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Home My WebLink About2010-00425 - doors CITY OF ORONO PERMIT NO.: 2010-00425 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/15/2010 (952)249-4600 FAX: (952)249-4616 ADDRESS : 1535 ORCHARD BEACH PL PIN : 07-117-23-43-0024 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 4,115.00 NOTE: REPLACE(1)PATIO DOOR WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 118.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.06 1920 COUNTY RD C.WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 122.06 Minnesota State License#:20130983 OWNER DELTON,LESLIE&NANCY 1535 ORCHARD BEACH PL 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By 1. ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A'AVE. Jun-07-2010 07:19am From-CITY OF ORONO +9522494616 T-287 P.002/003 F-187 Building Permit.Application for Internal Work (windows, doors, siding', re-roof, etc.) Mailing Address:, Permit number: ,2.016, -6 6 4.Z5 0�°`P-) PO Sox 66.Crystal Bays MN 55323-0088 Date received: vfil� I- j. � Street Address: i Received by: � � � .r 2750 Kelley Parkway Plan review fee: /11/4 i,'102,' Orono, MN 55356 Total Fee: ii, aZ z,66 Main: 952-249-4600 Fax: 9552-240.46113 • www.ci.orono.nm.us This application form must be completed in full and all required information must be submitted. Incomplete application milli be returned. (Please print) GENERAL INFORMATION: Job Sits Address: 1535 6'(c%mnstl efecAckTka - Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes 0 No If As,a amass event psnn/f le rewired with Polies nt ern City Council approval e0 days prior so me event. Shut*bus service wilt be ,equbed unless applicant deatOnsiraMs auArclnt mote perianths available. hltopemtitted every will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: Renewal By Andersen State License# 1920 County Road "C" West` Expiration Date: Phone: Roseville,MN 55113 ______,___________t_) _ell Address: City: ZIP: Contact Person: License#20130983 ,t Is: Contractor / Homeowner (Circleorwt Email and/or Fax: 651-264-4777 , PROPERTY OWNER INFORMATION. Name: NCL" DE 1+0Y1 - Phone(day): 95 - -- = — • S Address: ^ City: _ ZIP: Email and/or Fax PROJECT INFORMATION: • Tyle of PreJeet: 1 C.2 1 p cx,-K Cy do1)i✓1 Any earth movement may require �,c�}� INCWD review+#permits ❑Door(s) O�&� '"' Water Damage �A0A1 Minnehaha Creek Watershed District(MCWD) ❑1Mndow(s) Cl Repair "�— ❑Storm Damage 18202 Minnetonka Blvd . Deephsnren,MN 85961 13 Siding 0 Restoration p other:(speclfy�; Phone: 9132-471-0590 Fax: 952471-0882 In Re-roof 0 Fire Damage • www,minnehahacreek.orp Overall Project Description: , Estimated Construction Valustlon of Project jezcluding land) $ r-J i Ji S— 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 beat of his/her knowledge. The applicant recognizes that they are solely responsible far 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 date. 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 supp the Information,the application may not be Issued. • Applicant's Signature: ! 1 t%!'‘, J Date: 49 (iiN--Q lb • Last Updated. 05-04-2009 g•d O6T9bL9Tt:9 3DIA213S IIWt13d U B S R Sis: TT OTOS CO unr -�� \a - /DATE `� TIME CITY OF ORONO CALLED IN Z'`' I INSPECTION NOTICE // ,5GHEDULED d ° ca,*OD PERMIT NO. OO/O-��7'/ OOMPLETEED ADDRESS .533— vrG'�L'Laj L OWNER /pATE EPHNE NO. / CONTRACTOR 4G�/AX � (� t neu l DESCRIPTION h- Wrete.ent-tm-1— ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 11. Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Cr ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING R ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/ TRACTOR EET YOU:) YES_NO o CO TS: ez W CC O CC O W CC W W CC GW El WORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW El CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor onits e: Inspector. White Copyllnspector's File Canary Copy/Site Notice