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Home My WebLink About2010-00488 - windows � r • CITY OF ORONO PERMIT NO.: 20�o-oo4ss 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1650 SHADYWOOD RD PIN : 17-117-23-21-0014 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 12,763.00 NOTE: REPLACE 3 WINDOWS AND 2 PATIO DOORS WITHIN EXISTING OPENINGS APPLICANT pERMIT FEE SCHEDULE 236.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 638 1920 COLJNTY RD C.WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 244.38 Minnesota State License#:20130983 OWNER KREISLER,JERROLD&BARBARA 1650 SHADYWOOD RD WAYZATA,MN 55391 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. 1'his permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if conswction authorized is not commenced within 180 days of the date of issuance,or if consuuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due ca�ise. ��1�,�'c.� (''L l i �CG�Yt i i Applicant Permitee Signature Date Issued By gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO "1(� . �l �� City of Orono �� Buildin Permit A lication for Internal Work � g pp (windows, doors, siding, re-roof, etc.) //�—O�� Mailing Address: Permit number: y PO Box 66 , �_:�:, \�,, Crystal Bay, MN 55323-0066 Date received: �� '�'.' ,�I '1� �� `�.:' �, 1 Street Address: Received by: ��c�r9, ° �'' ��' 2750 Kelley Parkway Plan review fee: ESHo4� Orono, MN 55356 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. (P/ease print) GENERAL INFORMATION: Q Job Site Address: �(p�Q hG�.dl�l.�'��d 'l�� Will this be a Parade of Homes, Remodelers Showcase 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. Shutt/e bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Renewal By Andersen State License# 1920 County Road "C" West Expiration Date: Phone: Roseville, MN 55113 (cell) Mailing Address: City: ZIP: Contact Person: License #20130983 t is: Contractor / Homeowner (Circle One) Email andlor Fax: 651-264-4777 PROPERTY OWNER INFORMATION: v Name: �A.c�Jq.�C�, t�'�-e.�S�'C�Y' Phone (day): 9� ol •y�-p -a04S Address: �S;}�„� Cit � ZIP� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) ❑ Remodel ❑Water Damage ❑ Window s Minnehaha Creek Watershed District(MCWD) ( ) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration Deephaven, MN 55391 ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek ora Overall Project Description: � o� 1�.�io �XS LJI;N �--X�S � Estimated Construction Valuation of Project(excluding land) $ a (03 — � 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: �(��"�<d Last Updated: OS-04-2009 Cs � ��v , DAT TIME ✓ CITY OF ORONO CALLED IN � �� INSPECTION NQJ�� D��OQSCHEDULED PERMIT NO. 4CJ �d COMPLETED ADDRESS � � OWNER EPH NE O � � CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑COflRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REOUIREO.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor site: Inspector. � A o �� .s White Copyllnspector's File Canary CopylSite Notice