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Home My WebLink About2014 - 01235 - windows CITY OF ORONO 1111111111 111111111111 I< * 20 1 4 - 0 1 23S * 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1186 WILDHURST TR PIN : 07-117-23-24-0007 LEGAL DESC : REG. LAND SURVEY NO. 1116 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 2,812.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 88.50 STATE SURCHARGE(VALUATION) 1.41 SCHERER BROS LUMBER MAIL-IN FEE 2.00 10751 EXCELSIOR BLVD HOPKINS,MN 55343 TOTAL 91.91 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 91.91 OWNER RASMUSSEN, BRIAN&SANDY 1186 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 goveming 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 / / /,‘Applicant Permitee Si: . ire Date Issu y Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) Mailing Address: �� 7 yO\\ PO Box 66 Permit number. -�f(// -> IM Crystal Bay, MN 55323-0066 Date received: /O 43 ,/ Street Address: Received by: G: 2750 Kelley Parkway Plan review fee: Orono,MN 55356 .rESHov-t Total Fee: f! 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 Slte Address: V ( c Vi^urs r Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El 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: �G(�1 v lr V ems. Ll.(_vkl10-24r- CU State License# C a 3 (d 9 Expiration Date: 3/3/4.1-0/6. Lead Certification Number: ///T-a(o 305- / Expiration Date: 4-/c (for work on homes that were constructed prior to 1978 Phone: (cell) (office) 952...- x77- / 5c _ Mailing Address: 1675/ �kCQj to 1/ 6 I vo( City: p.k-lvt S ZIP: 5-53 443 Contact Person: (Arc t,4 v, [1/1 0 ✓e Applicant is: ar•1'n3'•1 / Homeowner (Circle One) Email and/or Fax: �! .� 1/3,-In re L ,cfr - !-ov'1 S c OGS► PROPERTY OWNER INFORMATION,_ .• PVLGLV- Clcu'ic kaSVv1u.sse.vi Phone(day): 5,P-- 47;2 -5X31 • l Address: 1 t,c).6? W r ld urs-1 Tv'a.:c 1 City: Maw/1(Aj ki1iV ZIP: ss Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel 0 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 aWindow(s) www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ ev/c 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 theJ�'nf�or�m�ation,the a•plica'on may not be issued. 411 Applicant's Signature: lam" Date: l(-9/a*afll4- i Owner's Signature: Date: Last Updated:03/06/2013 DATE TIME �/ CITY OF ORONOA.......1 1- CALLED IN INSPECTION •T CE t , SCHEDULED PERMIT NO. PA 'J 0I O PLETED ADDRESS ( L8 WiJc k.cL* fiI J OWNER �,�, TELEPHONE NO. ^a7 l CONTRACTOR `�'Li .r DESCRIPTION W VJo(/3 itC114144 .7`bl W ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING kct ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v• ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO to• COMMENTS:crr+fin � ot,z...fr r Dr . `cC /.,1cc y o 0 ,„ (2 1a —?/6 —°3472' an .D► U- /2?r - 54*02 S« - SaM4 - ct z 67j4/t, . ' eltr'e..Zs 0,010 U/bei a:1016G v LLI IL CC OtS 5 f 4- Cptorte-6-e — d Lu LU ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE ❑CORRECT WORK&PROCEED [-I ISSUE ERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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. all for the next inspection 24 hours in advance. (952) 249-4600 Owner/ ntractor on site: B'‘4G4 Inspector. /fr-"j`,4-' White Copyllnspector's File Canary Copy/Site Notice