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Home My WebLink About2014-00260 - windows � � CITY OF ORONO * z 0 1 4� 0 0 2 6 0 * 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2014 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1890 SHADYWOOD RD PIN : 17-117-23-24-0019 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,000.00 NOTE: WINDOW REPLACEMENTS INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 265.50 STATE SURCHARGE(VALUATION) 7.50 LUNDBERG,MIKE&ANGIE TOTAL 273.00 1890 SHADYWOOD RD Payment(s) WAYZATA,MN 55391- CHECK 5128 273.00 OWNER LUNDBERG,MIKE&ANGIE 1890 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. This 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 3 3�-r ��?�� / Applican ermitee ignature Date Iss d By Signature Date ,, ' City of Orono �uilding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Marling Address: Permit number: ��j[ � �� NO PO Box 66 ` �- Crystal Bay, MN 55323-0066 Date received: '� � — � Street Address: - Received by: � � 2750 Kelley Parkway Plan review fee: `� � Orono, MN 55356 � ��KFsxo��" �� . � 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: IQ�O s�duw UQ� �O� .�ob Site Address: � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes, a special event permit is required with Po/ice Department and City Counci!approva/60 days prior to the event. Shuttle bus service wil!be required unless applrcant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. C�NTRACTOR/APPLICANT INFORMATION: , hame: �}}{LII�S011 C�nS�VU(.�'lOh �4- Sldl� �.L�- .� State License# ��, (�38�{�Q Expiration Date: 3-3� - Lead Certification Number: NF}T ��I�q - IOI�q�{I Expiration Date: 3-�-�1p (for work on homes that were constructed prior to 1978 Phone: (cell) 6l2•�35• �2�2 (office) Mailing Address: �453� 50 City: a,Y1p ZIP: 3� Contact Person: S�Q�/Q.��Y15QY1 Applicant is: Contractor / omeowne (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: N a m e: �ll l kQ�- �}Y1q I Q, �.UY1(��OQXD� Phone (day): �00�2�� ,I,1f Address: � q� W00(�. City: WQ�,��"(�,Qutu�: SS�q� Email and/or Fax: M0.LUY��Y1Q�inS ►1Q,t C�U p� D�(6Y1p IIYl1�'S PROJECT INFORMATION: Overall project description: fype of Project: Any earth movement may also require � ❑ Door(s) ❑ Remodel MCWD review 8�permits: ❑ Fire Damage ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage n� QJ(.�5�) Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Q�I � Phone: 952-471-0590 Fax: 952-471-0682 �J Window(s) On�tl rP,��Q(�.n1Qll."�' WI11dOWS'S�I j � S www.minnehahacreek.ora J �stimated Construction Valuation of Project(exciuding land) $ �00 APPLICANT ACKNOWLEDGEMENT: �I . 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 appfication 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 ApplicanYs Signature: Date: Owner's Signature: ��-e� ��"' Date: �''�� G Last Uodated 03/06/2013 DATE TIME J CITY OF ORONO CALLED IN INSPECTION�VQ I E SCHEDULED a 1 1�' � PERMIT NO.oCU � COMPLETED ADDRESS �� D� � OWNER TELEPHONE NO.�Z 3�D CONTRACTOR �/�-l��n �-��?7��"• � DESCRIPTION/� � �h�w � r� � 5 ��`5 � � ❑ FOOTING ❑ PLUMBING FINAL l�� ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI � Q` . ❑ LAKESHORENVETLANDS ..� O ❑ FRAMING ❑ MECHANICAL FINAL �� ❑ TREE REMOVAL Z ❑ INS "ATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ D MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j ,� � � � O � � O � W � Q � 2 W � W 2 � GW ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 h rs in advance..(�52) 249-46�0 7 ; OwnerlContractor on site: Inspector. `- White Copyllnspector's Ffle Canary CopylSite Notice