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Home My WebLink About2010-00018 - windows � CITY OF ORONO PERMIT NO.: 2010-00018 � 2750 KELLEY PARKWAY ORONO, MN 5535fi- DATE ISSUED: OU15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4300 SIXTH AVE N PIN : 31-118-23-12-0022 LEGAL DESC : SHARON HILLS : LOT 000 BLOCK 001 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 4,000.00 NOTE: WALL SHEETING,NEW WINDOWS,NEW DOORS,NEW SIDING � � APPLICANT PERMIT FEE SCHEDULE 10325 GEHRMAN, ROBERT& MAR[LYN STATE SURCHARGE(VALUATION) 2.00 4300 SIXTH AVE N TOTAL 105.25 LONG LAKE, MN 55356- PAID WITH CASH 10525 OWNER GEHRMAN, ROBERT&MARILYN 4300 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORI�STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specificd 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 L3uilding Code.This permit may be revoked at any time or due cause. / / / / Ap icant ermitee Signature Date Issued By gnature ate SEPARATE PERMITS REQU[RED FOR WORK OTHE HAN DESCRIBED ABO E. _ _ - ' w�� > ._ s � . � ` City of Orono � ' � , 4 � , �`:: Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,i,�,� PO Box 66 � �\ Q Crystal Bay, MN 55323-0066 Date received: i s , � � ��< Received by: �} � �' 4 ;� �. Street Address: �� ''! G�F 2750 Kelley Parkway Plan review fee: � �9kEsfIO�'� Orono, MN 55356 �' Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us r:-;�. This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) ,� GENERAL INFORMATION: � f �' Job Site Address: �7',3� � t`� /�,� /(� �� ,�c ��/ ��5� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes "� '` ❑ No 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/APPLICANT INFORMATION: �.;; Name: _ �� [x�� State License# Expiration Date: y�r; Phone: office cell Mailing Address I ` C"�(I� Cit : �(�e ZIP: SS`�/�!� ' Contact Person: Applicant is: Contractor Homeowne ��ie one� ; ��> Email and/or Fax: �y'� t;-' PROPERTY OWNER IN�RMATION: �; �� Name: J� � � � �` E. �';' Phone (day): 2- -�� Address: �-f?l,� 6�,(�� Cit � O��O ZIP� �`y\- ` k��'��. J l '1 �� x�,, Email and/or Fax _,��. ` PROJECT INFORMATION: �a,-r, /Ze— S��e � � ' �; �', Type of Project: Any earth movement may require ��,- MCWD review&permits �Door(s) 2 ❑ Remodel ❑Water Damage Window(s) 2 ❑ Re air Minnehaha Creek Watershed District(MCWD) �~• � p ❑ Storm Damage 18202 Minnetonka Blvd z, -� �/ Deephaven, MN 55391 �,Siding � / S� ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ,�` Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq �` Overall Project Description: G✓G / �cG�„ �„ '.��,.5 he� cw S�� Estimated Construction Valuation of Project cluding land) $�qoa,od /�.�f�,�,/ 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 r 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 enerall cannot be iven to the ublic but can be 9 Y 9� p 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: ��J- � V ` \ Last Updated: 05-04-2009 y V ss . �P .y`� �= �� M � ��, ��' DAT� TIME ✓ CITY OF ORONO c,a� ��°?"`� 0 � INSPECTION CE SCHEDULED �tll � PERMIT NO. COMPLETED ADDRESS • OWNER CONTR. TELEPHONE NO. 7�O 3 Z 3� Z��O g 9 � DESCRIPTION ��/�u.�' �a�'� �� „'�S � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GR NG/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP p PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOILOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � � o)�� ,T� �, 0 � W � Q � z W � W � � /�� ❑WORKSATISFACTORY:PROCEED �WROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. ( White CopyllnspectoPs File Canary CopylSite Notice