License# Jtj gZ / 3 1-/- Expiration Date: — Lead Certification Number: N( -- rt) S3-c- � Expiration Date: 2o/g (for work on homes that were constructed prior to 1978 Phone: (cell) 6/z Scf7 5 ygcl (office) Mailing Address: 3 3 .0 III A tj City:!cal Rik. ZIP: 5-5 1,44-3 Contact Person: ill;(.),Ct C 1 T 1 gip Applicant is: C i ntrac"• / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Thr ` Phone (day): gS2 3 �3 Ms��6 Address: C9/11't City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require 14Door(s) ❑ Remodel 1:1Fire Damage MCWD review&permits: ❑ Re-roof,asphalt 0 Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar 0 Restoration ❑Water Damage Minnetonka, MN 55345 El Re-roof,other(specify) ❑Siding ❑ Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ 2000. O 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 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 required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: f Jurr.1��D Date: /11— 1 Owner's Signature: Date: Last Updated:January 2015 DATE TIME CITY OF ORONO CALLED IN -------/ INSPECTION NOTICE SCHEDULED ` PERMIT NO...g9OtSC2- COMPLETED 4r-i1-'/7 1', ADDRESS. 7 35 60 ' " $ 'f kW.. OWNER W- OWNER TELEPHONE NO. CONTRACTOR hes Cr.fit y -St• DESCRIPTION Q90•. /'t911- rte. Boca t4 B/ W 0 FOOTING 0 DEMO i.FINAL 0 SEPTIC FINAL a0 POURED WALL 0 PL ING RI 0 EXCAV/GRADING/FILLING C 0 FOUNDATION WATERPROOF 0 PLU ING FINAL 0 TREE REMOVAL k 0 RADON SLAB 0 ICAL RI 0 SITE INSPECTION • 0 FRAMING 0 ME ICAL FINAL 0 RATED WALLS 0 INSULATION 0 WON BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP O ATION/REMOVAL Z0 DEMO-SITE 0 SEPTI(3 INSTALL TOMEET TOU:_WM__NO I COMMENT& i t j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 1- Expiration, no'record of a Final inspection. i oW cc qc P is W O WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE IAI 0 CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK, FOR REINSPECTION TEMPORARY G BEFORE PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN+HOURS. 0 PHOTO TAKEN INSPECTOR VM I.L RETURN 0 CITATION ISSUED O STOP ORDER POSED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for die next Inspection;24 hours In advance. (952) 249-4600 OwnedCantractor on she Inspect=__. 01•11."-- vas.CoP.M potions FIN Comfy Copy/SIN NWT..