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Home My WebLink About2017-00680 - windows . CITY OF ORONO * z 0 1 7 - 0 0 6 8 0 * r , 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1405 REST POINT RD P[N : 07-117-23-33-0013 LEGAL DESC : SBDV OF LOT 14 REST POINT : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,000.00 NOTG: REPLAE(1)WWDOW INTO EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 13936 STATE SURCHARGE(VALUATION) 3.00 HAMEL BUILDING CENTER TOTAL 142.36 18710 HIGHWAY 55 PLYMOUTH, MN 55446- Payment(s) (763)478-6601 CHECK 44263 142.36 Minnesota State License#: BUIL-20631040 OWNER CAVENDER,COLLINS&BARBARA 1405 REST POINT RD MOUND,MN 55364- AGREEMENT AIVD SWORN STATEMEIVT The work for which this permit is issued shall be performed according to Ihe 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. � �"�� r 7`� � � al � /� Applicant Permite nature Date Issued ignature Date �� o� �r�� eldinc� Perr�it i4pplication for fVl�intenance / Replacement / Remoc�el — Residential �iVLY ` (i.�e �i�e�'��s ��a��y �'s�'e��y �e��a��, ��c. � �� l��TIJRA,� ��P��R��) A , Mailing Address: O �7_�I� ��f V� PO Box 66 Permit number: �l/ Crystal Bay, MN 55323-0066 Date received: —.Z/—� � � Street Address: Received by: y�, G� 2750 Kelley Parkway Plan review fe : Orono, MN 55356 � lqKESHO�� f � /� �,�/" Total Fee: Main: 952-249-4600 Fax: 952-249-4616 �v,��-�,�:.ci.000no.mr�.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORI1ApeT10N: Job Site Address: .'�'�s'" ,�r=sT� /�'o��i ��►-� Vllill this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes � I�o lf 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 I APPLICANT INFORMATION: Name: �.rr.�,�� y��.,,,-c L�.�T��- � -�-i ,8. Li«��,�Y�s;v State License# ,�� /G y� Expiration Date: 3 3, i8 Lead Certification Number: y�„fi � 70�� Expiration Date: � / �9 �Cl (for work on homes fhat were constructed prior fo 1978 Phone: (cell) �Gi�) G�� ._ � �, 6 (office) �7 d'3 � %7� —��o/ Mailing Address: �>�o y SS City: �r,.Yn/ Z�P: SSyS'� Contact Person: ,��,�r �, G��r fiti*y-�rr� Applicant is: Con ractor / Homeowner (Circle One) Email and/or Fax: ,�c,��f,y�.s��v��,,,..tt�`��,,.�<<,,.:..,�:�� d.� PROPERTY OIlVNER IfVFORMATION: Name: �s«�wr { ,�i,n.�:�a� �'.,vf.�-,o�lL Phone (day): �j'S�f yg S.--g�� ci Address: /yo s— /1��r� �,`;....-i iPan-r., City: /yt�,,.-A ZIP: J'"S"3dy Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 (./�3� Fax: 952-471-0682 Window(s) ,f�/f —S'ir�r� SiZf nE�� W�Nw.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ G�G�a, oa <iPPLICANT' 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 ou refuse to su I the information, the a lication ma not be issued. Applicant's Signature: �,,� /� �`' Date: �/�� / �7 Owner's Signature: Date: Last Updated:January 2016 • � � , .. - �� ;�.,x , � ,.,. ., �,.�- — ,.:: ; �iy ! i �< Y� I �.. �[� {� _�--� �, '�°,� ,i ,_ _� -- : � i � ,' k ; �,,�h P� t e si �k 3,: '.j � ��f I ^.�-� � "� i I �A ��. '��d}i� � `I .w.�.- � ,.%F, - .;�°Mk,R� °yr.. 3 - � . �.�Ph�� ., �� 3 b�y�� '� �.�, a � Y�,a��''�� `: � � � t: � � �� , Q�C t . • �� i � _ � i ��` ` � �� „t � �s�,�:; \ - � � �� f D � � , � '�>� �� ,� t r z y.:..*a€ s �� r . . , . . t � \ .� �� 1� �(t�."'�d�r , :`:� . �� . ,.� . ,'r:��,.�{'r.'.... . -� ��. '�S�a.x:z�;,��. � .. � . ; � .�:�. � � '='i,'� �' i � � —_ _ ��, , i � 1�� r � _ �3,r`r,'�, `".��. ,.. . 1 t�� .�' r�_� � . ��_ � -r, _ 1 � � ' f i � � � �., ,,_ � ; ___ � . . . � , ;."�.__—�r—'�---,--=---.._ . '� �r��,f;. � �� Y� f� � � � �"+� f(,3,§� �t ��lf�i � . e h 1(�j�.t ��f � � S (\ �_ '�.'� & �ar,�t� � � , ��... ,,... : . ... �../�{ � �'�� t�� k�� c, ,.�� JE �� 1� . .. .. .... { 1 � ,� � ... .. .,,' . , .� �� r"' f � � � . .. ,.,....W . ' .. . �._._ . � __ � yA4 � � � ry��' �:, �n �� 2�� 4 . #{ .� 1 ti�.� f� -- �:., �� X.. � ti, � � �.1. � . s'�`,.'. � S�f � ,� :'��R � ��'�'�� y�� k'' �� . . . . . . . ... - . .. . .__. Y� �� . . . . .. . . � .t � � 1' `r " !� ` ,t Y�.-u i �F y � u a�m �' �� .�.,._ .Y+....�� ' — ' � �. �� ...F..: , c . . l � !_.� . _'— - .�;,,. ,_ � ..l�wyb.y-.._ .:��c�a., .- � ,; �r ��.;,,y,r,,......r�✓ �,r ' I � > �t ��.. � �' �,, , � � �� r.�- �- -�� :; .. , ., - ..� � Minriesota Departmer�t of Labor and Industry Licensing arui Certification Services � �Construction Codes and Licensing Divislon Phone: 651.284.5034 443 Lafayette R�d N Emaii: DLI.License(cpstate.mn.us Saint Paul,MN 55155 Website: www.dli.mn.gov/ccld.asp NOTICES NO7 TRANSFERABLE HAMEL LUMBER&SUPPLY INC ' CHANGE YOUR BUSINESS STRUCTURE DBA HAMEL BUILDING CENTER SUBMiT A NEW APPLICATION FOR NEW ENTITY PO BOX 158 HAMEL, MN 55340 RENEW OR REPLACE INSURANCE POLICY , SUBMIT NEW CERTIFICATE OF INSURANCE NOTIFY THE QEPARTMENT OF A CHANGE IN YOUR BUSINESS. , Failure to do so,subjects you to administrative penalties of up to$10,000. 15-Day Notice Requireme�t—Forms avaitable anline at ixww.dli.mn.s�ov/CCLD/LicUadate.asa • Change in business'physicaf address,mailing address,phone number,or email address • Change in controi,ovvners,o�icers,directors,members,partners • Change in business'legat name and/or assumed name ' • Loss of or change in OUALIFYING BUIIDER ' • Change in general liabiliry insurance o�workers'compensation insurance coverage Immediate Notice Requirement—Notification to DLI in writing , • Judament Debtor. A lice�sed contractor has 15 days to provide written notice of the finding ihat it is found to be a judgment , debtor based upon conduct requiring licensure. � • Bankruptcv Petition Filed. A licensed corttractor has 15 days to provide written notice that ft filed a petition for bankruptcy. • Canviction Notice. A licensed contractor has 10 days to provide written notice that it has been found guilty of a febny,gross misdemearior, misdemeanor or any comparable offense related to the license, including convidions of f�aud, misrepresentation,misuse of funds,theft,criminal sexual conduct,assauft,burglary,canversion of funds,or theft of proceeds . in this or any oN�er state or any other United States jurisdiction. YOUR CERTIFlCATE IS BELOW TNE PfRFORATION. SHOW CERTIFlCATE WHEN OBTAINING PERMfTS. � '�'�''"�"",�"E"T°F RESIDENTIAL BLDG CONTRACTOR ` LA�OR&INDUSTRY ConsuucNon Codes and Licensing Division Licensi�ar�d Certificatbn Servrc�s a43 La�yepe Road NSt Paul,MN 55155 WebsiOe: www.�i.mn.�v/ccld.aso Email: dli.license(c�sta�.rtn.us Pfione: 651284.5034 This is to certify that the certi6cate holder is licensed as a RESIDEN['IAL BUILDING CONTRAC`i'OR in the state of Minnesota and is in compliance wiih Minnesota Statutes 326B.805,and may build residential real estate,contract or offer to wntract with an owner to build residential real estate,and contract or offer to contract with an owne,r to improve e�cisting residential real estate;provided the responsible individual is at all 6mes a QUALIFYING BUILDER and the certificate holder maintains compliance with the required general liability insurance,and workers'�mpensadon laws. License : RESIDENTIAL BLDG CONTRACTOR �. Lic Number : BC631040 HAMEL LUMBER&SUPPLY INC � Effective Date : 04/01/2016 DBA HAMEL BUILDING CENTER e, Facpiration Date : 03/31/2018 PO BOX 158 � HAMEL, MN 55340 T VERIFY URTO-DATE STATUS,.BOND,AND INSURANCE INFO AT www.dU.mn.s�ov/ccldtLicYrer,ify.asp (ENTER NUMBER). t _ __ _ _____ __—___. — --__._.----------- ----- ------ ---______.___-- �rti��.d �#�� .�Yiuir�nnt�it�� x�a#��i�att ,��g�eYi�� l�t� i� #n rertt�� tl�tt# . s . � �"iEPA � Hamel Lumber 8 Supply Inc. (dba Hamel Building Center) ; ._._ -- .. . g.< has fulfilled the requirements of the Toxic Substances Control Act(TSCA)Section 402,and has received certification to conduct lead-based paint renovation,repair,and paintingactivities pursuant to 40 CFR Part 745.89 ,Jn ��r�e Jurt��dirt`t�an u�: All EPA Administered States, Tribes, and Territories This certification is valid from the date of issuance and expires Apfil 29, 2020 �I�L't�1^'" �/�.�� NAT-27070-2 Certification# Michelle Price, Chief April 02, 2015 �� Lead, Heavy Metals, and Inorganics Branch Issued On PR.OS��:.� DATE �IME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � a -� a: 3c� PERMITNO. 1-�'� � ��-'�'�� COMPLETED ADDRESS I� 1 f�,�� ')��1 � �-�-� OWNER TELEPHONE NO. �>L �� Y�C'�' CONTRACTOR �� '�-� � DESCRIPTION �,'� ��Cti"�� -C, C�� 1�-�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL 2 J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: a� W � 0 + 1�vl�p�O L✓ /��f��GP�/Y1�is f G2�,c�.0 P�ct�S ). o _ Go�n/, a,�. � W � Q � 2 W � w � j W VYORKSATISFACTORY:PROCEED PROJECTCOMPLEfE �CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. U pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP OHDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�0 OwnedContractor on site: Inspector: �'��'��G L ' White Copyllnspecto�'s File Canary CopylSite Notice