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Home My WebLink About2010 - 00022 - windows CITY OF ORONO PERMIT NO.: 2010-00022 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 01/20/2010 (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 1/26/2010 ADDRESS : 975 WILDHURST TR PIN : 07-117-23-12-0002 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 30,000.00 NOTE: WINDOWS AND SIDING APPLICANT PERMIT FEE SCHEDULE 466.75 MINNESOTA EXTERIORS INC. STATE SURCHARGE(VALUATION) 15.00 8600 JEFFERSON HIGHWAY OSSEO,MN 55369 MISC FEE 0.00 (763)391-5508 MAIL-IN FEE 2.00 Minnesota State License#: 2877 TOTAL 483.75 OWNER SODERMAN,ANTHONY 975 WILDHURST TR MOUND,MN 55364 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. Applicant Permitee Signature Date � Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABS E. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: a.i Cr Box 66 Crystal Bay, MN 55323-0066 Date received: "4`s: Received by: a l', a, s Street Address: �. 1f ,. 6" 2750 Kelley Parkway Orono, MN 55356 Plan review fee: V;y • ygE 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: Crl 1)J E td1(\L)� Tittil- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [I 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: Minn ILSOTO—ELK State inn> tO—ENState License# .,2$77 Expiration Date: 3)31/ / Phone: --/(p13-3C J -3j 16 (office) (cell) Mailing Address: % c) n 1-Au3u Cit : ZIP: 553(01' Contact Person: Chrib-ire Asn s.,.J Applicant is: Contractor Homeowner (Circle One) Email and/or Fax: CLs cu..),) mrk0 X,f. Cr'✓v1 PROPERTY OWNS INFORMATION: Name: nl j a5 k IMCLn Phone (day): a-i112 n37 Address: 175 U.); lahv(-S)c--t-rofkA City: 0 rbil 0 ZIP: 55343g) 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) OWindow(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ji Siding ❑ Restoration ['Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 301C;Cb..DO 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: CirC w.i.) -- Date: \—\3`\(C) Last Updated: 05-04-2009 DATE TIME CITY OF ORONO CALLED IN _ INSPECTION ,QQ CE SCHEDULED L57-6—/v PERMIT NO/X e —b700gDZCOMPLETED ADDRESS 975 60///hth'5 ` /; OWNER TELEPHONE NO. 763 :JSP7 CONTRACTOR MN/ � /O7 5 DESCRIPTION i� _ �- � � i " W ❑ FOOTING ❑ PLUMBING Pt?AL y 0 EXCAV/GRADING/FILLING cc 0 POURED WALL CI MECHANICAL RI CILAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL CI TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP LI ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc LU Q. CC O CC O U- W cC W W CC d IQ ❑WORK SATISFACTORY:PROCEED -415'PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY c..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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: c Inspector. s,, (`� i ec- White Copyllnspector's File Canary Copy/Site Notice