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Home My WebLink About2017-01485 - windows CITY OF ORONO I* zl 0 Ii 7 I 0 1 4 8 5 2750 KELLEY PARKWAY * DATE ISSUED: 11/13/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 4705 WATERTOWN RD PIN : 31-118-23-22-0003 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 5,280.00 NOTE: REPLACE(2)WINDOWS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 139.36 STATE SURCHARGE(VALUATION) 2.64 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C.WEST ROSEVILLE,MN 55113 TOTAL 144.00 (612)502-4777 Payment(s) Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 144.00 OWNER PRCHAL,DEREK&KELLY 4705 WATERTOWN RD MAPLE PLAIN,MN 55359- 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. of # cp /7 / /77 Applicant Permitee Signature Date Issue( By pgnature Date I. City of Orono Building Permit Application for Maintenance I Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: • PermIt number: • CO/ 7-0/11-K VsA 01 PO Box 66 0 v0 Crystal Bay, MN 55323-0066 Date received: "1.3 -17 r Received by: "� , i Street Address: l �, �i 2750 Kelley Parkway Pian review fee: q�z+76.Q$�' Orono, MN 55358 Total Fee: Yir.--� Main: 952-249-4600 Fax: 952-249-4616 SNww.ci,RrRfiQ.tnn.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: w 1_ Job Site Address: 4-0 5 (d* .Irk( ..0(• Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 11 Yes ❑ No If yes,a spacial event permit is required with Police Department and City Council approval 6Q 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: rV-4+-5.1 . 'Q -c<%eYN- State License# -5C 1.2009 83 Expiration Date: 3 J 31 Lead Certification Number: c\.jt-r. al.ag3 --1 Expiration Date: L1 115 (for work on homes that were constructed prior to 1978 Phone: (oE' - a(p4 J L 0 6- far iAn (office) (cell) Mailing Address: t9 a b CQ. l-2.,3 "C" W eSA4- city: s yevt\\C. ZIP: 5S 113 Contact Person: _ Applicant is: ontractor / Homeowner (cordo one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 1)-e-rt t?Y G1n01/4-1 Phone(day): -t Address: (_oma -Sq 9 - i a'D (,p City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) CI Remodel 0 Fire Damage Minnehaha MCWD review permits: a Creek Watershed District(MCWD) ❑Re-roof,asphalt 0 Repair 0 Storm Damage 18202 Minnetonka Blvd 1:1 Re-roof,cedar ❑ Restoration Deephaven, MN 55391 ❑Water Damage Phone: 952-471-0590 ❑Re-roof,other(specify) ❑ Siding ❑Other: (specify) Fax: 952-4710682 A Window(s) www.minnehahacreek,orq Overall Project Description: \Acs 0 W'.r\aCit,.. UJI:Vs. ,Q.-:Xi S r-9 OP- ;NQS ) Estimated Construction Valuation of Project(excluding land) $ St Q 0.od 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 class'sfied by State law as ether 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 pubifc 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: 1'f\-)0U II- V DATE TIME CITY OF ORONO J CALLED IN INSPECTION NOTICE tic-7y SCHEDULED 1/2i �/f }`t'. XV PERMIT NO. ' I '' COMPLETED ADDRESS 1/ 7( t` (( 1' l t r l C (/ OWNER TELEPHONE NO. CONTRACTOR 'If( ;, - i► ti 1 - DESCRIPTION '' ''( !' //f(•(/lt^ (i)t--:ti d/IA) j ❑ FOOTING 0 DEMO-FINAL 1SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-S 0/SEPTIC INSTALL 2 OW - '•NTRACTOR T• ET YOU: YES_NO y COMMENTS: c Gam-, h c1 5f4- 11 r�k CC c-Je•-/-ec yrs C v c1e'f Q 1J rs 474 W CC CC W 0 WORK SATISFACTORY:PROCEED --H-PROJECT COMPLETE CC0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN O 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. White Copyllnspector's File Canary Copy!Site Notice (-fDATE TIME tl CITY OF ORONO CALLED IN INSPECTION NOTIgf SCHEDULED /"r72�o iF c'S0 PERMIT NO.020/ /—Ell ) COMPL ED ADDRESS �X)5 k'` �tO-Zt.& OWNER TELEPHONE NO.A415— 07 Er- CONTRACTOR /2QfLQ ,0c>_\ rn� DESCRIPTION WijO h /L , w ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION 'T 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL -C ❑ DEMO-SITE 0 SEPTIC INSTALL • OWN ERICONTRACTOR TO MEET YOU:_YES_NO 9 COMMENTS: `I pf't4 .40 6cc F Q. Me 10,1. hsp e-e- te r cc w CC 12 CC CI W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY NRR[CTWORK,CALL FOR REINSPECTION TEMPORARY 0 FORE 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 Owner/Contractor on site: Inspector. 7Sel- ic White Copyllnspector's File Canary Copy/Site Notice