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Home My WebLink About2014-00938 - windows h1111111111111111 CITY OF ORONO * 2 0 1 4 - 0 0 9 3 8 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014 ORONO, MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS 1105 TONKAWA RD PIN 08-117-23-13-0004 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 007 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION : S 3,512.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 103.25 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 1.76 10751 EXCELSIOR BLVD MAIL-IN FEE 2.00 HOPKINS, MN 55343 TOTAL 107.01 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 107.01 OWNER MILLER, MR&MRS JOHN 1105 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.T is pe it may be revoked at any time for due cause. l"'�) Applicant Permitee Signature Date lsst#d By Signature Date 1 City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �0 Mailing Address: PO Box 66 Permit number. Crystal Bay, MN 55323-0066 Street Address: Received by F ` 2750 Kelley Parkway Plan review fee..; Orono, MN 55356 �kFstio� 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: /I 5 Tonle—' t wa- /�-GC 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: State License# 109 Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) 1?5,;Z —,,;2-77 Mailing Address: D t?16.1(Ili 13/yA, City: p ns ZIP: �5_5343 Contact Person: Applicant is: tracto 5 / Homeowner (Circle One) Email and/or Fax: L� j V1SIMfStrQ ,5C(/tki1�-2V 1^OC, COP,-, PROPERTY OWNER INFORMATION: Name: Phone(day): _ ,� .01 Address: I1 O q T211ka f!ri k6acq City: wCl (�ZA-�Gl ZIP: _513 1 Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 [[ ;Window(s) www,minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $ 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 required by law. If you refuse to supply the information the application may not be issued. Applicant's Signature: Date: Owner's Signature: Date: Last Updated:03/06/2013 DATE ME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ?QAf- 00?d COMPLETED ADDRESS J106- OWNER 10 OWNER TELEPHONE NO. CONTRACTOR 5e/c.ry r dr05, DESCRIPTION JV094,� 6w f• 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v 6:ENAL ❑ WATER HOOK-UP j9daLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARDCOVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: UerL /fol��✓ ��.l�9 mcg!/ r Q j o ' l kt/csl•�7cJ I'GB�aCkP - �2t,Ke- 6/ZG r 646 4-- cc Sf71� t %•• eJ��sL`rr,s DDrts Q Qc W ❑WORK SATISFACTORY:PROCEED _>4PAdE6T-COMPLETE Qc 0 CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN 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 OwnedContractor on site: Inspector.� �'— White CopyAnspectoes File Canary CopylSite Notice