HomeMy WebLinkAbout2018-00472 - doors CITY OF ORONO III 11111 1 1 � II 1 1 I I 1 1 11 I � II11 � 111 � � �
2750 KELLEY PARKWAY DATE ISSUED: 04/18/2018
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1350 ORONO OAKS DR
PIN : 35-118-23-34-0006
LEGAL DESC : ORONO OAKS
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
VALUATION : $ 8,418.00
NOTE: REPLACE 3 PATIO DOORS INTO EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 185.83
STATE SURCHARGE(VALUATION) 4.21
HOME DEPOT USA,INC. MAIL-IN FEE 2.00
2455 PACES FERRY RD TOTAL 192.04
ATLANTA,GA 30339-
(763)542-8826 Payment(s)
Minnesota State License#:BUIL-BC147263 CREDIT CARD 7660 192.04
OWNER
MADGETT,DAVID&KRISTIN
1350 ORONO OAKS DR
LONG LAKE,MN 55356-
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 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„
fr‘� ( l �: /IS"'
Applicant Permite t n a 7e Date Issued By _ ature Date
Apr 16,2018 01.20 PM To. 19522494616 Page 2/2 From:Go Permits LLC Fax.8604718765
. ,
City of Orono
Building Permit Application for Maintenance I Replacement I Remodel—Re$.-ideitia110141A:
(i,c.windows,doors,siding,re-roof,etc.--NO STRUCTURAL EXPANSION)
/r-it-0.i\42_,,, Moiling Addre= Permit numbe
PO Box 66 r
/iOtiji \ Crystal Bay,MN 55323-0066 Date received: 4-21--1 --1 g
..
I .4,
StrReceived by:
eet Arddess:
2750 Kelley Parkway Plan review fee:
Orono,MN 55356
.‘„,ktsHo• ..,-/
---4....-..,.....--- Total Fee;-vv. /.?0,ey.,
Main. 952-249-4500 Fax. 952-249-4616 w., 'r. .,1-
,.?!)f,3-11ft tr,
This application form must be completed in full and all required information must be submitted.
Incomplete applications Will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 1350..._Or-12170_.04&S Pr,
Will this be a Parade of Homes,Remodelers showcase Home or other Display Home? fl Yes pi.l.
.17 yes,a spor-for 0,1)11r porrse is raquiPed with PoOse IDepartmeni and City Court&popnovaf 50 days prior fo the event SI-4,M bus service wit be
feqUirea unless appiloant demonstrates sufficient an-sile parking is available. Non-bemired ever=will net be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name; irr-PrL4(-11C,
State License# 15c1t4114f12.4,5 Expiration Date: '31 ,/ d,..bot 0
Lead Certification Number: _thypzia 6,47.,..DL. Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cre10 g(DO ii0L (office) ,g4e414.g._
Mailing Address: A(45.5pazo,T--,cia j_,,i City: Ji..,.ii. ri ,GA- Z1 :3< 530
Contact Person: .Sc, 17,1-ill:ow. rirrwael ; Applicant is-. Contractor r Homeowner mink.one)
Erhart andlor Fax: - (N.e.79trirl'as..,..brq 1/ (,,'.0- __( 71i
PROPERTY OWNER INFORMATION:
Name;
Phone(day): fig.41?..7 Ili— 1.1t 1._
Address: 135D 0 MAD amje,,,,c,,Qie: City:,eirja ylo ZIP: ,53_..5.`fa
Email andlor Fax:
PROJECT INFORMATION: Overall projet.fle$Gription:?el/We CtirVek- r•C-oqa- " , iiQ ..tors t;ex,
Type of Project I Any earth movement may also require
a
0 Door(5,) 0 Remodel 0 Fire DamMCWD review permits:age
Minnehaha Creek Watershed District(MCWD)
0 Re-roof,asphalt 0 Repair C]Storm Damage
15320 Minnetonka Blvd
1.1 Re-roof,cedar D Restoration [1 Water Damage Minnetonka,MN 55345
C]Re-roof,Oth13 Spri
er{specify) g D OthPhone:er:(specify)
Fax: 9952471-059052-471-0662
F4indow(s) %..iwiNfrzin,lrihaty.-F,Tc,ek.oru
Estbnated Construction Valuation of Project(excluding land) $ : : at)
APPLICANT ACKNOWLEDGEMENT:
- Agrees to provide at information required or requested by the Building Department
1 • Certifies that the information supplied is true and correct to the best of histher knowledge. The applicant rocogrftes that they are
I sway responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to •
T 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 taw as either private or
confidential. Private data is in nation which generally cannot be given to the public but can be given to the subject of the data.
Confidential data is intormaton which generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is lo annually update our records and records of other governmental agencies required by law. If'
_... y.9..rqu .1,9,IP_Flphf..1-..irfprgiti.p.t!fip Acati.n rt.wrIc4 issued. _
ApplicantsSignatur • - -- --.''
4/„Z.49— Date! Villylig . ..,... ____
Owner's Signature: -- Date:
Last Updated January 2016