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Home My WebLink About2011-00251 - windows + CITY OF ORONO PERMIT NO.: 20��-oo2s� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssuEn: OS/OS/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2240 SHADYWOOD RD PIN : 17-117-23-42-0001 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 008 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIV[TY : O/S BUILDING - UNDEFINED VALUATION : $ 15,000.00 NOTE: REPLACE PATIO DOOR AND TRAP WINDOWS ABOVG INTO EXISTING OPGNINGS. APPLICANT pERMIT FEE SCHEDULE 265.50 MCDONALD REMODELING STATE SURCHARGE(VALUATION) 7.50 6015 CAHILL AVE INVER GROVE HEIGHTS, MN 55077- MISC FEE 0.00 (651)554-1234 MAIL-IN FEE 2.00 Minnesota State License#: 20205832 TOTAL 275.00 PAID WITH CC# 9503 OWNER FREEMAN, CHRISTINE 2240 SHADYWOOD RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfbrmed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permil is for only the work described and does not crant permission for additional or related work whicl�requires separate pennits. All provisions of laws and ordii�ances governing this type of work shall be compied with whether or not specificd berein.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 co��struction 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 confonnance with the State[3uilding Code.This permit may be revoked at any time f�or due ca e. � �J/ V / � '�J/ �J � / Applicant Permitee Signa ure Date Issue [3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , J • RECE[VED APR282011 City of Orono C�TY OF OR�FVp Building Permit Application for New Structures or Additions ;O_� MailiPO Bo�r66 Permit number. ��1• U�G�--��'/ �Q� �O� C rystal Ba y, MN 55323-0066 Date received: �� Z-� �o� ;`` -_ �� _,.,�� I Received by: ��-� � Street Address:' �"�',�c, � �� 2750 Kelley Parkway Plan review fee: �l.qk�S�J�� Orono, MN 55356 � _ Total Fee: ��S, G j� 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: �� SMr4D�j1��0�..� �o�c1� 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. Shuttle bus service will be required unless applicant demonstrates sufficient on-sde parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: r"�(�p��) ��1pDEL�11� State License# ZO 5�32.. Expiration Date: 3�3�-t L Phone: LSI- 554— l23 office) cell) Mailing Address: IS 11•�— Cit : . . ZIP: 55'p'1 Contact Person: 5 W�j E Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNE�NFORMATION: Name: H�"A) 1� Phone (day): (o Z Q '� �t Address: � Cit : (VD ZIP: �✓3�� Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT tNFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck �Relocation `-, ;��, A'� detached garage ❑ Office/Commercial ❑ Private Sewer Other: (specify) WINDb�I �4'�^ ❑ Multiple Family/Condo ❑Warehouse IM+GrfC'� ❑ Public ❑ Storage ❑ Public Water *"Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) 18202 Minnetonka Blvd e,. Deephaven,MN 55391 +Ic ��`O �� '�" W�hQQ�,�)".a rVbO� Phone: 952-471-0590 '�'��+�.�G Fax: 952-471-0682 www.minnehahacreek.or �� t ��11�1 �QE��►S Estimated Construction Valuation (excluding land) $ f S��aa�- Last Updated: 12/21/2010 - 19- STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame ❑ Masonry b.Width(ft.)= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in spuare feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1 St Story = ❑ Other(please specify): e. 2"d Story= f. '/z Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit A plication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; . Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; . 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; • Acknowledges the Escrow Agreement is completed and signed; • 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 you refuse to supply the information,the application may not be issued. 1 Applicant's Signature: Date: ! �� Last Updated: 12/21/2010 -20 - . ' ' � , J . V , �t MINNESOTA DEPT. OF LABOR&•INDUSTRY � • � �l Construction Codes and Licensinq Division 7. Box 64217 l . ,Pau�, MN 55164-0217 .. `' ' ; , . t. , . . . � :� ` . { . t : MCDONALD REMODELING INC ' ' MCDONALD REMODELING � ' 6015 CAHILL AVE ;%� � '• INVER GROVE HGT, MN 55076 ' �. � : ; .::+.:�: - � :�>;::<_. �. #:�+.:`.¢..5:'' f�Y�� .G.:::?...,..... rr:9:�• C'^� (::<?:%' � "�.. hiti'v. . . ..... ''�}i:�ii::'�: }'::.',..:�i�:'�:n::"i. f +r %''Ja �F . i:>,;<�� .`tA��%'� ;a::i?::. t#F :•.:G�:` , rt::::... :..:::.p•. •: :+;.:::. .�:.� .:`::.,.::::>:::: :'fg. �•>:w.,:: ':i�i>v. p r,., 'i'<>''�' :�..;S�''"`�e v: � v��> ��: .t�t �f:Mirinesota r'':`�'�": (,� �n;,:• . .Co"�s�r'��a::;Ca� s'=<'and Licensin Division ;;� .��. Q„>>:<:, :�:.vM .�!,>: d�.,. g �j' •,>'.'ry:":;:j::� ':�f.. 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Box 66 Crys�al Bav, MN 55323 (952) 249-4600 Fax: (952) 249-4616 FAX TRANSMISSION COVER SHEET Date: �/��/� , To: f�l� Tc� � � U F�x: /� ,S-a a�7oz.. Re: a� �, ��j� Sender: � � � YOUSHOULD RECEIVE � PAGE(S), INCLUDING THIS COVER SHEET. IF YOU DO NOT RECENE ALL THE PAGES, � PLEASE CALL (9S2) 249-4600. 7 - � , � 0 �/i �/vt� .c/J o� �j�, � a � �-c� �SG�� vo�� o�� Y C � �`_ — ��AT'E / TIME J CITY OF ORONO CALLED IN `S/'�`-�`� INSPECTION NOTICE SCHEDULED S/ l/ 1� PERMIT NO��/-/.Y�a�S� . CO ED ADDRESS a� �-� OWNER T LE NO.�'S�-7��`�� CONTRACTOR GC— >: DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TFEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � i�Pti �t-� a �oc� �S�' w rti c�c��.✓S 0 � 0 � W � Q � z W � W � � � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK R PROCEED ❑I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECO�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �c � White Copyllnspector's File Canary CopylSfte Notice