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Home My WebLink About2015-01446 - windows r _ 1 CITY OF ORONO * 2 0 1 5 - 0 1 4 4 6 2750 KELLEY PARKWAY DATE ISSUED: 11/10/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 2525 THOROUGHBRED LA PIN 04-117-23-11-0020 LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN LOT 003 BLOCK 002 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 7,531.00 NOTE: REPLACE(3)WINDOWS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 170.38 STATE SURCHARGE(VALUATION) 3.77 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST TOTAL 176.15 ROSEVILLE,MN 55113 Payment(s) (612)502-4777 Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 176.15 OWNER BAKKEN,BRADLEY&MARY 2525 THOROUGHBRED LA LONG LAKE,MN 55356- 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 separate permits. All provisions of laws and ordinances governing 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 State Building Code.This permit may be revoked at any time for due cause. 1(��) I o Applicant PerWiwe Signature Date Issued ignature Date City of Orono Building Permit Application for Maintenance I Renovation (windows, doors, siding, re-roof, etc.) 1�,, Mailingr. Address: Permit number. 0`r PO Box 66 Crystal Bay,MN 55326 Date'reoeived: Reaeived:by: Street Address: a 2750 Kelley Parkway Plan review fee' Orono.MN 55356 Total Fee: Mem: 962-249-46M Fax 952-2494616 Mww.a anmo.mn,us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) MNERAL INFORMATION: Job Site Address:5 95 Y Ota Will this be a Parade of Homes,Rsmodelers Sh nee or other display Home? yes No WM a special event permit fa regared with FWke Department and CAy Councl approval W days prfw to the event Shuffle bus service wilt be required unAwe appfrcant demons&V1Q-9 sunklent on-afte parldng is avaryable- Non-pemaed events wol not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ikseNZ� State License# 3 Expiration bate: TWO]3 Lead Cer iScatlon Number. ~�� "�-a S Expiration Date: y j (for warfc on homes that were constructed,qrior.to 1976 office} (cell) Phone: ` Mailing Address: A C •• •• west C hi est ZIP: SS 1 Contact Person: Applicant is: W42MMZW i Homeowner (chvie on.i Email and/or Fax: PROPERTY OWNER INFORMATION: i Name: S f as kLi '�- Phone(day): I on 50 2. Chy_ ZIP: Address: S Email and/or Fax PROJECT INFORMATION' Any earth movement may require Type of Pr'Olect' MCWD review m permits: Door(s) ❑Remodel ❑Fire Damage Mlnnehahe Creek Watershed District(MCWD) ❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd 13eephaven,MN 55391 Re-roof,radar ORestwoon ❑Water Damage Phone- 952-471-0590 Fax: 862-471-0682 [3 Re-roof,other(spectry) ❑Siding Q Other(��) vrww_minnehahacreek,2r9 (�Wirxlow(s) ON@ratl Pro eat Desai tion: a D►. .1.. r ` Estimated Construction Valuatio of Project(pxaludin land) $ 7-,5731 APPLICANT ACKNOWLEDGEMENT: Agrees to provide all information requa'ed or requested by the Building Department; Certifies tot the Information supplied is true and oorre t to the beat 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 completeW. 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 gerserally 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 dais. Our purpose and Intended use of this information is to annually update our records and records of other governmental agencies reqwired by law. if a refuse to supdy the h*nnadon the ao& tion►My not be issued. ADolican's Sionature: Date: ��mo )15- �TE ` TIME CITY OF ORONO CALLED IN 7 INSPECTIONN 0v// SCHEDULED PERMIT NO. OMPLETED ADDRESS OWNER L HONE `Z gg CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICON TRACTOR TO MEET YOU:_YES_NO cin COMMENTS: o `S�r•.t .��Ze _541-4 e_ w ac lw e W 1 OCFp/ !Q Q w 3 a 41 ❑WORKSATISFACTORY PROCEED ❑PROJECT COMPLETE � W ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OO OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑$TOP ORDER POSTED.CALL INSP ❑CITATION ISSUED t CTNM REQUIRED. 9E66-- forthene /2 hours in advance. (952) 249-4600 s Inspector: h-- Whits Copylinspectoes FIM Canary Copyr to Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED PERMIT NO. 0 Y COMPLETED ADDRESS o2 `J�c+'� fl9rDLG$ill '6re-'JP 4d. OWNER TELEPHONE NO. CONTRACTOR ierd ea, 2 l DESCRIPTION l✓tjw cJ 12 t,,f1E• t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF [IPLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v GrFINAL ❑ WATER HOOK-UP J,AOLLOW-UP '10 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ UNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OwNERlcoNTRACTOR To MEET YOU:_YEs_No h COMMENTS: &rw,ri /faz4o✓ ./ar --,e/l,0-y rf �'�sari �95��•�i.-t cc j O _ UC e* W a: Q ? _�pct�e S .q. �.., ��Gtr e •� !c��! �j��s•+•4- g ,p to�tOG Cd �.��tyr ��f4•� !U ` d�E�rr. Iear,tDfiJark OGey! rcc 6r.F /u.w•� �r'. �.D UA ❑WORK SATISFACTORY PROCEED / ME COMPLETE jAk Z� CORRECT WORK 6 PROCEED A❑I E CERTIFKATE OF OCCUPANCY C 016WRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 hours in atone. (952) 249-4600 Oimw o�shq. Inspector: Whits Capylinspector's Fila Canary CopyMft Notice