HomeMy WebLinkAbout2009-00299 - windows CITY OF ORONO PERMIT NO.: 2009-00299
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 06/09/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1030 TONKAWA RD
PIN : 08-117-23-13-0015
LEGAL DESC : REG.LAND SURVEY NO.0617
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,000.00
NOTE:
REPLACE WINDOW AND DOOR AND 20'OF WALKOUT WALL-REFLASHED DECK
APPLICANT
PERMIT FEE SCHEDULE 177.00
KEITH WATERS&ASSOCIATES STATE SURCHARGE(VALUATION) 4.50
6216 BAKER ROAD -SUITE 110
EDEN PRIAIRE,MN 55346 TOTAL 181.50
OWNER
EDMUNDS,ROBERT&DEBRA
1030 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
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.
6 / 9 / O / a
Applicant Permitee Sign re Date Issu�ySignataureWL'�f
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
` City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: - D
�v 0,��. PO Box 66 Permit number:
Crystal Bay, MN 55323-0066 Date received: d IZ2`h
a s i Street Address: Received by:
2750 Kelley Parkway Plan review fee:
L`9kZs140gj Orono, MN 55356
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee:
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: ID30 70 u V AL4)A- K D 4 D
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.
CONTRACTOR/APPLICANT INFORMATION:
Name: WF_ 17k+ Iyr+-7r-rZ-5 f}55D C 1 /¢-7r S7
State License # 0001509 Expiration Date:
Phone: _XJ - -)-)4-0004 (office) (cell)
Mailing Address: 62 )A 94k6VZ 134, 50iTr 00 Cit A) P4*-1nIr-_ ZIP. 5,5_3Lf6
Contact Person: /t11V►2 Plrl-(1 Applicant is: C Contractor ! Homeowner (Circle One)
Email and/or Fax: 6/11�2- 9-7z+- O o D
PROPERTY OWNER INFORMATION:
Name: 1- 60 [3 Ed MIJkb S
Phone (day): 915 2- 47I - -7 1 8 3
Address: 10 30 -7fl A) 1<4-I.1J1j- R o 14 0 City: D {?D ti D ZIP: $536
Email and/or Fax 7
PROJECT INFORMATION: -7
Type of Project: Any earth movement may require
Door(s) ❑ Remodel ®Water Damage MCWD review &permits
Windows Minnehaha Creek Watershed District(MCWD)
( ) El ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
ElRe-roofU C�d Fax: 952-471-0682
❑ Fire Damage 5 7 www.minnehahacreek.o
Overall Project Description: iQ E eL+,1,t1-v3 A Ltd/U ►gyp W J- o 00i/2 2 P o F W v9-1-1�60 0-7 cJ 4-L_L_-Rrz tzl*y4.cf.2 0
Estimated Construction Valuation of Project (excluding land) $ 01 000 ��o� ✓�1£cGf
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 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 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 j
required by law. If you refuse to supply the information, the application may not be issued.
Applicant's Signature: Date:
Last Undated: 05-04-2009
D TIME
CITY OF ORONO CALLED IN D/
/
INSPECTION NOTICE SCHEDULED o
PERMIT NOS -OUZ n COMPLETED
ADDRESS
OWNER CONTR.�'Y
TELEPHONENO.
DESCRIPTION
❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINALElFOUNDATION/REMOVAL
OWNE ACTOR T TREET YOU: -Y YES_NO
COMMENTS:
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W�29'WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
QW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C1 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Con 'te:
Inspecto.
White Copyllnspectoes File Canary Copy/Site Notice