The URL can be used to link to this page

Home My WebLink About2011-01322 - windows CITY OF ORONO PERMIT NO.: 2011-01322 � � 2750 KELLEY PARKWAY ORONO, MN 55356- DA'rE�SSUEn: 10/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1990 SHADYWOOD RD PIN : 17-117-23-24-0027 LEGAL DESC : SHADY-WOOD : LOT 040 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,946.00 APPLICANT pERMIT FEE SCHEDULE 103.25 PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 1.97 2211 11TH AVE.E. MN 55109- MISC FEE 0.00 (651)770-5570 MAIL-IN FEE 2.00 Minnesota State License#: BC 2035684 TOTAL 107.22 OWNER MACK,ROBERT&ARDELL 1990 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 Bui�ding Code. This permit is for only the work described and dces 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 are requested in conformance with the$tate Building Code.This permit may be revoked at any time for due cause. `,Y�`'� �'K, / / / / Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i� �' City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,O,�.O PO Box 66 Crystal Bay,MN 55323-0066 Date received: �? �, Street Address: Received by: �'�, G��' 2750 Kelley Parkway Plan review fee: �.��xo�,$ 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. (Please print) GENERAL INFORMATION: Job Site Address: 1990 shadywood road 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 Police Department and Ciry Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates s�cient on-sife parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Prosuiit America State License# 20356847 Expiration Date: 03/12 Phone: - - (office) (cell) Mailing Address: 2211 llth Ave E Cjty; N. St. Paul � Z�P; 55109 Contact Person: Estner Dahl Applicant is: Contractor / Homeowner �c�rcieone� Ef1181�at1C��0�FBX: estherd@windowworldmn_com PROPERTY OWNER INFORMATION: N8r1'12: Jeff Vonfeldt Phone(day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �x Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven,MN 55391 ❑Siding ❑ Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Re-roof ❑ Fire Damage www.minnehahacreek.ora Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 3946 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is class�ed 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: �J�'`�- �^� Date: lo/ia/aoii Last Updated: 05-04-2009 f �J' �� 1) ��-�� / _ DP�TE - � TIME � � CITY OF ORONO � / CALLED IN ! �' � � INSPECTION NOTICE scHE�u�Eo �� PERMIT NO. —�f. � i ��i�� '��COMPLETED � —�— ADDRESS � [- �`' ; �� '� .�.C�E' ' � � �� C� �..C�-� OWNER TELEPHONE NO. �� ! ��-� �K--?/l'� CONTRACTOR �,�% !"�71 ( I � � DESCRIPTION ��y'�C-'��!�:��%S `�� t� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � j d p� W ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR U CITATION ISSUED ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. ` ' � White Copyllnspector's File Canary CopylSite Notice