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HomeMy WebLinkAbout2011 - 01007 - windows CITY OF ORONO PERMIT NO.: 2011-01007 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/06/2011 (952)249-4600 FAX: (952)249-4616 ADDRESS : 1006 WILDHURST TR PIN : 07-117-23-24-0045 LEGAL DESC : WILDHURST ESTATES : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 6,500.00 NOTE: REMOVE AND REPLACE 6 WINDOWS,SIDING&STONE VENEER FROM WATER DAMAGE APPLICANT PERMIT FEE SCHEDULE 147.50 REVISION LLC STATE SURCHARGE(VALUATION) 3.25 10985 OAK SHORE TRAIL DELANO,MN 55328- TOTAL 150.75 (952)540-7150 PAID WITH CC# 8575 Minnesota State License#:20639027 OWNER CARTER,MATTHEW&ANA 1006 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 revo -I . an tin=for, ue cause. / / Law / ,F? / •pplican 'ermitee Signature Date Issued By 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. w City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: PO Box 66 Permit number: Crystal Bay,MN 55323-0066 Date received: AStreet Address: Received by: o~ 2750 Kelley Parkway Plan review fee: L9kESHo4Orono,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: /006 (A//z. #6/iZS i "TK141 Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? 0 Yes 0 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/APPJ ANT INFORMATION: APP, Name: E1/I51014, Lc-C-- State License# zo 6, 39 0 2-1 Expiration Date: 3 3/- 2cI 2— Lead Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: qct - - 7/5`0 (office) (cell) Mailing Address: %0985 ©.4-� 5/1(DI- T&A/Lo City: D LANo ZIP: c.53 2.fi Contact Person: Joh N DA Applicant is: c o / Homeowner (Circle One) Email and/or Fax: Jc-p,i@ rev;sior\✓ .rr. Co vv PROPERTY OWNER INFORMATION: q Name: f l/� r �- i4 tJ 4 C—AizTg Phone(day): Address: /Ob c (iL)t L. n (-I 025 i -re(_ City: 7,QoNO ZIP: Salo y Email and/or Fax PROJECT INFORMATION: Type of Project: I Any earth movement may require ❑Door(s) IDRemodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalttepair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar j#Restoration Water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specify) Siding ❑Other:(specify) Fax: 952-471-0682 Nindow(s) www.minnehahacreek.orq Overall Project Description: �Er+ uE 4_ Q>E �.a<r ra w tN a,c) S/D!N!n Sf4Nr V p)Lc,z rjl�,w w4rE 441A6e Estimated Construction Valuation of Project(excluding land) $ / 4,67p 00 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 informa'on is to annually update our records and records of other governmental agencies required by law. If you refuse to suppl : inf. :j he applicatio a not be issued. J � Applicant's Signature: Date: f 2 - Ze// Last Updated: 08-09-2011 Of' Al DATE TIME CITY OF ORONO CALLED IN / -/D INSPECTION NOTICE _., SCHEDULED /o-//-// /D at, PERMIT NO, 2/7---6/6'6 COMPLETED ADDRESS / DC0 (-Of/a/Azz-cs74 q OWNER TELEPHONE NO. ,/a- $ -A 3d/ CONTRACTOR - >: DESCRIPTION Lu ❑ FOOTING ❑ PLUMBING FINAL LI EXCAV/GRADING/FILLING Q ❑ POURED WALL LI MECHANICAL RI 0 LAKESHORE/WETLANDS Cl) ❑ FRAMING 0 MECHANICAL FINAL LI TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION • ❑ RADON SLAB LI WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q.. CC O CC O W CC W W CC O p�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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 si e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice PV � C f DATE TIME t/ CITY OF ORONO ✓ CALLED IN Cr I �) I I+ INSPECTION N TI E SCHEDULED �' �}41,PERMIT NO. `�C I f '"�'I ( �( I COMPLETED It 4t ADDRESS L U I Ci f G t t� OWNER TELEPHONENO. CONTRACTOR \t ti l u-(1 kd DESCRIPTION I C.ti1rl �'Ylj ���tc � /r • ❑ FOOTING ❑ PLUMBING FINAL ) ❑ EXCAV/GRADING/FILLING ct ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP I ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC/FINAL ❑ FOUNDATION/REMOVAL • OWN ERICONTRACTOR TO MEET YOU:A YES_NO Si COMMENTS: / cc W Q.. CC O CC O U- W LU W CC d WCC WORK SATISFACTORY:PROCEED 1=1PROJECT COMPLETE W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n- t i - ' - tion 24 hours in advance. (952) 249-4600 Owner/Contra• o Inspect° Oktin White Copy/Inspector's File Canary Copy/Site Notice