HomeMy WebLinkAbout2009-00050 - windows CITY OF ORONO PERMIT NO.: 2009-00050
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 02/1112009
952 249-4600 FAX: 952 249-4616
ADDRESS 420 TONKAWA RD
PIN : 05-117-23-32-0001
LEGAL DESC CLAREMONT HEIGHTS
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WINDOWS
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 15,000.00
APPLICANT PERMIT FEE SCHEDULE 265.50
LAKE COUNTRY BUILDERS,LTD STATE SURCHARGE(VALUATION) 7.50
339 2ND STREET
EXCELSIOR,MN 55331 TOTAL 273.00
(952)474-7121
Minnesota State License#:20349679
OWNER
GAGE, SCOTT,GINA,EDWIN&BARBARA
420 TONKAWA RD
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
commencedwithin 180 of date of issuance,or if construction is
suspended for a perio f s80 d s t anytime after work has commenced.
T licant is res sib for ring all required inspections are
r questin confo ce ith a tate Building Code.This permit maybe
evoked t tim r d ca se _
Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application
Mailing Address: Permit number:
O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a Street Address: Received by:
2750 Kelley Parkway Plan review fee:
iOg� 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: y20 eon�(_^WK R�
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-site parking is available. Non-permitted events will not be allowed.
CONTINFORMATION-
Name-
/APPL � _a j& 5 D T I
me: �th, �U t
V11
State License# 201A 9 xpiration Date: 3/11 /01
Phone: of 2- 4 - 7 Z 1 office) t,I'2-Z5(-f(710 cell
Mailing Address: __j tco Cit , r ZIP: -5-5331
Contact Person: Y,4.r�y\f Applicant is: ontracto / Homeowner (circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: ne,
Phone (day): Lc��
Address: Ll- 0 ► Q�ka�,,� City: s ZIP: Y5 35(,o
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)
>(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.org
Estimated Construction Valuation (excluding land) $ . 000
APPLICANT & OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department,
• Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize
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.
• The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by
City Staff, consultants or agents, for purposes of investigation of this request.
• Some or all of the information at y u are asked to)n, he
de on this application is classified by State law as either private or
confidential. Private data isJimormati n whichI
annot be given to the public but can be given to the subject of the
data. Confidential data is imatio w ich gnno a given to either the public or the subject of the data. Our
purpose and intended use is inf r tion ily date our records and records of other governmental agencies
re uired b law. If ou refus su I e info lication may not be issued.
Applicant's Signature: Date: �� Q ( Q�
Owner's Signature: Date:
(2,--��
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESSO �Q-
OWNER CONT<2rwl&
TELEPHONE NO.
DESCRIPTION ;�KLL
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y0 tE44SULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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LU KORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 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 ins tion 24 hours in advance. (952) 249-4600
Owner/Contracto I :
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice
C—� ATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED
PERMIT NO. - Md COMPLETED
ADDRESS
OWNER k CONTR.
TELEPHONE N W—
DESCRIPTION
t4 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
h ❑ INSU TION ❑ WOOD BURNER/FIREPLACE
O El TREE REMOVAL
Z ❑ L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. I -)
White CopylInspector's File Canary Copy/Site Notice